Non‐suicidal Self‐injury Differentiates Suicide Ideators and Attempters and Predicts Future Suicide Attempts in Patients with Eating Disorders

Pérez, Sandra; Ros, Montserrat Cañabate; Folgado, Jose E. Layron; Marco, José H.

doi:10.1111/sltb.12521

Cited by 13 publications

(7 citation statements)

References 43 publications

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“…While suicide attempts were low in this study ( n = 39), prior studies of individuals with eating disorders have indicated elevated risk as compared to their undiagnosed peers (Udo, Bitley, & Grilo, 2019). Furthermore, given the role that suicidal ideation and nonsuicidal self‐injury play in later suicide attempts (Pérez, Ros, Folgado, & Marco, 2019; Ribeiro et al., 2016), the current findings may connote risk of escalating suicidal behavior later in life.…”

Section: Discussionmentioning

confidence: 80%

Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10

Convertino

Blashill

2021

Child Psychology Psychiatry

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Background Eating disorders exhibit high comorbidity with other psychiatric disorders, most notably mood, substance use, and anxiety disorders. However, most studies examining psychiatric comorbidity are conducted in adolescents and adults. Therefore, the comorbidity among children living with eating disorders is unknown. The aim of this study was to characterize co‐occurring psychiatric disorders with eating disorders in a US sample of children aged 9–10 years old utilizing the Adolescent Brain Cognitive Development study. Methods The analytic sample included 11,718 children aged 9–10 years. Anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorder subtype diagnoses were examined. Statistical analyses were conducted using complex sampling. Odds ratios and 95% confidence intervals were calculated comparing the likelihood of being diagnosed for a psychiatric disorder when having an eating disorder, as compared to children without an eating disorder, children diagnosed with major depressive disorder, and children diagnosed with posttraumatic stress disorder using binary logistic regression. Results Co‐occurring psychiatric disorders were substantially higher in children with eating disorders as compared to children without eating disorders, but not as compared to children diagnosed with major depressive disorder or posttraumatic stress disorder. The most common comorbidities for the eating disorder group were anxiety disorders (71.4%), attention deficit/hyperactivity disorder (47.9%), disruptive/impulse control disorders (45.0%), mood disorders (29.6%), and obsessive‐compulsive disorder (28.8%), largely in line with previous research. Conclusions This study extends prior research finding high rates of comorbidity in eating disorders, specifically with anxiety, mood, and disruptive/impulse control disorders. Clinicians assessing for psychiatric disorders should be aware that eating disorders can occur in children 9 and 10 years old and are associated with severe comorbidity. Referrals for specialty mental health care should be considered.

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Section: Discussionmentioning

confidence: 80%

Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10

Convertino

Blashill

2021

Child Psychology Psychiatry

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“…perhaps unsurprising given the prevalence of these illnesses in the general population. Of concern is the elevated suicide rate noted across the ED spectrum, the highest observed in AN [ 58 , 140 , 149 ]. For people with AN, suicide attempts were mostly associated with comorbid mood and anxiety disorders [ 136 ].…”

Section: Discussionmentioning

confidence: 99%

“…Non-suicidal self-injury (NSSI), broadly defined, is the intentional harm inflicted to one’s body without intent to die [ 148 ]. Recognising NSSI is often a precursor for suicidal ideation and behaviour [ 149 ], together with the already heightened mortality rate for EDs, several studies have examined the association between EDs and NSSI. Up to one-third of patients with EDs report NSSI at some stage in their lifetime, with over one quarter having engaged in NSSI within the previous year [ 63 ].…”

