Restrictive eating, but not binge eating or purging, predicts suicidal ideation in adolescents and young adults with low-weight eating disorders
International Journal of Eating Disorders Jan 08, 2020
Wang SB, Mancuso CJ, Jo J, et al. - Researchers examined how eating-disorder behaviors—including restrictive eating, binge eating, and purging—are associated with suicidal ideation. They performed a hierarchical logistic regression among 82 adolescents and young adults with low-weight eating disorders, with binge eating and purging in Step 1 and restrictive eating in Step 2, to predict suicidal ideation. They identified Step 1 as significant that explained 20% variance in suicidal ideation; no significant predictive value of either binge eating or purging for suicidal ideation was identified. Findings indicated the association of restrictive eating with suicidal ideation in youth with low-weight eating disorders, this effect was beyond the effects of other eating-disorder behaviors. Although patients with binge eating and purging are more frequently assessed by healthcare providers for suicidality, this work emphasizes undertaking regular screening for suicide and self-injury in patients with restrictive eating.
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