Eating disorders and suicidality: what we know, what we don’t know, and suggestions for future research

Smith, April R; Zuromski, Kelly L; Dodd, Dorian R

doi:10.1016/j.copsyc.2017.08.023

Cited by 229Eating Disorders and BehaviorsSuicide and Self-Harm StudiesNutrition, Health and Food Behavior

Eating disorders and suicidality: what we know, what we don’t know, and suggestions for future research

Smith, April R, Zuromski, Kelly L, Dodd, Dorian R·2018·Current Opinion in Psychology

DOI 10.1016/j.copsyc.2017.08.023

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Abstract

Suicide is the second leading cause of death among individuals with anorexia nervosa (AN), and suicidal behavior is elevated in bulimia nervosa (BN) and binge eating disorder (BED) relative to the general population. This paper reviews the suicidality literature within each ED, as well as theoretical explanations for the elevated risk for suicidality among those with EDs. Approximately one-quarter to one-third of people with AN, BN, or BED have thought about suicide, and one-quarter to one-third of people with AN and BN have attempted suicide. Relative to gender and aged matched comparison groups, individuals with AN are 18 times more likely to die by suicide, and individuals with BN are seven times more likely to die by suicide. However, the majority of the research in this area is cross-sectional or retrospective, which leaves the timing of the mortality risk unclear. Longitudinal work that is designed to examine dynamic and acute fluctuations in suicidality among ED samples is needed in order to determine meaningful risk factors.

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Individuals with anorexia nervosa are 18 times more likely to die by suicide.
“Individuals with AN are 18 times more likely to die by suicide [10].”
From Eating disorders and palliative care specialists require definitional consensus and clinical guidance regarding terminal anorexia nervosa: addressing concerns and moving forward (2022) · cites this paper as [10]

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PREFACE
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Authors: Smith, A. R., Zuromski, K. L., & Dodd, D. R.
Affiliations: Miami University (US)
Auburn University (US)
Corresponding author: Smith, April R
ORCID: Smith, April R
Zuromski, Kelly L
Dodd, Dorian R
Venue: Current Opinion in Psychology
Publisher: Elsevier BV
Published: 2018-08
Volume: 22
Pages: 63-67
ISSN: 2352-250X (ISSN-L)
DOI: 10.1016/j.copsyc.2017.08.023
OpenAlex: W2746626118
Semantic Scholar: 0455b3a17ea33a5d9dbf197bac6026b5b9c77e93
Cited by: 229
References: 54
Citations by year: 2026: 27 · 2025: 37 · 2024: 43 · 2023: 39 · 2022: 25 · 2021: 24 · 2020: 14 · 2019: 9 · 2018: 10
FWCI: 1.38
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Current Opinion in Psychology (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: eating disorders, suicidality, anorexia nervosa, bulimia nervosa, binge eating disorder, suicide risk, suicide attempts, suicide mortality, risk factors, longitudinal study
MeSH terms: Feeding and Eating Disorders, Humans, Suicide

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Eating disorders and suicidality: what we know, what we don’t know, and suggestions for future research

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