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Eating disorders and suicidality: what we know, what we don’t know, and suggestions for future research
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 AN are 18 times more likely to die by suicide [10].”
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Merayo-Cano, J. M., Porras‐Segovia, A., Taracena-Cuerda, M., García, S. M., Marti-Estevez, I., Carrillo-Notario, L., Martínez-Martín, N., Álvarez-García, R., Baca‐García, E., & Peñuelas‐Calvo, I. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.03.029 · Cited by 1
Nutrition, Mental Health, and Suicidal Behavior
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Kit, O. S. R. (2025) · University of North Texas Digital Library (University of North Texas) · doi:10.12794/metadc2443114
Gillespie, K. M., Ellis, A., Roberts, S., & Branjerdporn, G. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01337-4
Metadata
- Authors
- Smith, A. R., Zuromski, K. L., & Dodd, D. R.
- Affiliations
- Miami University (US)
- Auburn University (US)
- Corresponding author
- Smith, April R
- Venue
- Current Opinion in Psychology
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 22
- Pages
- 63-67
- ISSN
- 2352-250X (ISSN-L)
- 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
- 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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