Durmuş Hasan, Borlu Arda, Arslan Şehide, Öner Neslihan, Eker Özlem Olguner, Gürbüz Beyza Nur, Çelik Özlem
Faculty of Medicine, Department of Public Health, Erciyes University, Kayseri, Türkiye, Turkey.
Faculty of Health Sciences, Department of Nutrition and Dietetics, Erciyes University, Kayseri, Türkiye, Turkey.
BMC Psychiatry. 2025 May 26;25(1):547. doi: 10.1186/s12888-025-07001-0.
Suicidal ideation and eating disorders (EDs) are significant mental health concerns that can have devastating consequences and both cases were independently associated with violence experiences. The purpose was to investigate the relationship between suicidal ideation and eating disorders within the context of violence experiences.
This cross-sectional study was conducted with 935 participants aged 18-40. Sociodemographic questionnaire, the Suicide Probability Scale (SPS), the Eating Disorder Evaluation Scale short form (EDE-Q-13) and the Violence Experiences Questionnaire-Revised (VEQ-R) were the data collection instruments.
50.6% of the participants were male, 56.5% were single and the mean age was 29.46 ± 5.96 years. As the educational and economic status of the participants increased, SPS median scores also increased significantly. Higher SPS median scores were found in single, smoking, and substance-using participants. Females, overweight, and obese participants scored significantly higher on the EDE-Q-13. Lower economic status, smoking, and substance use were associated with higher VEQ-R median scores. EDs, suicidal ideation, and experiences of violence showed a significant, albeit weak, positive relationship. In multiple regression analysis, both violence experiences and EDs influenced suicide probability. The median EDE-Q-13 score was higher in participants with divorced parents or a family history of chronic disease. The median VEQ-R score was higher in individuals with divorced parents, a family history of chronic disease, or deceased parents or fathers.
Our results suggest that various forms of childhood violence are linked to both EDs and suicidal thoughts. Furthermore, the correlation between EDs and suicidal ideation may exist independently of childhood violence.
自杀意念和饮食失调是严重的心理健康问题，可能会产生毁灭性后果，且这两种情况都与暴力经历独立相关。本研究旨在探讨在暴力经历背景下自杀意念与饮食失调之间的关系。
本横断面研究共纳入935名年龄在18至40岁之间的参与者。使用社会人口学问卷、自杀概率量表（SPS）、饮食失调评估量表简表（EDE-Q-13）和暴力经历问卷修订版（VEQ-R）作为数据收集工具。
50.6%的参与者为男性，56.5%为单身，平均年龄为29.46±5.96岁。随着参与者教育程度和经济状况的提高，SPS中位数得分也显著增加。单身、吸烟和使用毒品的参与者SPS中位数得分较高。女性、超重和肥胖参与者在EDE-Q-13上的得分显著更高。较低的经济状况、吸烟和使用毒品与较高的VEQ-R中位数得分相关。饮食失调、自杀意念和暴力经历之间存在显著的（尽管较弱）正相关关系。在多元回归分析中，暴力经历和饮食失调都影响自杀概率。父母离异或有慢性病家族史的参与者EDE-Q-13中位数得分较高。父母离异、有慢性病家族史或父母或父亲去世的个体VEQ-R中位数得分较高。
我们的结果表明，各种形式的童年暴力与饮食失调和自杀念头都有关联。此外，饮食失调与自杀意念之间的相关性可能独立于童年暴力而存在。
