@article{ref1,
title="Suicidal thoughts and attempts in a transdiagnostic eating disorder sample: do diagnostic severity criteria predict risk?",
journal="European eating disorders review",
year="2024",
author="Schmidt, Kendall and Fitzgerald, Elizabeth and Keel, Pamela",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Eating disorders (EDs) are associated with elevated suicide. Low body mass index (BMI) and frequency of purging and binge eating represent severity criteria for EDs and distinguish full-threshold EDs from other specified feeding and eating disorders (OSFED). However, no work has taken a transdiagnostic approach to studying whether severity of these or other features is associated with suicidal ideation (SI) and attempts. <br><br>METHOD: We examined diagnostic status, ED features, and SI and attempts in a large, transdiagnostic, community sample of 257 women with EDs and 45 controls without a current or past ED in the United States using the EDs Examination interview and the Structured Clinical Interview for the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders). <br><br>RESULTS: SI and suicide attempts (SA) were elevated in OSFED compared to controls but did not differ between OSFED and full-threshold EDs. Higher BMI predicted increased SI. Number of purging methods, but not frequency, was related to history of SA. Binge episode frequency and size were not significant predictors. <br><br>CONCLUSIONS: OSFED presents with elevated SI and SA, and ED severity criteria that distinguish OSFED from full-threshold EDs do not predict SI or SA. Suicide risk assessments should be implemented universally across EDs in clinical practice.<p /> <p>Language: en</p>",
language="en",
issn="1072-4133",
doi="10.1002/erv.3104",
url="http://dx.doi.org/10.1002/erv.3104"
}