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Suicidal Behavior in Eating Disorders

Year 2013, Volume: 5 Issue: 1, 48 - 59, 01.03.2013
https://doi.org/10.5455/cap.20130504

Abstract

Suicide associated mortality rates are notable for eating disorders. Crude mortality rate associated with suicide, varies within %0 and %5.3 in eating disorder patients. Prominent risk factors for suicidal behavior among patients with eating disorder are subtype of the eating disorder, comorbid psychiatric diagnoses (e.g. depression, alcohol and substabce abuse, personality disorders), ultrarapid drug metabolism, history of childhood abuse and particular family dynamics. In this article, suicidal behavior and associated factors in eating disorders are briefly reviewed.

References

  • Şentürk V, Öncü B. Yeme davranışı bozuklukları. Türkiye Klinikleri Tıp Bilimleri Dergisi 2008; 1:29-35.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR). Washington, DC, American Psychiatric Association, 2000.
  • Treasure J, Claudino AM, Zucker N. Eating disorders. Lancet 2010; 375:583-593. Clarke TK, Weiss ARD, Berrettini WH. The genetics of anorexia nervosa. Int J Clin Pharmacol Ther 2012; 91:181-188.
  • Hudson JI, Hiripi E, Pope HGJ, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007; 61:348-358.
  • Öncü B. İntihar davranışı. In Çocuk ve Ergen Psikiyatrisi Temel Kitabı, 1. Basım (Eds S Miral, E İşeri):503-512. Ankara, Hekimler Yayın Birliği, 2008.
  • Berkman ND, Lohr KN, Bulik CM. Outcomes of eating disorders: a systematic review of the literature. Int J Eat Disord 2007; 40:293-309.
  • Öncü B, Akça Ö. Türkiye'de ergenlerde yapılan intihar ve kendini yaralama davranışı çalışmaları. In Türkiye'de Gençlik, 1. Basım (Eds M Eskin, Ç Dereboy, H Harlak, F Dereboy):439-452. Ankara, Türkiye Çocuk ve Genç Psikiyatrisi Derneği, 2008.
  • Sullivan PF. Mortality in anorexia nervosa. Am J Psychiatry 1995; 152:1073-1074. Pompili M, Mancinelli I, Girardi P, Ruberto A, Tatarelli R. Suicide in anorexia nervosa: a meta-analysis. Int J Eat Disord 2004; 36:99-103.
  • Franko DL, Keel PK. Suicidality in eating disorders: occurrence, correlates, and clinical implications. Clin Psychol Rev 2006; 26:769-782.
  • Franko DL, Keel PK, Dorer DJ. What predicts suicide attempts in women with eating disorders? Psychol Med 2004; 34:843-853.
  • Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies. Arch Gen Psychiatry 2011; 68:724-731.
  • Sullivan PF. Mortality in anorexia nervosa. Am J Psychiatry 1995; 152:1073-1074. Bulik CM, Thornton L, Pinheiro AP, Plotnicov K, Klump KL, Brandt H et al. Suicide attempts in anorexia nervosa. Psychosom Med 2008; 70:378-383.
  • Preti A, Rocchi MBL, Sisti D, Camboni MV, Miotto P. A comprehensive metaanalysis of the risk of suicide in eating disorders. Acta Psychiatr Scand 2011; 124:6
  • Williams E. Anorexia nervosa: a somatic disorder. Br Med J 1958; 2:190-195.
  • Guillaume S, Jaussent I, Olié E, Genty C, Bringer J Courtet P et al. Characteristics of suicide attempts in anorexia and bulimia nervosa: a case-control study. PloS One 2011; 6:e23578.
  • Rosling AM, Sparén P, Norring C, Knorring von L. Mortality of eating disorders: a follow-up study of treatment in a specialist unit 1974-2000. Int J Eat Disord 2011; 44:304-310.
  • Holm-Denoma JM, Witte TK, Gordon KH, Herzog DB, Franko DL, Fichter M et al. Deaths by suicide among individuals with anorexia as arbiters between competing explanations of the anorexia-suicide link. J Affect Disord 2008; 107:231-236.
  • Theander S. Outcome and prognosis in anorexia nervosa and bulimia: some results of previous investigations, compared with those of a Swedish long-term study. Psychiatr Res 1985; 19:493-508.
  • Mİller-Madsen S, Nystrup J, Nielsen S. Mortality in anorexia nervosa in Denmark during the period 1970-1987. Acta Psychiatr Scand 1996; 94:454-459.
  • Eckert ED, Halmi KA, Marchi P, Grove W, Crosby R. Ten-year follow-up of anorexia nervosa: clinical course and outcome. Psychol Med 1995; 25:143-156.
  • Tolstrup K, Brinch M, Isager T, Nielsen S, Nystrup J, Severin B et al. Long-term outcome of 151 cases of anorexia nervosa: The Copenhagen Anorexia Nervosa Follow-Up Study. Acta Psychiatr Scand 1985; 71:380-387.
