Predictors of current suicidal ideation in a multi-diagnostic sample of individuals with eating disorders

Journal of Eating Disorders

Research

Jillian D. Nelson¹  Alyssa Daza¹  Alyssa M. Izquierdo¹  Sarah Fischer²  Joanna Marino³  Alexandra Gasbarro³  Rebecca Hardin³ 

[1] Department of Psychology, George Mason University, 4400 University Drive, 22030, Fairfax, VA, USA;Department of Psychology, George Mason University, 4400 University Drive, 22030, Fairfax, VA, USA;Potomac Behavioral Solutions, Arlington, VA, USA;Potomac Behavioral Solutions, Arlington, VA, USA;

关键词: Suicidal ideation;    Eating disorders;    Disordered eating;    Suicide attempts;    Nonsuicidal self-injury;   

DOI  :  10.1186/s40337-023-00789-w

 received in 2022-07-31, accepted in 2023-04-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIndividuals with eating disorders (EDs) have high rates of suicidal ideation (SI) and attempts (SA). Fasting, body dissatisfaction, binge eating and purging have been associated with SI in non-clinical samples, individuals with anorexia nervosa or low-weight EDs, and a multi-diagnostic sample. However, few studies have examined how ED symptoms contribute to risk for SI in conjunction with other well-established risk factors, such as nonsuicidal self-injury (NSSI) and past SA. The aim of this study was to examine which ED symptoms contribute unique risk for current SI in a multi-diagnostic, clinical sample when statistically adjusting for gender, NSSI, past SA, and past SI.MethodsWe conducted a chart review of 166 individuals who presented for ED treatment at an outpatient facility and signed informed consent. Initial intake interviews were coded for the presence versus absence of fasting, fear of weight gain, binge eating, purging, excessive exercise, restriction, body checking, self-weighing, and body dissatisfaction, as well as NSSI, past SA, past SI, and current SI.ResultsA total of 26.5% of the sample endorsed current SI. In a logistic regression analysis, identifying as male (n = 17) or having a non-binary gender identity (n = 1), the presence of fasting, and past SI were all significantly associated with increased odds of current SI, whereas excessive exercise significantly decreased odds of current SI. Fasting was equally common across all diagnostic groups.ConclusionsFuture research should establish the temporal relationship between fasting and SI to better inform intervention.

【 授权许可】

CC BY   
© The Author(s) 2023