a Department of Psychiatry , Hershey Medical Center, Penn State College of Medicine , Hershey , Pennsylvania , USA.
Eat Disord. 2014;22(4):352-66. doi: 10.1080/10640266.2014.915694. Epub 2014 May 19.
This is the first study determining correlates of suicide behavior in children with eating disorders using multiple sleep, psychological, and demographic variables. Mothers rated suicide ideation and attempts in 90 children ages 7-18 with bulimia nervosa or anorexia nervosa. Suicide ideation was more prevalent in children with bulimia nervosa (43%) than children with anorexia nervosa (20%). All children with bulimia nervosa who experienced ideation attempted suicide, whereas only 3% of children with anorexia nervosa attempted suicide. Correlates of ideation were externalizing behavior problems and sleep disturbances. Correlates of attempts were bulimia nervosa, self-induced vomiting, nightmares, and physical or sexual abuse. These problems should be assessed and targeted for intervention because of their association with suicide behavior.
这是第一项使用多种睡眠、心理和人口统计学变量来确定饮食障碍儿童自杀行为相关因素的研究。90 名 7-18 岁的神经性贪食症或神经性厌食症患儿的母亲对自杀意念和自杀企图进行了评估。有自杀意念的患儿中，神经性贪食症患儿（43%）比神经性厌食症患儿（20%）更为常见。所有有自杀意念的神经性贪食症患儿都曾试图自杀，而仅有 3%的神经性厌食症患儿试图自杀。意念的相关因素是外化行为问题和睡眠障碍。企图的相关因素是神经性贪食症、自我诱导呕吐、噩梦、身体或性虐待。由于这些问题与自杀行为有关，因此应该对其进行评估并作为干预目标。
