Leveraging general risk surveillance to reduce suicide in early adolescents: Associations between suicidality, disordered eating, and other developmental risk factors

Objective Suicide is a leading cause of death in early adolescents (i.e., children ages 11–14), underscoring the need for a more complex understanding of suicidality in youth. Syndemics framework posits that the overlap of multiple maladaptive behaviors (or risk factors) produces worse health outcomes compared to each behavior alone. The use of this framework in […]

Associations of suicide risk with emotional reactivity, dysregulation, and eating disorder treatment outcomes

Introduction Emotional processes play a role in both suicide risk and eating disorders (EDs), which are often comorbid. However, limited research has explored how emotional processes relate to suicide risk in EDs and the prognostic value of suicide risk for ED treatment. Thus, the current study examined associations between emotion dysregulation and reactivity with suicide […]

Mental health-related emergency department visits in adolescents before and during the COVID-19 pandemic: A multicentric retrospective study

Purpose The purpose of this study was to compare pre/post-COVID-19 changes in mental health–related emergency department visits among adolescents. Methods We conducted a retrospective analysis of all mental health–related emergency department visits in two large tertiary pediatric hospital centers between January 2018 and December 2020. We described monthly pre/post-COVID-19 changes in frequency and proportion of mental […]

The link between non-suicidal self-injury (NSSI), body image and activity on social networking sites among female adolescents with an eating disorder

The link between engagement in non-suicidal self-injury (NSSI)–related activities on SNS (e.g. viewing, commenting, sharing and uploading NSSI content) with body image and NSSI behaviour remains under researched in adolescents with EDs. The main aim of the current research was to examine associations between NSSI-related activities on SNS with body image and NSSI behaviour severity […]

Nonsuicidal self-injury and suicide attempts are uniquely associated with eating disorder pathology and behaviors over and above negative urgency

Nonsuicidal self-injury (NSSI) and suicidal behaviors are prevalent in individuals with eating disorders (EDs). Negative urgency (NU; the tendency to act rashly when distressed) is a common correlate of NSSI, suicide, and ED pathology. The aim of this study was to examine whether lifetime history of NSSI and suicide attempts (SA) contributed unique variance to current ED pathology after […]

Lifetime prevalence and clinical correlates of nonsuicidal self-injury in youth inpatients with eating disorders: A retrospective chart review

Background Youths with eating disorders (EDs) engaging in nonsuicidal self-injury (NSSI) are at higher suicide risk because EDs and NSSI are associated with suicidality. However, epidemiologic data on NSSI lacks in the vulnerable group of youth ED inpatients. Methods This retrospective chart review included patients up to 18 years of age with an ICD-10 diagnosis of […]

Using natural language processing to extract self-harm and suicidality data from a clinical sample of patients with eating disorders: A retrospective cohort study

Objectives: The objective of this study was to determine risk factors for those diagnosed with eating disorders who report self-harm and suicidality. Design and setting: This study was a retrospective cohort study within a secondary mental health service, South London and Maudsley National Health Service Trust. Participants: All diagnosed with an F50 diagnosis of eating disorder from January […]

Relationships between non-suicidal self-injury and other maladaptive behaviors: Beyond difficulties in emotion regulation

Non-suicidal self-injury (NSSI) co-occurs with both other maladaptive behaviors (e.g., aggression) and emotion dysregulation. However, the extent to which these maladaptive behaviors are linked to NSSI independent of emotion dysregulation is unclear. The present study examined relationships between NSSI and six other maladaptive behaviors among university undergraduates. When controlling for demographic variables, emotion dysregulation, and […]

Interoceptive deficits moderate the relationship between bulimia symptoms and suicide risk

Interoceptive deficits have been linked to suicidality and eating disorders. The relationship between disordered eating symptoms and suicidality may depend on the level of interoceptive deficits. It was expected that interoceptive deficits would moderate the relationship between disordered eating symptoms (oral control, dieting, and bulimia) and suicidality (suicide attempts, ideation, and communication) when interoceptive deficits […]

Updates in the treatment of eating disorders in 2020: A year in review in eating disorders: the journal of treatment & prevention

Several important studies advancing treatment of eating disorders were published in Eating Disorders: The Journal of Treatment & Prevention in 2020. This review summarizes the recent contributions to the literature on the treatment of eating disorders, including dialectical behavior therapy, yoga for positive embodiment, and treatment innovations in children and adolescents with eating disorders. Dialectical behavior therapy […]

Correlates of suicidal thoughts and attempts in males engaging in muscle dysmorphia or eating disorder symptoms

Objective Despite the high rates of suicidality in body dysmorphic disorder and eating disorders (EDs), research on suicidality in a related disorder, muscle dysmorphia (MD), is essentially nonexistent. Thus, this study tested relations between suicidal thoughts and behaviors and MD and ED symptoms in an online male community sample. Method A total of 464 males […]

Comparing eating disorder characteristics and treatment in self-identified competitive athletes and non-athletes from the National Eating Disorders Association online screening tool

