<scp>D</scp>iagnosis‐specific self‐image predicts longitudinal suicidal ideation in adult eating disorders

Andersen, M.; Birgegård, Andreas

doi:10.1002/eat.22730

Cited by 8 publications

(12 citation statements)

References 52 publications

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“…Attrition between initial and 1‐year assessment occurs and can be due to both patient and clinician/treatment unit factors (drop‐out, time constraints, follow‐ups not encouraged). Stepwise attrition is around 40–64%, with a trend of higher attrition, the longer Stepwise has been running (Andersén & Birgegård, 2017; Ekeroth & Birgegård, 2014; Forsén Mantilla, Norring, & Birgegård, 2019).…”

Section: Methodsmentioning

confidence: 99%

“…Lifetime suicidal ideation occurs in about one third of individuals with EDs (Favaro & Santonastaso, 1997; Milos, Spindler, Hepp, & Schnyder, 2004; Swanson, Crow, Le Grange, Swendsen, & Merikangas, 2011), and a nationwide Swedish ED treatment registry study indicated the highest prevalence estimates in BN and BED (36–39%) and the lowest in AN and other specified feeding and ED (OSFED; 26–30%). The presence of purging behavior is associated with greater risk of suicidality (Andersén & Birgegård, 2017; Swanson et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…In fact, in the national US epidemiologic survey, between 17–45% reported a suicide attempt before the onset of their EDs (Udo et al, 2019). Possible explanations for this co‐occurrence include comorbid psychiatric disorders such as depression, bipolar disorder, and substance abuse (Cliffe et al, 2020; Franko & Keel, 2006; Smith, Zuromski, et al, 2018), psychological and personality traits (Bulik et al, 2008; Milos et al, 2004; Pisetsky et al, 2015), self‐image (Andersén & Birgegård, 2017), early cognitive schema (Portzky, van Heeringen, & Vervaet, 2014), interoceptive deficits (Smith, Forrest, & Velkoff, 2018), alexithymia (Carano et al, 2012), and impulsivity (Sagiv & Gvion, 2020). Some of these traits are subsumed under the multidimensional concept of emotion dysregulation (Gratz & Roemer, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Emotion dysregulation and suicidality in eating disorders

Rania

Monell

Sjölander

et al. 2020

Intl J Eating Disorders

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Objective Suicidality in eating disorders (EDs) is high, and identification of therapeutically targetable traits associated with past, current, and future suicidality is of considerable clinical importance. We examined overall and ED subtype‐specific associations among suicidal ideation, suicide attempts, and general and specific aspects of emotion dysregulation in a large sample of individuals with ED, at presentation for treatment and 1‐year follow‐up. Method Using registry data from 2,406 patients, scores on the Difficulties in Emotion Dysregulation Scale (DERS) at initial registration were examined as predictors of recent suicidal ideation and self‐report lifetime suicide attempts. Associations were examined in the full sample and in each ED subtype. In 406 patients, initial DERS scores were examined as predictors of suicidality at 1‐year follow‐up. Results Overall DERS was associated with suicidal ideation and suicide attempts, even when adjusting for ED psychopathology and current depression. Perceived lack of emotion regulation strategies showed unique associations with suicidal ideation and suicide attempts, both in the full sample and in most ED subtypes. Initial DERS was also associated with follow‐up suicidal ideation and suicide attempts, although this association did not remain when adjusting for past suicidality. Discussion Results suggest that emotion dysregulation may be a potential mechanism contributing to suicidality in EDs, beyond the effects of ED psychopathology and current depression. Although the prevalence of suicidality differs across ED subtypes, emotion dysregulation may represent a risk trait for future suicidality that applies transdiagnostically. Results support addressing emotion dysregulation in treatment in order to reduce suicidality.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Emotion dysregulation and suicidality in eating disorders

Rania

Monell

Sjölander

et al. 2020

Intl J Eating Disorders

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“…According to a past study of self-image, 12 negative self-images are associated with "low self-protection," and lead to a higher likelihood of developing suicidal thoughts. It is, therefore, appropriate to discuss nursing support that can foster the development of a positive self-image in patients with type 1 diabetes.…”

Section: Discussionmentioning

confidence: 99%

The Acquisition of a New Self-image in Patients with Type 1 Diabetes: A Qualitative Study

Nishio

Chujo

2018

Yonago Acta Med.

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Background In this study, we aim to highlight the transformation of self-image in patients with type 1 diabetes after diagnosis. Our objective in examining the self-image of these patients is to provide practical insights for nursing, as well as a basic reference for understanding patients. Methods The participants were 15 patients (2 men and 13 women) over 20 years of age who visited an outpatient setting to treat type 1 diabetes and had no serious complications, and who agreed to participate in the study. Semi-structured interviews were conducted 1-2 times, with a duration of 60-75 minutes per person, from February 2016 to March 2017. We drew on Krippendorff's (1999) content analysis to carry out our analysis. Results We identified a total of 107 codes. The self-image of patients with type 1 diabetes was categorized into 8 subcategories and 4 categories. The 4 categories were 'the wavering of a self-image that is distinct from the past,' 'loss of former self-image,' 'discovery of a new self-image,' and 'developing a new self-image.' Ultimately, we were able to extract a fifth core category, 'acquisition of a new self-image.' Conclusion The self-image of patients with type 1 diabetes transformed from a negative to a positive one; ultimately, patients acquired a new self-image that was congruent with their ideal self-image. Our results showed that the new self-image that patients acquired through various experiences influenced motivation for treatment and continuation of self-care. When caring for patients with type 1 diabetes, it is crucial for healthcare professionals be aware of the meaning that patients derive from their disease and related difficulties, as well as to provide care while considering patients' self-image.

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“…For readers who are interested in understanding the applications of the IPTS for EDs, we included an article by Pisetsky et al (2017), which found partial support for key aspects of the IPTS in a heterogeneous sample of 114 persons with an ED. Additional articles provide new insights into ways in which a client's self-image can be used to predict their risk for suicide (Andersén & Birgegård, 2017), and correlates of suicidal ideation in college women with an ED (Goel et al, 2018).…”

Section: Understanding and Preventing Death By Suicide (Keynote)mentioning

confidence: 99%

Education, dissemination, and the science of eating disorders: Reflections on the 2019 International Conference on Eating Disorders

Forbush

Crosby

Coniglio

et al. 2019

Intl J Eating Disorders

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Objective This virtual issue of the International Journal of Eating Disorders highlights recently published research that aligns with the broad themes of the 2019 International Conference on Eating Disorders (ICED), held in New York, NY, USA. Methods and results We selected articles that were published between 2017 and 2019 that complement the content of the keynote and plenary sessions. We also curated additional articles from early career scholars, given that an important component of the annual ICED is to foster the development and training of the next generation of eating‐disorder clinicians and researchers. Discussion We hope that this virtual issue will spark more in‐depth discussion and reflection on the topics, questions, and critical advances in the field of eating disorders that were presented at the 2019 ICED.

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Diagnosis‐specific self‐image predicts longitudinal suicidal ideation in adult eating disorders

Cited by 8 publications

References 52 publications

Emotion dysregulation and suicidality in eating disorders

Emotion dysregulation and suicidality in eating disorders

The Acquisition of a New Self-image in Patients with Type 1 Diabetes: A Qualitative Study

Education, dissemination, and the science of eating disorders: Reflections on the 2019 International Conference on Eating Disorders

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