Stein Daniel, Lilenfeld Lisa R R, Wildman Prudence C, Marcus Marsha D
The Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Compr Psychiatry. 2004 Nov-Dec;45(6):447-51. doi: 10.1016/j.comppsych.2004.07.011.
Eating disorders (ED) patients are at high risk for developing suicidal behavior. The aim of the present study was to investigate factors associated with suicidal behavior in ED patients. One hundred fifty patients at an outpatient ED clinic were included in the study. Data were gathered by retrospective chart analysis. We found that 48 patients (32%) had a history of parasuicide (i.e., suicide attempts, self-injury, or both). A significantly greater percentage of parasuicidal patients than nonparasuicidal patients had EDs with bingeing/pursing symptomatology, used more than one type of purging method, and had a lifetime history of a drug use disorder, impulse control problems, and bipolar disorder, as well as a more extensive outpatient and inpatient treatment history. The findings of this study support an increased tendency toward impulsivity among parasuicidal ED outpatients.
饮食失调（ED）患者出现自杀行为的风险很高。本研究的目的是调查与ED患者自杀行为相关的因素。该研究纳入了一家门诊ED诊所的150名患者。数据通过回顾性病历分析收集。我们发现48名患者（32%）有准自杀史（即自杀未遂、自我伤害或两者皆有）。与非准自杀患者相比，准自杀患者中患有伴有暴饮暴食/清除症状的ED、使用不止一种清除方法、有药物使用障碍、冲动控制问题和双相情感障碍终生史以及有更广泛门诊和住院治疗史的比例显著更高。本研究结果支持准自杀的ED门诊患者冲动性增加的趋势。
