Attempted suicide and self-injury in patients diagnosed with eating disorders

Eating disorders (ED) patients are at high risk for developing suicidal behavior. The aim of the present study was to investigate factors associated with suicidal behavior in ED patients. One hundred fifty patients at an outpatient ED clinic were included in the study. Data were gathered by retrospe...

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Bibliographic Details
Published in:Comprehensive psychiatry 2004-11, Vol.45 (6), p.447-451
Main Authors: Stein, Daniel, Lilenfeld, Lisa R.R., Wildman, Prudence C., Marcus, Marsha D.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Bulimia
Diagnostic and Statistical Manual of Mental Disorders
Eating behavior disorders
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - epidemiology
Feeding and Eating Disorders - psychology
Female
Humans
Male
Medical sciences
Miscellaneous
Personality disorders
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
Self destructive behavior
Self-Injurious Behavior - diagnosis
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Suicide
Suicide, Attempted - psychology
Suicide, Attempted - statistics & numerical data
Suicides & suicide attempts
Teenagers
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Summary:Eating disorders (ED) patients are at high risk for developing suicidal behavior. The aim of the present study was to investigate factors associated with suicidal behavior in ED patients. One hundred fifty patients at an outpatient ED clinic were included in the study. Data were gathered by retrospective chart analysis. We found that 48 patients (32%) had a history of parasuicide (i.e., suicide attempts, self-injury, or both). A significantly greater percentage of parasuicidal patients than nonparasuicidal patients had EDs with bingeing/pursing symptomatology, used more than one type of purging method, and had a lifetime history of a drug use disorder, impulse control problems, and bipolar disorder, as well as a more extensive outpatient and inpatient treatment history. The findings of this study support an increased tendency toward impulsivity among parasuicidal ED outpatients.
ISSN:0010-440X
1532-8384
DOI:10.1016/j.comppsych.2004.07.011