Section: Psychiatric Comorbiditiesmentioning

confidence: 99%

Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature

Aouad¹,

Barakat

Boakes³

et al. 2022

J Eat Disord

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Background Eating disorders (EDs) are potentially severe, complex, and life-threatening illnesses. The mortality rate of EDs is significantly elevated compared to other psychiatric conditions, primarily due to medical complications and suicide. The current rapid review aimed to summarise the literature and identify gaps in knowledge relating to any psychiatric and medical comorbidities of eating disorders. Methods This paper forms part of a rapid review) series scoping the evidence base for the field of EDs, conducted to inform the Australian National Eating Disorders Research and Translation Strategy 2021–2031, funded and released by the Australian Government. ScienceDirect, PubMed and Ovid/Medline were searched for English-language studies focused on the psychiatric and medical comorbidities of EDs, published between 2009 and 2021. High-level evidence such as meta-analyses, large population studies and Randomised Control Trials were prioritised. Results A total of 202 studies were included in this review, with 58% pertaining to psychiatric comorbidities and 42% to medical comorbidities. For EDs in general, the most prevalent psychiatric comorbidities were anxiety (up to 62%), mood (up to 54%) and substance use and post-traumatic stress disorders (similar comorbidity rates up to 27%). The review also noted associations between specific EDs and non-suicidal self-injury, personality disorders, and neurodevelopmental disorders. EDs were complicated by medical comorbidities across the neuroendocrine, skeletal, nutritional, gastrointestinal, dental, and reproductive systems. Medical comorbidities can precede, occur alongside or emerge as a complication of the ED. Conclusions This review provides a thorough overview of the comorbid psychiatric and medical conditions co-occurring with EDs. High psychiatric and medical comorbidity rates were observed in people with EDs, with comorbidities contributing to increased ED symptom severity, maintenance of some ED behaviours, and poorer functioning as well as treatment outcomes. Early identification and management of psychiatric and medical comorbidities in people with an ED may improve response to treatment and overall outcomes.

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“…Regarding convergent validity, PB and TB showed positive, significant correlations with frequency of NSSI and hopelessness. These associations show that the two factors of the IPTS, the perception of being a burden and loneliness and the perception of not receiving any kind of reciprocal care, are related to other factors included in the theory (hopelessness), but also to other variables classically linked to suicide, such as NSSI [i.e., (56,57)] supporting the validity of the INQ-15 for assessing suicide-like constructs. Likewise, PB and TB showed negative associations with the protective factor meaning in life.…”

Section: Discussionmentioning

confidence: 73%

Psychometric Properties of the Interpersonal Needs Questionnaire-15 in Spanish Adolescents

et al. 2022

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BackgroundThwarted Belongingness (TB) and Perceived Burdensomeness (PB) are considered risk factors of suicide behavior in the Interpersonal Theory of Suicide and constitute the main factors of the Interpersonal Needs Questionnaire—INQ.AimsThe present study analyzes the internal consistency, construct validity, and invariance across sex and age of the INQ-15, which comprises two subscales, in a sample of Spanish community adolescents.MethodsParticipants were 1,536 adolescents from 12 to 19 years old. The INQ-15, the total number of non-suicidal self-injuries (NSSI), the Hopelessness Scale, and the Purpose in Life Test-Adolescents (PIL-A) were used.ResultsThe INQ-15 showed good internal consistency for TB (ω¯ = 0.88) and PB (ω¯ = 0.78) subscales and construct and concurrent/discriminant validity in the whole sample. Both the PB and TB subscales showed a good fit {SBχ2(9) = 6.448, p = 0.694, CFI = 1.000, RMSEA = 0.000 [90% CI (0.000, 0.022)] and SBχ2(27) = 248.973, p = 0.000, CFI = 0.922, RMSEA = 0.073 [90% CI (0.065, 0.082)]}, respectively. Regarding the invariance analyses, we found (1) non-invariance in the PB subscale across sex groups and metric, scalar, and stric invariance across age groups, and (2) that it was not possible to perform the invariance analysis for the TB subscale across both sex and age because the fit was not adequate for both boys and 12–15 years old groups. Positive and significant relationships were found between the INQ-15 subscales and hopelessness and NSSI frequency, and negative and significant correlations with meaning in life.ConclusionsThe INQ-15 is a valid instrument for assessing TB and PB in Spanish adolescents. Future studies should analyze the invariance of this instrument in adolescents across sex and age.

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Non‐suicidal Self‐injury Differentiates Suicide Ideators and Attempters and Predicts Future Suicide Attempts in Patients with Eating Disorders

Cited by 13 publications

References 43 publications

Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10

Psychiatric comorbidity of eating disorders in children between the ages of 9 and 10

Psychiatric and medical comorbidities of eating disorders: findings from a rapid review of the literature

Psychometric Properties of the Interpersonal Needs Questionnaire-15 in Spanish Adolescents

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