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 […]

Connecting eating pathology with risk for engaging in suicidal behavior: The mediating role of experiential avoidance.

Individuals with eating pathology, particularly those with diagnosed eating disorders, are at high risk for suicide. It is less clear whether undiagnosed eating pathology and subsyndromal eating disorders carry the same risk and, if so, what mechanisms may explain why higher levels of eating pathology yield greater risk for engaging in suicidal behaviors. The indirect […]

An examination of the connections between eating disorder symptoms, perceived burdensomeness, thwarted belongingness, and suicide risk among undergraduate students.

Suicide attempts and premature mortality due to suicide are elevated in people with eating disorders. Informed by the interpersonal theory of suicide, two studies examined the role of perceived burdensomeness and thwarted belongingness in explaining the association between eating disorder symptoms and suicide risk. Results indicated that various eating disorder symptoms had an indirect effect […]

Eating disorders and suicidality: What we know, what we don’t know, and suggestions for future research.

Highlights • Suicide is the second leading cause of death among individuals with anorexia nervosa (AN). Suicidal behavior is elevated in bulimia nervosa (BN) and binge eating disorder (BED) relative to the general population. One-quarter to one-third of people with AN, BN, or BED have thought about suicide. One-quarter to one-third of people with AN […]

Drug prescribing in child and adolescent eating disorder services.

Background:  Psychotropic drugs are not recommended for child and adolescent eating disorders, though they are used empirically for symptomatic treatment and co-morbid conditions. Little is known about rates of prescribing or the beneficial and adverse effects. Objective:  To ascertain rates and outcomes of psychotropic drug prescribing in child and adolescent eating disorder services. Method:  Retrospective […]

The current status of suicide and self-injury in eating disorders: A narrative review.

The aim of this paper is to review recent literature on suicide and self-injury in eating disorders (ED) including anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Among psychiatric diagnoses, EDs are associated with increased mortality rates, even when specialized treatment is available. Of the mortalities that are reported in individuals with […]

Depression and personality traits associated with emotion dysregulation: Correlates of suicide attempts in women with bulimia nervosa.

The objective of this study was to identify personality traits and psychiatric comorbidities associated with a lifetime history of a suicide attempt in women with bulimia nervosa (BN). Although personality traits associated with aspects of emotion dysregulation were associated with a lifetime suicide attempt, depression was found to have the strongest association with a lifetime […]

Frequency of nonsuicidal self-injury in adolescents: Differences in suicide attempts, substance use, and disordered eating.

Journal copy held in CSP Library.

How often, or how many ways: Clarifying the relationship between non-suicidal self-injury and suicidality.

Journal copy held in CSP Library.

Comorbidity-independent risk for suicidality increases with bulimia nervosa but not with anorexia nervosa.

Eating disorders are serious psychiatric illnesses with high levels of suicidality and high comorbidity. However, no study has established the extent to which suicidality is uniquely associated with eating disorders rather than attributable to comorbid mood, anxiety, or substance use disorders. The current study examined whether unique associations between eating disorders and suicidality exist and […]

Focus on: Women and the costs of alcohol use.

WomenÕs heavy-drinking patterns and alcohol use disorders are associated with increased likelihood of many psychiatric problems, including depression, posttraumatic stress disorder, eating disorders, and suicidality, as well as increased risks of intimate partner violence and sexual assault, although causality in the associations of drinking with psychiatric disorders and with violence remains unclear. It is important […]

Eating disorders and anabolic androgenic steroids in males: Similarities and differences in self-image and psychiatric symptoms.

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Self-injury and disordered eating: expressing emotion dysregulation through the body.

Previous research has suggested that emotion dysregulation, body-related concerns, and depressive symptoms are associated with nonsuicidal self-injury (NSSI) and disordered eating (DE) separately and in combination. However, it has been difficult to ascertain to what extent these constructs contribute to NSSI and DE given the relatively small number of studies examining their co-occurrence, particularly among […]