  • Hentze M, Engel K. Prognostic factors for long-term survival in anorexia nervosa. Z Klin Psychol Psychopathol 1991; 39:173-181.
  • Deter HC, Herzog W. Anorexia nervosa in a long-term perspective: results of the Heidelberg-Mannheim Study. Psychosom Med 1994; 56:20-27.
  • Crow SJ, Peterson CB, Swanson SA, Raymond NC, Specker S, Eckert ED et al. Increased mortality in bulimia nervosa and other eating disorders. Am J Psychiatry 2009; 166:1342-1346.
  • Kreipe RE, Churchill BH, Strauss J. Long-term outcome of adolescents with anorexia nervosa. Am J Dis Child 1989; 143:1322-1327.
  • Steinhausen HC, Seidel R. Outcome in adolescent eating disorders. Int J Eat Disord 1993; 14:487-496.
  • Strober M, Freeman R, Morrell W. The long-term course of severe anorexia nervosa in adolescents: survival analysis of recovery, relapse, and outcome predictors over 1015 years in a prospective study. Int J Eat Disord 1997; 22:339-360.
  • Harris EC, Barraclough B. Excess mortality of mental disorder. Br J Psychiatry 1998; 173:11-53.
  • Keel PK, Mitchell JE. Outcome in bulimia nervosa. Am J Psychiatry 1997; 154:3133
  • Favaro A, Santonastaso P. Purging behaviours, suicide attempts and psychiatric symptoms in 398 eating disordered subjects. Int J Eat Disord 1996; 20:99-103.
  • Youssef G, Plancherel B, Laget J, Corcos M, Flament F, Halfon O. Personality trait risk factors for attempted suicide among young women with eating disorders. Eur Psychiatry 2004; 19:131-139.
  • Selby EA, Smith AR, Bulik CM, Olmsted MP, Thornton L, McFarlane TL et al. Habitual starvation and provocative behaviors: two potential routes to extreme suicidal behavior in anorexia nervosa. Behav Res Ther 2010; 48:634-645.
  • Milos G, Spindler A, Schnyder U, Martz J, Hoek HW, Willi J. Incidence of severe anorexia nervosa in Switzerland: 40 years of development. Int J Eat Disord 2004; 36:118-119.
  • Yamaguchi N, Tachikawa H, Sato S, Hori M, Suzuki T, Shiraishi H. Parental representation in eating disorder patients with suicide. J Psychosom Res 2000; 49:131-136.
  • Üneri ÖŞ. Anoreksiya nervoza ve kaygı bozuklukları. Türkiye Çocuk Hastalıkları Dergisi 2010; 4:236-239.
  • Franko DL, Keel PK. Suicidality in eating disorders: occurrence, correlates, and clinical implications. Clin Psychol Rev 2006; 26:769-782.
  • Fennig S, Hadas A. Suicidal behavior and depression in adolescents with eating disorders. Nord Psykiatr Tidsskr 2010; 64:32-39.
  • Miotto P, Preti A. Eating disorders and suicide ideation: the mediating role of depression and aggressiveness. Compr Psychiatry 2007; 48:218-224.
  • Peñas-Lledó EM, Dorado P, Agüera Z, Gratacos M, Estivill X, Fernández-Aranda F et al. High risk of lifetime history of suicide attempts among CYP2D6 ultrarapid metabolizers with eating disorders. Mol Psychiatry 2011; 16:691-692.
  • Forcano L, Fernández-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; 24:91-97.
  • Miotto P, Preti A. Eating disorders and suicide ideation: the mediating role of depression and aggressiveness. Compr Psychiatry 2007; 48:218-224.
  • Youssef G, Plancherel B, Laget J, Corcos M, Flament F, Halfon O. Personality trait risk factors for attempted suicide among young women with eating disorders. Eur Psychiatry 2004; 19:131-139.
  • Miotto P, De Coppi M, Frezza M, Preti A. Eating disorders and suicide risk factors in adolescents: An Italian community-based study. J Nerv Ment Dis 2003; 191:4374
  • Fennig S, Hadas A. Suicidal behavior and depression in adolescents with eating disorders. Nord Psykiatr Tidsskr 2010;64:32–39.
  • Karaman D, Durukan İ. Suicide in children and adolescents. Psikiyatride Guncel Yaklasimlar – Current Approaches in Psychiatry 2013; 5:30-47.
  • Bedriye Öncü, Doç. Dr., Ankara Üniversitesi Tıp Fakültesi, Ankara; Direnç Sakarya, Uzm. Dr., Ankara Gazi Mustafa Kemal Devlet Hastanesi, Ankara. Yazışma Adresi/Correspondence: Direnç Sakarya, Ankara Gazi Mustafa Kemal Devlet Hastanesi, Ankara, Turkey. E-mail: direnc@gmail.com Yazarlar bu makale ile ilgili herhangi bir çıkar çatışması bildirmemişlerdir. The authors reported no conflict of interest related to this article. Çevrimiçi adresi / Available online at: www.cappsy.org/archives/vol5/no1/ Çevrimiçi yayım / Published online 05 Kasım/November 05, 2012; doi:10.5455/cap.20130504

