An Examination of the Connections Between Eating Disorder Symptoms, Perceived Burdensomeness, Thwarted Belongingness, and Suicide Risk Among Undergraduate Students

Kwan, Mun Yee; Gordon, Kathryn H.; Carter, Darren L.; Minnich, Allison M.; Grossman, Steffanie Delores

doi:10.1111/sltb.12304

Cited by 32 publications

(24 citation statements)

References 34 publications

(47 reference statements)

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“…Additional research has found that general eating psychopathology is related to suicide risk through both perceived burdensomeness and thwarted belongingness (Dodd, Smith, & Bodell, 2014;Kwan, Gordon, Carter, Minnich, & Grossman, 2017). Additional research has found that general eating psychopathology is related to suicide risk through both perceived burdensomeness and thwarted belongingness (Dodd, Smith, & Bodell, 2014;Kwan, Gordon, Carter, Minnich, & Grossman, 2017).…”

Section: Discussionmentioning

confidence: 99%

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Perkins

Brausch

2019

Intl J Eating Disorders

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Objective: Symptoms of eating disorders have been established as significant concurrent correlates with suicide ideation and behaviors in adolescent samples, but very few studies have examined eating disorder symptoms as prospective risk factors for suicide. The current study examined eating disorder symptoms as prospective risk factors for suicide ideation in an unselected community sample of adolescents.Method: Data were collected from 436 adolescents in middle and high school at baseline and 6-and 12-month follow-ups. Adolescents completed self-report measures assessing eating disorder symptoms and suicide ideation and behaviors at each time point during school hours.Results: Regression analyses found that body dissatisfaction was a significant prospective predictor of suicide ideation severity at the 6-and 12-month follow-ups, symptoms of bulimia nervosa (binge-eating disorder and purging) predicted suicide ideation severity at the 12-month follow-up only, and symptoms of anorexia nervosa (drive for thinness and restricting) were not significant predictors of suicide ideation at either follow-up. Exploratory analyses found the same pattern of results for the sample of girls only, while no significant predictors were found for boys only.Discussion: This is the first longitudinal study of disordered eating and suicide ideation in American adolescents. Symptoms of bulimia nervosa and body dissatisfaction seem to be true risk factors for suicidal ideation. The current study demonstrates the importance of disordered eating behaviors in the development of suicidal ideation in adolescents, particularly for adolescent girls. K E Y W O R D S adolescents, body dissatisfaction, bulimia nervosa, eating disorders, longitudinal, suicide ideation

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Section: Discussionmentioning

confidence: 99%

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Perkins

Brausch

2019

Intl J Eating Disorders

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“…Within this model of suicidal behavior, ED behaviors are believed to be painful and provocative experiences that increase pain tolerance and fearlessness about death and thus increase the capability for suicidal behavior. Studies have also found that some ED symptoms are related to suicide ideation through their relationship with burdensomeness and failed belongingness (Forrest et al., ; Kwan, Gordon, Carter, Minnich, & Grossman, ). Therefore, individuals with EDs may be at increased risk for suicide due to elevations in perceived burdensomeness, failed belongingness, and/or capability for suicide.…”

Section: Cross‐sectional Literature On the Association Between Eatingmentioning

confidence: 99%

“…Central to this aim is understanding how risk factors (predictors) differ from other associations (e.g., correlations). According to a prominent risk factor typology (i.e., Kraemer et al, 1997), a correlate is a factor that is associated with another factor; however, the temporal nature of the relation is unclear. Correlates may be identified using cross-sectional methods, but it is impossible to determine which correlate temporally precedes the other.…”

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confidence: 99%

“…Thus, identifying risk factors requires longitudinal research designs. Disambiguating risk factors from correlates is critical as correlates are generally weak predictors of future outcomes and poor treatment targets, whereas risk factors (especially causal risk factors) tend to be good predictors of outcomes and potentially strong treatment targets (Kraemer et al, 1997). The majority of the research examining the relationship between eating disorders and suicidality has been cross-sectional, which occludes the directionality of the relationship.…”

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confidence: 99%

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Are Eating Disorders and Related Symptoms Risk Factors for Suicidal Thoughts and Behaviors? A Meta‐analysis

Smith

Velkoff

Ribeiro

et al. 2018

Suicide & Life Threat Behav

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This meta-analysis addressed whether eating disorders (EDs) are risk factors (i.e., longitudinal predictors) for suicidal thoughts and behaviors. We identified 2,611 longitudinal studies published through August 1, 2017. Inclusion required studies include at least one longitudinal analysis predicting suicide ideation, attempt, or death using an ED diagnosis and/or symptom. Fourteen studies (42 prediction cases) met criteria. Results indicated that clinically diagnosed EDs and disordered eating symptoms were significant but weak predictors of suicide attempts but not death. Effects remained weak when moderators were considered. By reviewing the methodological limitations of previous research, these results highlight avenues for future research.

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“…Early work employing the IPTS framework for understanding the ED-suicide relation investigated the role of capability in suicidal behavior among people with EDs. Given work demonstrating that people with EDs have elevated pain tolerance (Lautenbacher, Pauls, Strian, Pirke, & Krieg, 1990;Strigo et al, 2013), researchers hypothesized that ED behaviors may serve as the distressing or painful behaviors by which habituation to pain and fear occur. This hypothesis has been partially supported: over-exercise, vomiting, laxative use, and restriction are associated with capability for suicide Witte, Didie, Menard, & Phillips, 2012).…”

mentioning

confidence: 99%

Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms

Trujillo

Forrest

Claypool

et al. 2019

Suicide & Life Threat Behav

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Objective Past work has documented a cross‐sectional relationship between eating disorders (ED) and suicidality, but few studies have examined the directionality of this relationship. Informed by the interpersonal–psychological theory of suicide (IPTS), this study examines the bidirectional, longitudinal relationship between ED symptoms and two determinants of suicide ideation—thwarted belongingness (TB) and perceived burdensomeness (PB). Method Ninety‐two treatment‐seeking individuals with ED (94.5% White, 95.6% female) completed baseline (T1) measures of ED symptoms along with TB and PB. Of those, 75 (81.5%) completed a follow‐up assessment eight weeks later (T2). Results Separate linear regression models revealed that T1 ED symptoms did not predict T2 TB (b = .03, p = .42) or T2 PB (b = −.01, p = .68). Similarly, T1 TB did not predict T2 ED symptoms (b = .25, p = .37). T1 PB did significantly predict T2 ED symptoms (b = 0.52, p = .04). Further, among participants with AN/sub‐AN, T1 TB and PB predicted T2 ED symptoms (p's ≤ .03). Conclusion Our results reveal the need for a nuanced understanding of the relationship between ED and suicidality. This study found that PB predicts greater ED symptoms and, among the AN/sub‐AN sample, TB does as well.

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An Examination of the Connections Between Eating Disorder Symptoms, Perceived Burdensomeness, Thwarted Belongingness, and Suicide Risk Among Undergraduate Students

Cited by 32 publications

References 34 publications

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents

Are Eating Disorders and Related Symptoms Risk Factors for Suicidal Thoughts and Behaviors? A Meta‐analysis

Assessing Longitudinal Relationships among Thwarted Belongingness, Perceived Burdensomeness, and Eating Disorder Symptoms

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