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Cited by 20Eating Disorders and BehaviorsSuicide and Self-Harm StudiesNutrition, Health and Food Behavior

Suicidality in adolescents with onset of anorexia nervosa

Mereu, Alberta, Fantoni, Teresa, Caini, Saverio, Monzali, Francesca, Roselli, Elena, Taddei, Silvia, Lucarelli, Stefano, Pisano, Tiziana·2022·Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity
DOI 10.1007/s40519-022-01384-9
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Abstract

Objectives The mortality rate in patients with anorexia nervosa (AN) is 5 to 10 times higher than in general population and, suicide is one of the main causes of death. We evaluated the prevalence of suicidality (ideation, self-injurious behaviour, suicidal attempts) in 100 adolescents with onset of AN and we explored the correlation between suicidality, severity of AN symptoms and psychiatric comorbidity.Methods We subdivided AN patients into restrictive (R-AN; n = 66) and restrictive atypical (A-AN; n = 34), according to the European Guidelines criteria. Assessment was performed using the eating disorder inventory 3rd version, the schedule for affective disorders and schizophrenia for school-age children-present and lifetime version interview, and the Columbia-suicide severity rating scale. Fisher's exact test and Mann-Whitney test (with correction for multiple testing) were used to compare the distribution of categorical and continuous variables between R-AN and A-AN patients, and between patients with vs. without suicidal behaviours.Results Twenty-seven patients (27%) presented suicidality as clinical feature, expressed as at least one of the following: suicidal ideation (24%), self-cutting (19%), and suicidal attempt (6%). Patients with suicidality showed greater severity of psychiatric symptoms related to AN psychopathology and presented psychiatric comorbidity, especially depression, more often than patients who did not reported suicidality (70,4% vs 29,6%). No significant differences in terms of suicidal behaviours and AN-specific psychopathology were found between R-AN and A-AN.Conclusions Suicidality in adolescent patients with R-AN and A-AN seems to be related to ED symptoms. These data highlight the importance of screening for suicidality among adolescents at onset of AN, and confirms that A-AN should not be considered a milder disease.Level of evidence Level IV: Evidence obtained from multiple time series analysis such as case studies. (NB: Dramatic results in uncontrolled trials might also be regarded as this type of evidence).

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Crossref · 10.1007/s40519-022-01384-9

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Authors
Mereu, A., Fantoni, T., Caini, S., Monzali, F., Roselli, E., Taddei, S., Lucarelli, S., & Pisano, T.
Affiliations
Meyer Children's Hospital (IT)
Corresponding author
Caini, Saverio
ORCID
Venue
Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity
Publisher
Springer Science and Business Media LLC
Published
2022-03-12
Volume
27
Issue
7
Pages
2447-2457
ISSN
  • 1124-4909 (ISSN-L)
  • 1590-1262
DOI
10.1007/s40519-022-01384-9
OpenAlex
W4221029454
Cited by
20
References
41
Citations by year
2026: 2 · 2025: 5 · 2024: 5 · 2023: 6 · 2022: 2
FWCI
4.10
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion)
  • PubMed (publishedVersion)
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, suicidality, adolescents, suicidal ideation, self-harm, self-cutting, suicide attempts, restrictive anorexia nervosa, atypical anorexia nervosa, depression, psychiatric comorbidity, symptom severity, suicide risk screening
MeSH terms
Adolescent, Anorexia Nervosa, Child, Humans, Risk Factors, Suicide, Suicide, Attempted, Self-Injurious Behavior, Suicidal Ideation

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