Associations of suicide risk with emotional reactivity, dysregulation, and eating disorder treatment outcomes
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Introduction: Emotional processes play a role in both suicide risk and eating disorders (EDs), which are often comorbid. However, limited research has explored how emotional processes relate to suicide risk in EDs and the prognostic value of suicide risk for ED treatment. Thus, the current study examined associations between emotion dysregulation and reactivity with suicide risk in patients with EDs, and determined if suicide risk predicts ED treatment outcomes. Methods: Participants (n = 201) were adults in an ED partial hospitalization program who completed measures at admission, 1‐month post‐admission, and discharge. Results: When controlling for depressive symptoms, limited access to adaptive emotion regulation strategies, difficulties engaging in goal‐oriented behaviors, and engaging in impulsive behavior when experiencing negative emotions (i.e., emotion dysregulation) were associated with suicide attempt frequency. Depressive symptoms were associated with suicide risk severity, while emotion dysregulation and reactivity were not. Importantly, patients with elevated suicide risk at admission improved comparably to other risk categories across treatment, despite presenting with greater ED symptoms at admission. Conclusion: Emotion dysregulation and depression are salient factors when examining suicide risk in patients with EDs. Suicide risk and attempt history may not negatively impact ED treatment outcomes when using emotion‐focused treatment.
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Suicidal ideation showed weak to moderate associations with the global score of difficulties in emotional regulation and with specific dimensions of this construct in both clinical and nonclinical populations, except for one study on patients with eating disorders [34].
“Specifically, suicidal ideation showed weak to moderate associations with the global score of difficulties in emotional regulation and with specific dimensions of this construct in both clinical and nonclinical populations, except for one study on patients with eating disorders [34].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [34]
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- Authors
- Denning, D. M., Perry, T. R., Reilly, E. E., Berner, L. A., Velkoff, E. A., Kaye, W. H., Wierenga, C. E., & Brown, T. A.
- Affiliations
- University of California San Diego (US)
- State University of New York (US)
- Hofstra University (US)
- Icahn School of Medicine at Mount Sinai (US)
- Corresponding author
- Brown, Tiffany A.
- ORCID
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2022-09-09
- Volume
- 52
- Issue
- 6
- Pages
- 1126-1139
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- PMC
- PMC10394756
- OpenAlex
- W4295079423
- Cited by
- 14
- References
- 48
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 1
- FWCI
- 2.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Brain and Behavior Research Foundation
- Hilda and Preston Davis Foundation
- National Institute of Mental Health (K23MH118418, R01MH113588, R21MH1188409)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- suicide risk, eating disorders, emotional dysregulation, emotional reactivity, depression, eating disorder treatment outcomes, partial hospitalization program, adaptive emotion regulation, impulsive behavior
- MeSH terms
- Adult, Feeding and Eating Disorders, Emotions, Humans, Impulsive Behavior, Suicide, Attempted, Treatment Outcome
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