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Bingeing, purging, and suicidal ideation in clinical and non-clinical samples of youth

Eating Disorders Aug 28, 2019

Obeid N, Norris ML, Valois DD, et al. - In the present study, researchers examined clinical samples of youth with eating disorders (EDs), complex obesity, or from the community regarding their relative rates of suicidal ideation and disordered eating behaviors. In addition, they studied whether a correlation exists between disordered eating and suicidal ideation above and beyond age, BMI, diagnosis, treatment-seeking status, and depressive symptoms in large samples of males vs females in an attempt to understand whether these behaviors should lead to concern regarding suicidal ideation. For comparative purposes, they pooled data from charts on treatment-seeking adolescents diagnosed with either an ED (N = 315), severe complex obesity (N = 212), and from the community (N = 3,036). As per results, youth seeking treatment for an ED (50.2%) and obesity (23.7%) had higher suicidal ideation as compared with youth from the community (13%). Binary logistic regression analyses revealed that in both males and females, there was a significant association of vomiting and over-exercising with suicidal ideation. Findings thereby emphasize the value of screening for suicidal ideation in youth who report vomiting or over-exercising despite diagnostic presentation, age, weight, or treatment setting. Bingeing, Purging, Suicidal Ideation, Youth
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