Eating Disorders program, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Research Institute, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Eat Disord. 2020 May-Jun;28(3):289-307. doi: 10.1080/10640266.2019.1642033. Epub 2019 Jul 17.
Suicidal ideation is a serious mental health concern reported by adolescents. Despite understanding of increased suicidal ideation in patients with eating disorders (EDs) and obesity, few studies have compared how disordered eating (bingeing, vomiting and over exercising) is associated with suicidal ideation in clinical and non-clinical samples of youth across the ED and weight spectrum. The present study aimed to 1) comparatively examine rates of suicidal ideation and disordered eating behaviors in clinical samples of youth with EDs, complex obesity, or from the community, and 2) examine whether disordered eating was associated with suicidal ideation above and beyond age, body mass index, diagnosis, treatment-seeking status, and depressive symptoms in large samples of males vs. females in an attempt to understand whether these behaviors should lead to concern regarding suicidal ideation. Data from charts on treatment-seeking adolescents diagnosed with either an ED (N = 315), severe complex obesity (N = 212), and from the community (N = 3036) were pooled together for comparative purposes. Results showed that suicidal ideation was higher in youth seeking treatment for an ED (50.2%) and obesity (23.7%) as compared to youth from the community (13%). Binary logistic regression analyses revealed that vomiting (OR = 1.73 for females, 8.17 for males) and over-exercising (OR = 1.47 for females, 1.68 for males) was significantly associated with suicidal ideation in both males and females. Findings underscore the importance of screening for suicidal ideation in youth who report vomiting or over-exercising despite diagnostic presentation, age, weight, or treatment setting.
自杀意念是青少年报告的严重心理健康问题。尽管了解到患有饮食障碍（ED）和肥胖症的患者自杀意念增加，但很少有研究比较饮食障碍（暴食、呕吐和过度运动）如何与 ED 和体重谱中临床和非临床青少年样本中的自杀意念相关。本研究旨在：1）比较检查 ED 临床样本、复杂肥胖或社区青少年的自杀意念和饮食障碍行为发生率；2）检查饮食障碍是否与自杀意念有关，超出了年龄、体重指数、诊断、治疗寻求状态和抑郁症状，以试图了解这些行为是否应该导致对自杀意念的关注。从接受治疗的青少年图表中汇总了与 ED（N=315）、严重复杂肥胖（N=212）和社区（N=3036）诊断相关的治疗寻求青少年的数据，以便进行比较。结果表明，与来自社区的青少年（13%）相比，寻求治疗的 ED（50.2%）和肥胖症（23.7%）青少年的自杀意念更高。二元逻辑回归分析显示，呕吐（女性 OR=1.73，男性 OR=8.17）和过度运动（女性 OR=1.47，男性 OR=1.68）与男女两性的自杀意念显著相关。研究结果强调了即使在诊断表现、年龄、体重或治疗环境下，对报告呕吐或过度运动的青少年进行自杀意念筛查的重要性。
