Dancyger Ida F, Fornari Victor M
Department of Psychiatry, North Shore University Hospital, New York University School of Medicine, New York, USA.
ScientificWorldJournal. 2005 Sep 28;5:803-11. doi: 10.1100/tsw.2005.101.
This review examines the literature during the past 10 years about suicide risk and suicide during adolescence and young adulthood of individuals with eating disorders. Epidemiological surveys are summarized, including suicide rates, parasuicidal behaviors, associated risk factors, and comorbid psychopathology. Critical implications for the comprehensive assessment and treatment planning, including safety considerations, are discussed. Two clinical cases of women with long-standing eating disorders are described to highlight both the pragmatic considerations and the complex clinical challenges of working with patients with eating disorders who become suicidal. The potentially life-threatening issues of safety have not received sufficient attention, neither in the medical literature nor by the treating clinicians. All health care professionals who are treating patients with an eating disorder must be keenly aware of the serious risks of suicidal behavior and of suicide in this population.
本综述考察了过去十年间有关饮食失调个体在青春期和青年期的自杀风险及自杀情况的文献。总结了流行病学调查，包括自杀率、准自杀行为、相关风险因素及共病精神病理学。讨论了对综合评估和治疗规划的关键影响，包括安全考量。描述了两名患有长期饮食失调的女性的临床病例，以突出处理有自杀倾向的饮食失调患者时的实际考量和复杂临床挑战。安全这一潜在危及生命的问题，在医学文献中以及治疗临床医生那里都未得到充分关注。所有治疗饮食失调患者的医护人员都必须敏锐地意识到该人群中自杀行为及自杀的严重风险。
