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

BMC Medicine Jul 01, 2019

Udo T, et al. – Via assessing a nationally representative sample of 36,171 US adults, researchers assessed the prevalence and correlates of suicide attempts (SAs) in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) eating disorders (EDs)—anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). A significant relation of SA with earlier ED onset in BN and BED, longer duration of AN but shorter duration of BN, greater psychosocial impairment in AN and BN, and an elevated risk for psychiatric disorder comorbidity across EDs were determined. The onset of BED was markedly more likely to occur prior to SA, but onsets of AN and BN were not. A significant rise in the risk of SA history was found in US adults with lifetime DSM-5 EDs. Those with lifetime EDs, especially the AN binge/purge type, had an estimated five- to six-fold risk of SAs vs those without specific EDs, even after adjusting for sociodemographic factors. Further, SA history was correlated to distinctively various clinical profiles that involved greater risk for psychosocial impairment and psychiatric comorbidity. Hence, for EDs and for suicide histories, improvement in the screening is crucial.

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