Self-hate, dissociation, and suicidal behavior in bulimia nervosa

Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability...

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Bibliographic Details
Published in:Journal of affective disorders 2023-08, Vol.335, p.44-48
Main Authors: Lieberman, Amy, Robison, Morgan, Wonderlich, Stephen A., Crosby, Ross D., Mitchell, James E., Crow, Scott J., Peterson, Carol B., Le Grange, Daniel, Bardone-Cone, Anna M., Kolden, Gregory, Joiner, Thomas E.
Format: Article
Language:English
Subjects:
Bulimia Nervosa
Dissociation
Eating disorders
Female
Hate
Humans
Interpersonal Relations
Perceived burdensomeness
Risk Factors
Self-hate
Suicidal behavior
Suicidal Ideation
Suicide
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Summary:Individuals with eating disorders (EDs) often struggle with markedly low self- esteem and are at risk for suicidal behavior. Dissociation and perceived burdensomeness are often cited as facilitators of suicidal outcomes. Specifically, perceived burdensomeness is comprised of self-hate and liability on others, although it remains unclear which variables most heavily influence suicidal behavior in EDs. In a sample of 204 women with bulimia nervosa, the present study examined the potential impact of self-hate and dissociation on suicidal behavior. We hypothesized that suicidal behavior would be equally, and potentially more strongly, related to self-hate than dissociation. Regression analyses investigated the unique effects of these variables on suicidal behavior. Consistent with our hypothesis, a significant relationship emerged between self-hate and suicidal behavior (B = 0.262, SE = 0.081, p 
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2023.05.015