Research Article
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Year 2020, Volume: 6 Issue: 3, 305 - 315, 31.12.2020
https://doi.org/10.19127/mbsjohs.825642

Abstract

Supporting Institution

Destekleyen kurum bulunmamaktadır

References

  • Agne NA, Tisott CG, Ballester P, Passos IC, Ferrão YA. Predictors of suicide attempt in patients with obsessive-compulsive disorder: an exploratory study with machine learning analysis. Psychol Med 2020; 1-11.
  • American psychiatric association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, Virginia: American Psychiatric Publishing; 2013.
  • Auerbach RP, Millner AJ, Stewart JG, Esposito EC. Identifying differences between depressed adolescent suicide ideators and attempters. J Affect Disord 2015; 186: 127–133. Blinder BJ, Cumella EJ, Sanathara VA. Psychiatric comorbidities of female inpatients with eating disorders. Psychosom Med 2006; 68: 454–462.
  • Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 2006; 47: 372-394.
  • Bulik CM, Thornton L, Pinheiro AP, Plotnicov K, Klump KL, Brandt H, et al. Suicide attempts in anorexia nervosa. Psychosom Med 2008; 70: 378-83.
  • Carano A, De Berardis D, Campanella D, Serroni N, Ferri F, Di lorio G, et al. Alexithymia and suicide ideation in a sample of patients with binge eating disorder. J Psychiatr Pract 2012; 18: 5–11.
  • Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders:a meta-review. World Psychiatry 2014; 13(2): 153-60.
  • Chou PH, Ito M, Horikoshi M. Associations between PTSD symptoms and suicide risk: A comparison of 4-factor and 7-factor models. J Psychiatr Res 2020; 129: 47-52.
  • Crow SJ, Swanson SA, Le Grange D, Feig EH, Merikangas KR. Suicidal behavior in adolescents and adults with bulimia nervosa. Compr Psychiatry 2014;55:1534-39.
  • Davico C, Amianto F, Gaiotti F, Lasorsa C, Peleso A, Bosia C, et al. Clinical and personality characteristics of adolescents with anorexia nervosa with or without non-suicidal self-injurious behavior. Compr Psychiatry 2019; 94:152115.
  • Favaro A, Santonastaso P. Suicidality in eating disorders: clinical and psychological correlates. Acta Psychiatr Scand 1997; 95: 508-14.
  • Fennig S, Hadas A. Suicidal behavior and depression in adolescents with eating disorders. Nord J Psychiatry 2010; 64: 32–39.
  • Forcano L, Fernandez-Aranda F, Alvarez-Moya E, Bulik C, Granero R, Gratacos M, et al. Suicide attempts in bulimia nervosa: personality and psychopathological correlates. Eur Psychiatry 2009; 24: 91-7.
  • Forcano L, Alvarez E, Santamaría JJ, Jimenez-Murcia S, Granero R, Penelo E, et al. Suicide attempts in anorexia nervosa subtypes. Compr Psychiatry 2011; 52: 352-358.
  • Forrest LN, Bodell LP, Witte TK, Goodwin N, Barlett ML, Siegfried N, et al. Associations between eating disorder symptoms and suicidal ideation through thwarted belongingness and perceived burdensomeness among eating disorder patients. J Affect Disord 2016; 195: 127–135. Franko DL, Keel PK, Dorer DJ, Blais MA, Delinsky SS, Eddy KT, et al. What predicts suicide attempts in women with eating disorders? Psychol Med 2004; 34: 843–53.
  • Franko DL, Keel PK. Suicidality in eating disorders: Occurrence, correlates, and clinical implications. Clin Psychol Rev 2006; 26: 769–82.
  • Gaudry E, Vagg P, Spielberger, CDJMBR. Validation of the state-trait distinction in anxiety research. Multivariate Behavioral Research 1975; 10: 331–341.
  • Hoang U, Goldacre M, James A. Mortality following hospital discharge with a diagnosis of eating disorder: National record linkage study, England, 2001-2009. Int J Eat Disord 2014; 47: 507-15.
  • Keshaviah A, Edkins K, Hastings ER, Krishna M, Franko DL, Herzog DB, et al. Re- examining premature mortality in anorexia nervosa: a meta-analysis redux. Compr Psychiatry 2014; 55: 1773-84.
  • Keski-Rahkonen A, Silén Y. Incidence and prevalence of eating disorders among children and adolescents. Hebebrand J, Herpetz-Dahlmann B, editors. Eating Disorders and Obesity in Children and Adolescents. Missouri: Elsevier; 2019.
  • Koutek J, Kocourkova J, Dudova I. Suicidal behavior and self-harm in girls with eating disorders. Neuropsychiatr Dis Treat 2016; 12: 787–93
  • Kovacs M. Rating scales to assess depression in schoolage children. Acta Paedopsychatr 1981; 46: 305-15.
  • Krug I, Bulik CM, Vall-Llovera ON, Granero R, Agüera Z, Villarejo C, et al. Anger expression in eating disorders: clinical, psychopathological and personality correlates. Psychiatry Res 2008; 161: 195-205.
  • Lian Q, Zuo X, Mao Y, et al. Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study. Environ Health Prev Med 2017; 22:30.
  • Mendolicchio L, Maggio G, Fortunato F, Ragione LD. Update on eating disorders: epidemiology, mortality and comorbidity. Psychiatr Danub 2014; 26(Suppl 1): 85- 88.
  • Ozusta Ş. State-Trait Anxiety Inventory for Children: a study of realibility and validity. Turk Psikoloji Dergisi. 1995; 10: 32-44. (Turkish). Oy, B. Children's depression inventory: A study of validity and reliability, in Turkish. Turkish Journal of Psychiatry 1991; 2: 132-7. (Turkish)
  • Peebles R, Wilson JL, Lock JD. Self-injury in adolescents with eating disorders: correlates and provider bias. J Adolesc Health 2011; 48(3): 310-3.
  • Pompili M, Girardi P, Tatarelli G, Ruberto A, Tatarelli R. Suicide and attempted suicide in eating disorders, obesity and weight-image concern. Eat Behav 2006; 7: 384- 94.
  • Smink FRE, Van Hoeken D, Oldehinkel AJ, Hoek HW. Prevalence and severity of DSM 5 eating disorders in a community cohort of adolescents. Int J Eat Disord 2014; 47: 610-9.
  • Smith AR, Velkoff EA, Ribeiro JD, Franklin J. Are Eating Disorders and Related Symptoms Risk Factors for Suicidal Thoughts and Behaviors? A Meta- analysis. Suicide Life Threat Behav 2019; 49: 221-239.
  • Stein D, Lilenfeld LR, Wildman PC, Marcus MD. Attempted suicide and self-injury in patients diagnosed with eating disorders. Compr Psychiatry 2004; 45: 447-51.
  • Steinhausen HC. Outcome of eating disorders. Child Adolesc Psychiatr Clin N Am 2009; 18: 225-42.
  • Svirko E, Hawton K. Self-injurious behavior and eating disorders: the extent and nature of the association. Suicide Life Threat Behav 2007; 37(4): 409-21.
  • Swanson SA, Crow SJ, Le Grange D, Swendsen J, Merikangas KR. Prevalence and Correlates of Eating Disorders in Adolescents: Results from the national comorbidity survey replication adolescent supplement. Arch Gen Psychiatry 2011; 68: 714–723.
  • Wade TD, Fairweather-Schmidt AK, Zhu G, Martin NG. Does shared genetic risk contribute to the co-occurrence of eating disorders and suicidality? Int J Eat Disord 2015; 48: 684 -91.
  • World Health Organization. Suicide prevention (SUPRE). Available from: https://www.who.int/health-topics/suicide#tab=tab_1
  • Youssef G, Plancherel B, Laget J, Corcos M, Flament MF, Halfon O. Personality trait risk factors for attempted suicide among young women with eating disorders. Eur Psychiatry 2004; 19: 131-9.

