Predictors of Suicide Attempts in Individuals with Eating Disorders

Suicide and Life-Threatening Behavior - Tập 49 Số 3 - Trang 789-797 - 2019
Jaeun Ahn1,2, Jung‐Hyun Lee3, Young‐Chul Jung1,2
1Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea
2Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea
3Yonsei L Eating Disorder Clinic, Seoul, Korea

Tóm tắt

ObjectiveAlthough suicide is a major cause of mortality for individuals with eating disorders (EDs), researches about potential factors predicting suicide attempts in ED are insufficient. We sought to identify factors associated with suicide attempts in ED.MethodA total of 899 patients with ED were assessed via structured interviews. To compare demographic and clinical characteristics of those who had attempted suicide with those who had not, we used chi‐square tests and independent t tests for categorical and continuous variables, respectively. Then, binary logistic regression was conducted to identify factors associated with a history of suicide attempt.ResultsAmong ED patients, 20.8% reported a history of suicide attempts. Among the whole sample, the diagnostic category was the most significant factor. History of self‐mutilating behavior, hospitalization history, comorbid depression, and impulse regulation were also important factors associated with suicide attempt. Within the subgroup, comorbid anxiety disorder, depression, and BMI in anorexia nervosa and hospitalization history, history of self‐mutilating behavior, comorbid depression, illness duration, and poor impulse regulation in bulimia nervosa were significant factors associated with suicide attempt.ConclusionsBecause modifying risk factors of suicide attempt is important for preventing completed suicide, clinicians should carefully evaluate and monitor the risk factors of suicide attempt.

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Tài liệu tham khảo

10.1001/archgenpsychiatry.2011.74

Association, A. P., 2000, Diagnostic and statistical manual of mental disorders

10.1037/0022-006X.56.6.893

Beck A. T., 1996, Beck depression inventory‐II, San Antonio, 78, 490

10.1001/archpsyc.1988.01800300079011

10.1016/S0306-4603(96)00053-6

10.1111/j.1600-0447.1999.tb10910.x

10.1097/PSY.0b013e3181646765

10.1002/eat.20715

10.1017/S0033291702006943

Cho D., 1985, The study of objective measurement for obsessive‐compulsive behavior: The standardization of the list of obsessional–compulsive behavior in Maudsley obsessional–compulsive inventory, Seoul University Student Review, 20, 78

10.1016/j.psychres.2008.06.011

10.1002/(SICI)1098-108X(199607)20:1<99::AID-EAT11>3.0.CO;2-E

10.1097/00005053-199803000-00004

10.1080/10640260590893647

10.1016/j.cpr.2006.04.001

10.1017/S0033291703001545

Garner D. M.(1991).Eating disorder inventory‐2. Professional manual. Odessa: Psychological Assessment Resources.

10.1037/a0017427

10.1371/journal.pone.0023578

10.1097/00004583-199907000-00012

10.1016/0005-7967(77)90042-0

10.1002/erv.2161

10.1002/1098-108X(199407)16:1<1::AID-EAT2260160102>3.0.CO;2-T

10.1002/erv.2178

10.1016/j.biopsych.2006.03.040

10.4306/pi.2012.9.1.36

10.1016/j.biopsych.2012.11.020

10.1001/archpsyc.56.7.617

10.3349/ymj.2012.53.6.1099

Lindblad F., 2006, Improved survival in adolescent patients with anorexia nervosa: A comparison of two Swedish national cohorts of female inpatients, American Journal of Psychiatry, 163, 1433, 10.1176/ajp.2006.163.8.1433

10.1111/j.1530-0277.2011.01458.x

10.1016/j.genhosppsych.2003.10.005

10.1111/j.1943-278X.1996.tb00609.x

10.1037/a0034902

10.1016/j.eatbeh.2005.12.004

10.1027/0227-5910/a000275

10.1111/j.1600-0447.2010.01641.x

10.1016/j.brat.2010.03.016

10.1521/suli.2007.37.3.248

10.1521/suli.2007.37.3.264

Steer R. &Beck A.(1997).Beck Anxiety Inventory. InC. P.Zalaquette &R. J.Wood(Eds.) Evaluating stress: A book of resources(pp.23–40).Lanham:Scarecrow Press.

10.1016/j.comppsych.2004.07.011

10.1176/appi.ajp.159.8.1284

Yook S. P., 1997, A clinical study on the Korean version of Beck Anxiety Inventory: Comparative study of patient and nonpatient, Korean Journal of Clinical Psychology, 16, 185

10.1016/j.eurpsy.2003.11.005

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Suicide and Life-Threatening Behavior

Tập 49 Số 3

789-797

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