Pisetsky Emily M, Peterson Carol B, Mitchell James E, Wonderlich Stephen A, Crosby Ross D, Le Grange Daniel, Hill Laura, Powers Pauline, Crow Scott J
Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.
The Emily Program, St. Paul, Minnesota.
Int J Eat Disord. 2017 Jun;50(6):707-710. doi: 10.1002/eat.22694. Epub 2017 Feb 15.
This study examined the prevalence of reported suicide attempts among family members of individuals with an eating disorder (ED). 1870 individuals presenting for ED treatment reported whether their family members ever made a suicide attempt using the Eating Disorders Questionnaire. A lifetime suicide attempt by any family member was reported by 10.8% (n = 202) of the sample and ranged from 7.0% of those with eating disorder not otherwise specified to 16.1% of those with purging disorder. Controlling for age and gender, individuals with bulimia nervosa had a higher prevalence of any familial suicide attempt and mother suicide attempt than individuals with EDNOS; no other differences were observed across ED diagnoses. There were no differences in prevalence of reported suicide attempts made by fathers, brothers, sisters, uncles, or aunts by ED diagnosis. Findings support a growing literature indicating a familial association between EDs and suicide risk.
本研究调查了饮食失调（ED）患者家庭成员中报告的自杀未遂情况。1870名前来接受ED治疗的患者通过饮食失调问卷报告其家庭成员是否曾有过自杀未遂行为。样本中有10.8%（n = 202）报告有任何家庭成员曾有过终身自杀未遂行为，范围从未另作说明的饮食失调患者的7.0%到清除型饮食失调患者的16.1%。在控制年龄和性别后，神经性贪食症患者的任何家族性自杀未遂和母亲自杀未遂的患病率高于未另作说明的饮食失调（EDNOS）患者；在不同的ED诊断中未观察到其他差异。按ED诊断，父亲、兄弟、姐妹、叔叔或阿姨报告的自杀未遂患病率没有差异。研究结果支持了越来越多的文献表明ED与自杀风险之间存在家族关联。