Evaluation of the Frequency of Suicidal Thoughts and Attempts and Related Factors in Female Adolescents with Anorexia Nervosa

Year 2020, Volume: 6 Issue: 3, 305 - 315, 31.12.2020
https://doi.org/10.19127/mbsjohs.825642

Abstract

Objective: Although anorexia nervosa (AN) has been associated with increased suicidal attempts, clinical variables that that influence this relationship still remains to be elucidated. The aim of this study is to examine the frequency of suicide attempts in females with AN, and the general psychopathology and associated clinical variables in patients with anorexia nervosa who do and do not attempt suicide.
Methods: In this study, archive files and reports of 43 females with AN admitted to the department of child and adolescent psychiatry between 2015 and 2020 were analyzed retrospectively. Participants' socio-demographic variables (age, peer relationships, psychiatric comorbidity, abuse history, history of suicidal thought and/or plan, family history of AN, etc.) and clinical (subtypes of AN, clinical features, response to treatment, the presence of suicidal ideation/attempts, etc.) characteristics were investigated. Also, the Children's Depression Inventory (CDI) and the State-Trait Anxiety Inventory (STAI) were used.
Results: Our results revealed that 18.8% of patients with restricting AN, 81.3% of patients with purging or binging/purging AN, and 37.2% of the entire sample had at least one suicidal attempt, and 39.5% of the patients engaged in nonsuicidal self-injury behaviors. Further, binge-eating/purging AN type, more severe forms of AN, treatment resistance and poor insight or lack of insight, the presence of physical and emotional abuse, domestic violence, and the existence of psychiatric comorbidity markedly elevated the risk of suicide.
Conclusion: The present study shows that patients with AN should be investigated not only for problems with eating and weight but also for possible non-suicidal self-harm behaviors, suicidal attempts.

