@article{ref1,
title="Mortality in eating disorders: a descriptive study",
journal="International journal of eating disorders",
year="2000",
author="Herzog, D. B. and Greenwood, D. N. and Dorer, D. J. and Flores, A. T. and Ekeblad, E. R. and Richards, A. and Blais, M. A. and Keller, M. B.",
volume="28",
number="1",
pages="20-26",
abstract="OBJECTIVE: We report rates and causes of death for a cohort of 246 eating-disordered women and provide descriptive information on their eating disorder and comorbid diagnoses. <br><br>METHOD: Data on mortality were collected as part of a longitudinal study of anorexia nervosa and bulimia nervosa, now in its 11th year. Other data sources included death certificates, autopsy reports, relative interviews, and a National Death Index search. <br><br>RESULTS: Seven deaths have occurred during the study, all among anorexic subjects with a history of binging and purging and with comorbid Axis I disorders. The crude mortality rate was 5.1%. The standardized mortality ratios for death (9.6) and suicide (58.1) were significantly elevated (p <. 001). <br><br>CONCLUSIONS: Anorexia nervosa is associated with a substantial risk of death and suicide. Features correlated with fatal outcome are longer duration of illness, binging and purging, comorbid substance abuse, and comorbid affective disorders.<p /><p>Language: en</p>",
language="en",
issn="0276-3478",
doi="10.1002/(sici)1098-108x(200007)28:1<20::aid-eat3>3.0.co;2-x",
url="http://dx.doi.org/10.1002/(sici)1098-108x(200007)28:1<20::aid-eat3>3.0.co;2-x"
}