@article{ref1,
title="A network examination of risky behaviours in a state-level and national epidemiological sample of high school students",
journal="Early intervention in psychiatry",
year="2021",
author="Christian, Caroline and Keshishian, Ani C. and Levinson, Cheri A. and Peiper, Nicholas C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM: Engagement in risky behaviours, including substance use, disordered eating, suicidal behaviour, and peer victimization/violence, during adolescence is becoming  increasingly prevalent. These risky behaviours are highly comorbid and associated  with long-term consequences for health, relationships, and socioeconomic status,  representing an important public health concern. Past research has primarily  investigated risky behaviours in adolescence using latent variable models, which are  based on assumptions that may limit insight into the complex reality of these  behaviours. <br><br>METHODS: The current study uses network analysis to examine adolescent  substance use, disordered eating, suicide risk, and peer victimization/violence in a  national (N = 29 008) and state-level (Kentucky; N = 3455) epidemiological dataset. We calculated central and bridge symptoms and compared network structure based on  demographic factors (race, sex, grade) and sample (state vs. nation). <br><br>RESULTS: The  most central symptoms were suicidal ideation and attempts, stimulant drug use, and  prescription drug misuse. The most central bridge symptoms were depression,  methamphetamine use, peer violence, and suicide attempts. There were no differences  in network structure between samples or across demographic factors in the Kentucky  sample. There were differences in network structure across sex and race in the  national dataset. <br><br>CONCLUSIONS: These findings suggest stimulant use, suicidal  ideation, depression, and peer violence may contribute to the high rates and  co-occurrence of risky behaviours in adolescence. Based on network theory, these  symptoms may represent important targets for intervention. Due to network  differences, special considerations may be necessary to adapt such interventions to  meet the needs of students from different backgrounds.<p /> <p>Language: en</p>",
language="en",
issn="1751-7885",
doi="10.1111/eip.13107",
url="http://dx.doi.org/10.1111/eip.13107"
}