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Cited by 396Eating Disorders and BehaviorsSuicide and Self-Harm StudiesNutrition, Health and Food Behavior

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Predictors of Mortality in Eating Disorders

Keel, Pamela K., Dorer, David J., Eddy, Kamryn T., Franko, Debra, Charatan, Dana L., Herzog, David B.·2003·Archives of General Psychiatry
DOI 10.1001/archpsyc.60.2.179
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Abstract

Background Anorexia nervosa, but not bulimia nervosa, has one of the highest mortality rates among psychiatric disorders. However, potential predictors of mortality, such as comorbid psychiatric illnesses, remain unclear. We sought to determine mortality ratios and predictors of fatal outcome in women diagnosed as having anorexia or bulimia nervosa. Methods Women (N = 246) diagnosed as having either DSM-IV anorexia nervosa (n = 136) or bulimia nervosa (n = 110) between January 1, 1987, and December 31, 1991, participated in a prospective longitudinal study. Vital status was determined by ongoing contact and a National Death Index search as of December 1998 (overall ascertainment, 99.8%) and telephone contact as of October 2000 (ascertainment, 95.0%). Results Eleven women died. Standardized mortality ratios were elevated for all causes of mortality (11.6; 95% confidence interval, 5.5-21.3) and suicide (56.9; 95% confidence interval, 15.3-145.7) in anorexia nervosa but not for death (1.3; 95% confidence interval, 0.0-7.2) in bulimia nervosa. Predictors of mortality in anorexia nervosa included severity of alcohol use disorder during follow-up (P Conclusions Physicians treating patients with anorexia nervosa should carefully assess patterns of alcohol use during the course of care because one third of women who had alcoholism and died had no history of alcohol use disorder at intake.

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  • Anorexia Nervosa is associated with a high suicide rate.

    “Consider also that Anorexia Nervosa is associated with a high suicide rate (Keel, Dorer, Eddy, Franko, Charatan, & Herzog, 2003).”

    From The interpersonal theory of suicide. (2010) · cites this paper as Keel, Dorer, Eddy, Franko, Charatan, & Herzog, 2003

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Metadata

Authors
Keel, P. K., Dorer, D. J., Eddy, K. T., Franko, D., Charatan, D. L., & Herzog, D. B.
Affiliations
Harvard University (US)
Corresponding author
Keel, Pamela K.
ORCID
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
2003-02-01
Volume
60
Issue
2
Pages
179
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.60.2.179
OpenAlex
W2160248121
Cited by
396
References
2
Citations by year
2026: 4 · 2025: 6 · 2024: 12 · 2023: 9 · 2022: 14 · 2021: 5 · 2020: 19 · 2019: 11 · 2018: 11 · 2017: 8 · 2016: 20 · 2015: 20 · 2014: 20 · 2013: 37 · 2012: 35
FWCI
22.29
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01MH061836, R01 MH 38333-06A4, R01 MH 61836-02, R01MH038333)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
anorexia nervosa, bulimia nervosa, eating disorders, mortality, suicide, standardized mortality ratio, alcoholism, comorbidities, women
MeSH terms
Alcoholism, Anorexia Nervosa, Feeding and Eating Disorders, Bulimia, Cause of Death, Female, Follow-Up Studies, Humans, Longitudinal Studies, Probability, Prospective Studies, Comorbidity, Life Tables, Diagnosis, Dual (Psychiatry)

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