Yeme Bozukluklarında Özkıyım Davranışı

Year 2013, Volume: 5 Issue: 1, 48 - 59, 01.03.2013
https://doi.org/10.5455/cap.20130504

Abstract

Yeme bozukluklarında özkıyıma bağlı ölüm oranları oldukça yüksektir. Yeme bozukluklarında özkıyıma bağlı kaba ölüm hızı %0 ile %5.3 arasında değişmektedir. Yeme bozukluklarında özkıyım davranışı ile ilişkili etmenler, yeme bozukluğunun alt tipi, ek tanıların varlığı, ilaç metabolizmasının hızlı olması, belli kişilik özellikleri, çocuklukta istismar öyküsü ve belli aile tutumlarıdır. Bu etmenler dışında depresif bozukluklar, alkol-madde kötüye kullanımı ve kişilik bozuklukları gibi diğer ruhsal bozuklukların bulunması da yeme bozukluklarında özkıyım riskini artırmaktadır. Bu yazıda yeme bozukluklarında özkıyım davranışı ve ile ilişkili etmenler kısaca gözden geçirilmiştir.

References

  • Şentürk V, Öncü B. Yeme davranışı bozuklukları. Türkiye Klinikleri Tıp Bilimleri Dergisi 2008; 1:29-35.
  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR). Washington, DC, American Psychiatric Association, 2000.
  • Treasure J, Claudino AM, Zucker N. Eating disorders. Lancet 2010; 375:583-593. Clarke TK, Weiss ARD, Berrettini WH. The genetics of anorexia nervosa. Int J Clin Pharmacol Ther 2012; 91:181-188.
  • Hudson JI, Hiripi E, Pope HGJ, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry 2007; 61:348-358.
  • Öncü B. İntihar davranışı. In Çocuk ve Ergen Psikiyatrisi Temel Kitabı, 1. Basım (Eds S Miral, E İşeri):503-512. Ankara, Hekimler Yayın Birliği, 2008.
  • Berkman ND, Lohr KN, Bulik CM. Outcomes of eating disorders: a systematic review of the literature. Int J Eat Disord 2007; 40:293-309.
  • Öncü B, Akça Ö. Türkiye'de ergenlerde yapılan intihar ve kendini yaralama davranışı çalışmaları. In Türkiye'de Gençlik, 1. Basım (Eds M Eskin, Ç Dereboy, H Harlak, F Dereboy):439-452. Ankara, Türkiye Çocuk ve Genç Psikiyatrisi Derneği, 2008.
  • Sullivan PF. Mortality in anorexia nervosa. Am J Psychiatry 1995; 152:1073-1074. Pompili M, Mancinelli I, Girardi P, Ruberto A, Tatarelli R. Suicide in anorexia nervosa: a meta-analysis. Int J Eat Disord 2004; 36:99-103.
  • Franko DL, Keel PK. Suicidality in eating disorders: occurrence, correlates, and clinical implications. Clin Psychol Rev 2006; 26:769-782.
  • Franko DL, Keel PK, Dorer DJ. What predicts suicide attempts in women with eating disorders? Psychol Med 2004; 34:843-853.
  • Arcelus J, Mitchell AJ, Wales J, Nielsen S. Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies. Arch Gen Psychiatry 2011; 68:724-731.
  • Sullivan PF. Mortality in anorexia nervosa. Am J Psychiatry 1995; 152:1073-1074. Bulik CM, Thornton L, Pinheiro AP, Plotnicov K, Klump KL, Brandt H et al. Suicide attempts in anorexia nervosa. Psychosom Med 2008; 70:378-383.
  • Preti A, Rocchi MBL, Sisti D, Camboni MV, Miotto P. A comprehensive metaanalysis of the risk of suicide in eating disorders. Acta Psychiatr Scand 2011; 124:6
  • Williams E. Anorexia nervosa: a somatic disorder. Br Med J 1958; 2:190-195.
