@article{ref1,
title="Suicidal thoughts and behaviours in body dysmorphic disorder: prevalence and correlates in a sample of mental health service users in the UK",
journal="Journal of affective disorders",
year="2024",
author="Addison, Mark and James, Anthony and Borschmann, Rohan and Costa, Marta and Jassi, Amita and Krebs, Georgina",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Previous research indicates an association of body dysmorphic disorder (BDD) with suicidal thoughts and behaviours, but has largely relied on small cohorts drawn from specialist clinics. <br><br>METHODS: Anonymised health-records from the South London and Maudsley NHS Foundation Trust between 2007 and 2019 were systematically searched using the Clinical Record Interactive Search data system. <br><br>RESULTS: 298 patients diagnosed with BDD between age 12 and 65 years were identified. 206 (69 %) had experienced lifetime suicidal ideation. 149 (50 %) had recorded lifetime acts of self-harm or suicide attempts, most commonly involving cutting and self-poisoning. Rates of self-harm/suicide attempts were similar in those diagnosed before or after 18 years. Comorbid depression was associated with suicidal ideation (OR: 4.26 95%CI 2.07-9.72). Additionally, comorbid depression, OCD and anxiety were all associated with self-harm/suicide attempts (OR: 1.94 95%CI 1.15-3.31, OR: 1.99 95%CI 1.09-3.73, and OR: 1.93 95%CI 1.09-3.45, respectively). The presence of two or more psychiatric comorbidities was associated with a significantly elevated likelihood of suicidal ideation (OR: 7.06 95%CI 2.80-21.7) and self-harm/suicide attempts (OR: 4.62 95%CI 2.32-9.62). LIMITATIONS: It is likely that BDD was under-diagnosed in the cohort, and those identified may not be representative. Additionally, the frequency and detail with which suicidal thoughts and behaviours were assessed varied and may also represent underestimates. <br><br>CONCLUSIONS: Suicidal ideation and self-harm/suicide attempts are common among individuals with BDD accessing mental health services. Psychiatric comorbidity and suicidal ideation should be assessed in all BDD patients.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2024.05.145",
url="http://dx.doi.org/10.1016/j.jad.2024.05.145"
}