References

  • Agne NA, Tisott CG, Ballester P, Passos IC, Ferrão YA. Predictors of suicide attempt in patients with obsessive-compulsive disorder: an exploratory study with machine learning analysis. Psychol Med 2020; 1-11.
  • American psychiatric association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, Virginia: American Psychiatric Publishing; 2013.
  • Auerbach RP, Millner AJ, Stewart JG, Esposito EC. Identifying differences between depressed adolescent suicide ideators and attempters. J Affect Disord 2015; 186: 127–133. Blinder BJ, Cumella EJ, Sanathara VA. Psychiatric comorbidities of female inpatients with eating disorders. Psychosom Med 2006; 68: 454–462.
  • Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 2006; 47: 372-394.
  • Bulik CM, Thornton L, Pinheiro AP, Plotnicov K, Klump KL, Brandt H, et al. Suicide attempts in anorexia nervosa. Psychosom Med 2008; 70: 378-83.
  • Carano A, De Berardis D, Campanella D, Serroni N, Ferri F, Di lorio G, et al. Alexithymia and suicide ideation in a sample of patients with binge eating disorder. J Psychiatr Pract 2012; 18: 5–11.
  • Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders:a meta-review. World Psychiatry 2014; 13(2): 153-60.
  • Chou PH, Ito M, Horikoshi M. Associations between PTSD symptoms and suicide risk: A comparison of 4-factor and 7-factor models. J Psychiatr Res 2020; 129: 47-52.
  • Crow SJ, Swanson SA, Le Grange D, Feig EH, Merikangas KR. Suicidal behavior in adolescents and adults with bulimia nervosa. Compr Psychiatry 2014;55:1534-39.
  • Davico C, Amianto F, Gaiotti F, Lasorsa C, Peleso A, Bosia C, et al. Clinical and personality characteristics of adolescents with anorexia nervosa with or without non-suicidal self-injurious behavior. Compr Psychiatry 2019; 94:152115.
  • Favaro A, Santonastaso P. Suicidality in eating disorders: clinical and psychological correlates. Acta Psychiatr Scand 1997; 95: 508-14.
  • Fennig S, Hadas A. Suicidal behavior and depression in adolescents with eating disorders. Nord J Psychiatry 2010; 64: 32–39.
  • Forcano L, Fernandez-Aranda F, Alvarez-Moya E, Bulik C, Granero R, Gratacos M, et al. Suicide attempts in bulimia nervosa: personality and psychopathological correlates. Eur Psychiatry 2009; 24: 91-7.
  • Forcano L, Alvarez E, Santamaría JJ, Jimenez-Murcia S, Granero R, Penelo E, et al. Suicide attempts in anorexia nervosa subtypes. Compr Psychiatry 2011; 52: 352-358.
  • Forrest LN, Bodell LP, Witte TK, Goodwin N, Barlett ML, Siegfried N, et al. Associations between eating disorder symptoms and suicidal ideation through thwarted belongingness and perceived burdensomeness among eating disorder patients. J Affect Disord 2016; 195: 127–135. Franko DL, Keel PK, Dorer DJ, Blais MA, Delinsky SS, Eddy KT, et al. What predicts suicide attempts in women with eating disorders? Psychol Med 2004; 34: 843–53.
  • Franko DL, Keel PK. Suicidality in eating disorders: Occurrence, correlates, and clinical implications. Clin Psychol Rev 2006; 26: 769–82.
  • Gaudry E, Vagg P, Spielberger, CDJMBR. Validation of the state-trait distinction in anxiety research. Multivariate Behavioral Research 1975; 10: 331–341.
  • Hoang U, Goldacre M, James A. Mortality following hospital discharge with a diagnosis of eating disorder: National record linkage study, England, 2001-2009. Int J Eat Disord 2014; 47: 507-15.
  • Keshaviah A, Edkins K, Hastings ER, Krishna M, Franko DL, Herzog DB, et al. Re- examining premature mortality in anorexia nervosa: a meta-analysis redux. Compr Psychiatry 2014; 55: 1773-84.
