Evidence map›Paper›PMID 41043871›Full record

ArticleThe American journal of clinical nutrition2025

Ultraprocessed foods consumption, inflammatory index levels, and risk of suicide attempt: findings from a prospective cohort study.

Yichun Wu, Mengtong Sun, Yuheng Yuan, Shanshan Zhang, Linzhou Zhu, Zexin Lou, Yujie Shi, Jianing Li, Ziqing Sun, Lichao Yang and 2 more

Abstract read
In one paragraph

Article in The American journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Time to take diet and mental health research seriously.The American journal of clinical nutrition · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yichun WuDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China; The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Mengtong SunDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China; Department of Infectious Diseases and Public Health, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China.
Yuheng YuanDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Shanshan ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Linzhou ZhuDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Zexin LouDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Yujie ShiDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Jianing LiDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Ziqing SunDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Lichao YangDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Linyan LiDepartment of Infectious Diseases and Public Health, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China; Department of Data Science, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong SAR, China. Electronic address: linyanli@cityu.edu.hk.
Yueping ShenDepartment of Epidemiology and Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China; The Fourth Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China. Electronic address: shenyueping@suda.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide attempts (SAs) are a major public health issue, with many cases being preventable. However, the impact of dietary patterns remains inadequately studied. Currently, the rising consumption of ultraprocessed foods (UPFs) has been linked to various health issues, including mental health disorders that may increase risk of SA.

objectivesThis study aimed to investigate the association between UPF consumption and SA, and explore the mediating role of SA-related inflammatory index levels.

methodsThis study included 208,938 participants from the UK Biobank cohort, recruited from 2006 to 2010. Cox proportional hazards models were used to assess the association between the weight proportion of UPF intake and incident SA. Substitution analyses were conducted to evaluate risk of SA when replacing UPF with unprocessed or minimally processed foods (UNPFs). Causal mediation analyses were further conducted to estimate the mediating effects of inflammatory index levels in this association.

resultsOver a median follow-up of 13.1 y, 545 SA events were identified. Compared with participants in the lowest quintile of UPF consumption, those in the highest quintile had a 1.63 times higher risk of developing SA [hazard ratio (HR): 1.63, 95% confidence interval (CI): 1.23, 2.15]. Additionally, each SD increase in UPF consumption was associated with a 20% higher risk of SA (HR: 1.20, 95% CI: 1.11, 1.29). Notably, replacing 20% of UPF weight with UNPF was linked to a 23% reduction in SA risk (HR: 0.77, 95% CI: 0.69, 0.85). Furthermore, in causal mediation analyses, inflammatory index levels mediated 0.7%-1.5% of the association between UPF consumption and SA.

conclusionsHigher UPF consumption is associated with an increased risk of SA, partially mediated by inflammatory index levels. Replacing UPF with UNPF significantly reduces SA incidence, highlighting potential benefits of transitioning to a diet with higher UNPF consumption.

Indexed as

DietFast FoodsFood HandlingInflammationSuicide, AttemptedAdultCohort StudiesFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsUnited Kingdominflammationnutritional epidemiologyprospective cohort studysuicide attemptultraprocessed food

Identifiers

PMID41043871
PMCPMC12674080

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.