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进食障碍诊断谱系中自杀意念和行为的存在及严重程度:一项初步研究。

Presence and severity of suicidal thoughts and behaviors across the eating disorder diagnostic spectrum: A pilot study.

机构信息

Department of Psychology, Florida State University, Tallahassee, Florida, USA.

Alsana Treatment Centers, Birmingham, AL, USA.

出版信息

J Clin Psychol. 2021 Apr;77(4):1045-1053. doi: 10.1002/jclp.23095. Epub 2020 Dec 9.

DOI:10.1002/jclp.23095
PMID:33296527
Abstract

OBJECTIVES

There is a dearth of research on suicidal thoughts and behaviors among eating disorder patients diagnosed with binge eating disorder (BED) or other specified feeding or eating disorder (OSFED). This pilot study evaluated presence and severity of suicidal thoughts and behaviors by eating disorder diagnosis in a transdiagnostic clinical eating disorder sample.

METHODS

Participants were individuals (N = 257; 91.1% female; 94.6% Caucasian) currently receiving eating disorder treatment for anorexia nervosa (AN), bulimia nervosa (BN), BED, or OSFED. Participants completed online measures of variables.

RESULTS

Lifetime and current presence and severity of suicidal ideation and suicide attempts were statistically similar among diagnostic groups.

CONCLUSION

Though largely overlooked, treatment-utilizing individuals with BED and OSFED may experience elevated rates and severity of suicidal thoughts and behaviors, like those with AN and BN. Attention to suicide-related risk assessment and management is needed when treating individuals with eating disorders, regardless of diagnosis.

摘要

目的

目前针对暴食障碍(BED)或其他特定的进食或饮食障碍(OSFED)患者的自杀想法和行为的研究较少。本研究旨在通过进食障碍的诊断评估跨诊断临床进食障碍样本中自杀想法和行为的存在和严重程度。

方法

参与者为(N=257;91.1%为女性;94.6%为白种人)目前正在接受神经性厌食症(AN)、神经性贪食症(BN)、BED 或 OSFED 的进食障碍治疗。参与者在线完成了变量的测量。

结果

在不同的诊断组中,终生和当前存在的自杀意念和自杀企图的发生率和严重程度在统计学上是相似的。

结论

尽管被广泛忽视,但接受治疗的 BED 和 OSFED 患者可能会经历与 AN 和 BN 患者相似的自杀想法和行为的发生率和严重程度更高。在治疗进食障碍患者时,无论其诊断如何,都需要注意与自杀相关的风险评估和管理。

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