Objective: We compared eating disorder (ED) characteristics and treatment seeking behaviors between self-identified competitive athletes and non-athletes in a large, community-based sample. Method: During the 2018 National Eating Disorders Awareness Week, 23,920 respondents, 14.7% of whom identified as competitive athletes, completed the National Eating Disorders Association online screen. Data were collected on demographics, disordered eating behaviors, probable […]

Non-suicidal self-injury and eating disordered behaviors: An update on what we do and do not know

between non-suicidal self-injury (NSSI) and eating disordered (ED) behaviors and highlights meaningful directions for future research. Recent findings: While there is solid evidence indicating a robust cross-sectional association between NSSI and ED behaviors, emerging evidence suggests that the temporal relationship between these behaviors may be bidirectional. Shared functions and risk factors may explain why these behaviors […]

Suicide attempts in US adults with lifetime DSM-5 eating disorders

Background Rates of suicide are increasing in the US. Although psychiatric disorders are associated with suicide risk, there is a dearth of epidemiological research on the relationship between suicide attempts (SAs) and eating disorders (EDs). The study therefore aimed to examine prevalence and correlates of SAs in DSM-5 EDs—anorexia nervosa (AN), bulimia nervosa (BN), and […]

Eating disorders, suicidality, and interpersonal theory of suicide

The purpose of this study was to look at how eating disorders and the intrapersonal factors underlying ED are related to acquired capability for suicide and thwarted belongingness. More specifically, the present study wants to assess intra-personal factors that could have a correlation to the main components of IPTS. This study wants to assess five […]

Assessing longitudinal relationships among thwarted belongingness, perceived burdensomeness, and eating disorder symptoms

Objective Past work has documented a cross‐sectional relationship between eating disorders (ED) and suicidality, but few studies have examined the directionality of this relationship. Informed by the interpersonal–psychological theory of suicide (IPTS), this study examines the bidirectional, longitudinal relationship between ED symptoms and two determinants of suicide ideation—thwarted belongingness (TB) and perceived burdensomeness (PB). Method […]

Non-suicidal self-injury differentiates suicide ideators and attempters and predicts future suicide attempts in patients with eating disorders

Objective We aimed first to identificate psychopathological variables differentiating between suicide ideators, suicide attempters and patients without suicide ideation or attempts, and second to identificate better predictors of suicide attempts longitudinally. Method We compared suicide ideation, hopelessness, borderline symptoms, frequency, types, number of different non‐suicidal self‐injury (NSSI) methods, intrapersonal and interpersonal functionality of NSSI in […]

Predictors of suicide attempts in individuals with eating disorders

Objective Although 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. Method A total of 899 patients with ED were assessed via structured interviews. To compare demographic and clinical […]

Examining patterns of change in the acquired capability for suicide among eating disorder patients

Objective Several models of suicidal behavior posit that, to transition from suicidal ideation to attempting suicide, individuals must have an acquired capability for suicide (ACS), comprised of fearlessness about death (FAD) and pain tolerance. ACS is hypothesized to increase monotonically through exposure to painful and provocative experiences. However, recent research suggests that ACS can decrease, […]

Self-criticism as a transdiagnostic process in nonsuicidal self-injury and disordered eating: Systematic review and meta-analysis

Nonsuicidal self-injury (NSSI) and disordered eating (DE) are highly comorbid and may be regarded as belonging to a spectrum of self-harm behaviors. We investigated self-criticism as a transdiagnostic correlate of these behaviors, in keeping with etiological theories of both NSSI and DE. We reviewed the literature and meta-analyzed the relation of self-criticism to both NSSI […]

Are eating disorders and related symptoms risk factors for suicidal thoughts and behaviours? A meta-analysis

This meta-analysis addressed whether eating disorders (EDs) are risk factors (i.e., longitudinal predictors) for suicidal thoughts and behaviors. We identified 2,611 longitudinal studies published through August 1, 2017. Inclusion required studies include at least one longitudinal analysis predicting suicide ideation, attempt, or death using an ED diagnosis and/or symptom. Fourteen studies (42 prediction cases) met […]

Interoceptive deficits, nonsuicidal self-injury, and suicide attempts among women with eating disorders

People with eating disorders (EDs) have an elevated risk for both nonsuicidal self‐injury (NSSI) and suicide compared to the general population. This study tests two theoretically derived models examining interoceptive deficits as a risk factor for NSSI, and examining interoceptive deficits, NSSI, fearlessness about death, and pain tolerance as risk factors for suicide. Ninety‐six adult, […]

Testing an integrative model of affect regulation and avoidance in non-suicidal self-injury and disordered eating.

This research tested a model that integrates risk factors among non-suicidal self-injury (NSSI) and eating disorder (ED) behaviors with the aim of elucidating possible shared and unique mechanisms underlying both behaviors. Emotional distress, limited access to emotion regulation (ER) strategies, experiential avoidance, and NSSI/ED frequency were examined in a sample of 230 female undergraduates. Structural […]