  • Guillaume S, Jaussent I, Olié E, Genty C, Bringer J Courtet P et al. Characteristics of suicide attempts in anorexia and bulimia nervosa: a case-control study. PloS One 2011; 6:e23578.
  • Rosling AM, Sparén P, Norring C, Knorring von L. Mortality of eating disorders: a follow-up study of treatment in a specialist unit 1974-2000. Int J Eat Disord 2011; 44:304-310.
  • Holm-Denoma JM, Witte TK, Gordon KH, Herzog DB, Franko DL, Fichter M et al. Deaths by suicide among individuals with anorexia as arbiters between competing explanations of the anorexia-suicide link. J Affect Disord 2008; 107:231-236.
  • Theander S. Outcome and prognosis in anorexia nervosa and bulimia: some results of previous investigations, compared with those of a Swedish long-term study. Psychiatr Res 1985; 19:493-508.
  • Mİller-Madsen S, Nystrup J, Nielsen S. Mortality in anorexia nervosa in Denmark during the period 1970-1987. Acta Psychiatr Scand 1996; 94:454-459.
  • Eckert ED, Halmi KA, Marchi P, Grove W, Crosby R. Ten-year follow-up of anorexia nervosa: clinical course and outcome. Psychol Med 1995; 25:143-156.
  • Tolstrup K, Brinch M, Isager T, Nielsen S, Nystrup J, Severin B et al. Long-term outcome of 151 cases of anorexia nervosa: The Copenhagen Anorexia Nervosa Follow-Up Study. Acta Psychiatr Scand 1985; 71:380-387.
  • Hentze M, Engel K. Prognostic factors for long-term survival in anorexia nervosa. Z Klin Psychol Psychopathol 1991; 39:173-181.
  • Deter HC, Herzog W. Anorexia nervosa in a long-term perspective: results of the Heidelberg-Mannheim Study. Psychosom Med 1994; 56:20-27.
  • Crow SJ, Peterson CB, Swanson SA, Raymond NC, Specker S, Eckert ED et al. Increased mortality in bulimia nervosa and other eating disorders. Am J Psychiatry 2009; 166:1342-1346.
  • Kreipe RE, Churchill BH, Strauss J. Long-term outcome of adolescents with anorexia nervosa. Am J Dis Child 1989; 143:1322-1327.
  • Steinhausen HC, Seidel R. Outcome in adolescent eating disorders. Int J Eat Disord 1993; 14:487-496.
  • Strober M, Freeman R, Morrell W. The long-term course of severe anorexia nervosa in adolescents: survival analysis of recovery, relapse, and outcome predictors over 1015 years in a prospective study. Int J Eat Disord 1997; 22:339-360.
  • Harris EC, Barraclough B. Excess mortality of mental disorder. Br J Psychiatry 1998; 173:11-53.
  • Keel PK, Mitchell JE. Outcome in bulimia nervosa. Am J Psychiatry 1997; 154:3133
  • Favaro A, Santonastaso P. Purging behaviours, suicide attempts and psychiatric symptoms in 398 eating disordered subjects. Int J Eat Disord 1996; 20:99-103.
  • Youssef G, Plancherel B, Laget J, Corcos M, Flament F, Halfon O. Personality trait risk factors for attempted suicide among young women with eating disorders. Eur Psychiatry 2004; 19:131-139.
  • Selby EA, Smith AR, Bulik CM, Olmsted MP, Thornton L, McFarlane TL et al. Habitual starvation and provocative behaviors: two potential routes to extreme suicidal behavior in anorexia nervosa. Behav Res Ther 2010; 48:634-645.
