TY - JOUR PY - 2011// TI - A comprehensive meta-analysis of the risk of suicide in eating disorders JO - Acta psychiatrica Scandinavica A1 - Preti, A. A1 - Rocchi, M. B. L. A1 - Sisti, D. A1 - Camboni, M. V. A1 - Miotto, P. SP - 6 EP - 17 VL - 124 IS - 1 N2 - Objective:  Past meta-analyses on suicide in eating disorders included few available studies. Method:  PubMed/Medline search for papers including sample n ≥ 40 and follow-up ≥5 years: 40 studies on anorexia nervosa (AN), 16 studies on bulimia nervosa (BN), and three studies on binge eating disorder (BED) were included. Results:  Of 16 342 patients with AN, 245 suicides occurred over a mean follow-up of 11.1 years (suicide rate = 0.124 per 100 person-years). Standardized mortality ratio (SMR) was 31.0 (Poisson 95% CI = 21.0-44.0); a clear decrease in suicide risk over time was observed in recent decades. Of 1768 patients with BN, four suicides occurred over a mean follow-up of 7.5 years (suicide rate = 0.030 per 100 person-years): SMR was 7.5 (1.6-11.6). No suicide occurred among 246 patients with BED (mean follow-up = 5.3 years). Conclusion:  AN and BN share many risk factors for suicide: the factors causing lower suicide rates per person-year in BN compared to AN should be investigated.

Language: en

LA - en SN - 0001-690X UR - http://dx.doi.org/10.1111/j.1600-0447.2010.01641.x ID - ref1 ER -