  • Keski-Rahkonen A, Silén Y. Incidence and prevalence of eating disorders among children and adolescents. Hebebrand J, Herpetz-Dahlmann B, editors. Eating Disorders and Obesity in Children and Adolescents. Missouri: Elsevier; 2019.
  • Koutek J, Kocourkova J, Dudova I. Suicidal behavior and self-harm in girls with eating disorders. Neuropsychiatr Dis Treat 2016; 12: 787–93
  • Kovacs M. Rating scales to assess depression in schoolage children. Acta Paedopsychatr 1981; 46: 305-15.
  • Krug I, Bulik CM, Vall-Llovera ON, Granero R, Agüera Z, Villarejo C, et al. Anger expression in eating disorders: clinical, psychopathological and personality correlates. Psychiatry Res 2008; 161: 195-205.
  • Lian Q, Zuo X, Mao Y, et al. Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study. Environ Health Prev Med 2017; 22:30.
  • Mendolicchio L, Maggio G, Fortunato F, Ragione LD. Update on eating disorders: epidemiology, mortality and comorbidity. Psychiatr Danub 2014; 26(Suppl 1): 85- 88.
  • Ozusta Ş. State-Trait Anxiety Inventory for Children: a study of realibility and validity. Turk Psikoloji Dergisi. 1995; 10: 32-44. (Turkish). Oy, B. Children's depression inventory: A study of validity and reliability, in Turkish. Turkish Journal of Psychiatry 1991; 2: 132-7. (Turkish)
  • Peebles R, Wilson JL, Lock JD. Self-injury in adolescents with eating disorders: correlates and provider bias. J Adolesc Health 2011; 48(3): 310-3.
  • Pompili M, Girardi P, Tatarelli G, Ruberto A, Tatarelli R. Suicide and attempted suicide in eating disorders, obesity and weight-image concern. Eat Behav 2006; 7: 384- 94.
  • Smink FRE, Van Hoeken D, Oldehinkel AJ, Hoek HW. Prevalence and severity of DSM 5 eating disorders in a community cohort of adolescents. Int J Eat Disord 2014; 47: 610-9.
  • Smith AR, Velkoff EA, Ribeiro JD, Franklin J. Are Eating Disorders and Related Symptoms Risk Factors for Suicidal Thoughts and Behaviors? A Meta- analysis. Suicide Life Threat Behav 2019; 49: 221-239.
  • Stein D, Lilenfeld LR, Wildman PC, Marcus MD. Attempted suicide and self-injury in patients diagnosed with eating disorders. Compr Psychiatry 2004; 45: 447-51.
  • Steinhausen HC. Outcome of eating disorders. Child Adolesc Psychiatr Clin N Am 2009; 18: 225-42.
  • Svirko E, Hawton K. Self-injurious behavior and eating disorders: the extent and nature of the association. Suicide Life Threat Behav 2007; 37(4): 409-21.
  • Swanson SA, Crow SJ, Le Grange D, Swendsen J, Merikangas KR. Prevalence and Correlates of Eating Disorders in Adolescents: Results from the national comorbidity survey replication adolescent supplement. Arch Gen Psychiatry 2011; 68: 714–723.
  • Wade TD, Fairweather-Schmidt AK, Zhu G, Martin NG. Does shared genetic risk contribute to the co-occurrence of eating disorders and suicidality? Int J Eat Disord 2015; 48: 684 -91.
  • World Health Organization. Suicide prevention (SUPRE). Available from: https://www.who.int/health-topics/suicide#tab=tab_1
  • Youssef G, Plancherel B, Laget J, Corcos M, Flament MF, Halfon O. Personality trait risk factors for attempted suicide among young women with eating disorders. Eur Psychiatry 2004; 19: 131-9.
There are 37 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

İlknur Ucuz 0000-0003-1986-4688

Ayla Uzun Cicek 0000-0003-2274-3457

Publication Date December 31, 2020
Published in Issue Year 2020 Volume: 6 Issue: 3

Cite

Vancouver Ucuz İ, Uzun Cicek A. Evaluation of the Frequency of Suicidal Thoughts and Attempts and Related Factors in Female Adolescents with Anorexia Nervosa. Mid Blac Sea J Health Sci. 2020;6(3):305-1.

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