  • Milos G, Spindler A, Schnyder U, Martz J, Hoek HW, Willi J. Incidence of severe anorexia nervosa in Switzerland: 40 years of development. Int J Eat Disord 2004; 36:118-119.
  • Yamaguchi N, Tachikawa H, Sato S, Hori M, Suzuki T, Shiraishi H. Parental representation in eating disorder patients with suicide. J Psychosom Res 2000; 49:131-136.
  • Üneri ÖŞ. Anoreksiya nervoza ve kaygı bozuklukları. Türkiye Çocuk Hastalıkları Dergisi 2010; 4:236-239.
  • Franko DL, Keel PK. Suicidality in eating disorders: occurrence, correlates, and clinical implications. Clin Psychol Rev 2006; 26:769-782.
  • Fennig S, Hadas A. Suicidal behavior and depression in adolescents with eating disorders. Nord Psykiatr Tidsskr 2010; 64:32-39.
  • Miotto P, Preti A. Eating disorders and suicide ideation: the mediating role of depression and aggressiveness. Compr Psychiatry 2007; 48:218-224.
  • Peñas-Lledó EM, Dorado P, Agüera Z, Gratacos M, Estivill X, Fernández-Aranda F et al. High risk of lifetime history of suicide attempts among CYP2D6 ultrarapid metabolizers with eating disorders. Mol Psychiatry 2011; 16:691-692.
  • Forcano L, Fernández-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; 24:91-97.
  • Miotto P, Preti A. Eating disorders and suicide ideation: the mediating role of depression and aggressiveness. Compr Psychiatry 2007; 48:218-224.
  • Youssef G, Plancherel B, Laget J, Corcos M, Flament F, Halfon O. Personality trait risk factors for attempted suicide among young women with eating disorders. Eur Psychiatry 2004; 19:131-139.
  • Miotto P, De Coppi M, Frezza M, Preti A. Eating disorders and suicide risk factors in adolescents: An Italian community-based study. J Nerv Ment Dis 2003; 191:4374
  • Fennig S, Hadas A. Suicidal behavior and depression in adolescents with eating disorders. Nord Psykiatr Tidsskr 2010;64:32–39.
  • Karaman D, Durukan İ. Suicide in children and adolescents. Psikiyatride Guncel Yaklasimlar – Current Approaches in Psychiatry 2013; 5:30-47.
  • Bedriye Öncü, Doç. Dr., Ankara Üniversitesi Tıp Fakültesi, Ankara; Direnç Sakarya, Uzm. Dr., Ankara Gazi Mustafa Kemal Devlet Hastanesi, Ankara. Yazışma Adresi/Correspondence: Direnç Sakarya, Ankara Gazi Mustafa Kemal Devlet Hastanesi, Ankara, Turkey. E-mail: direnc@gmail.com Yazarlar bu makale ile ilgili herhangi bir çıkar çatışması bildirmemişlerdir. The authors reported no conflict of interest related to this article. Çevrimiçi adresi / Available online at: www.cappsy.org/archives/vol5/no1/ Çevrimiçi yayım / Published online 05 Kasım/November 05, 2012; doi:10.5455/cap.20130504
There are 46 citations in total.

Details

Primary Language Turkish
Journal Section Review
Authors

Bedriye Öncü This is me

Direnç Sakarya This is me

Publication Date March 1, 2013
Published in Issue Year 2013 Volume: 5 Issue: 1

Cite

AMA Öncü B, Sakarya D. Yeme Bozukluklarında Özkıyım Davranışı. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. March 2013;5(1):48-59. doi:10.5455/cap.20130504

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