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

2018 ◽  
Vol 49 (1) ◽  
pp. 221-239 ◽  
Author(s):  
April R. Smith ◽  
Elizabeth A. Velkoff ◽  
Jessica D. Ribeiro ◽  
Joseph Franklin
2017 ◽  
Vol 143 (2) ◽  
pp. 187-232 ◽  
Author(s):  
Joseph C. Franklin ◽  
Jessica D. Ribeiro ◽  
Kathryn R. Fox ◽  
Kate H. Bentley ◽  
Evan M. Kleiman ◽  
...  

2021 ◽  
pp. 1-9
Author(s):  
Shruti S. Kinkel-Ram ◽  
William Grunewald ◽  
Lindsay P. Bodell ◽  
April R. Smith

Abstract Background Suicide is one of the most commonly reported causes of death in individuals with eating disorders. However, the mechanisms underlying the suicide and disordered eating link are largely unknown, and current assessments are still unable to accurately predict future suicidal thoughts and behaviors. The purpose of this study is to test the utility of two promising proximal risk factors, sleep quality and agitation, in predicting suicidal ideation in a sample of individuals with elevated suicidal thoughts and behaviors, namely those with eating disorders. Methods Women (N = 97) receiving treatment at an eating disorder treatment center completed weekly questionnaires assessing suicidal ideation, agitation, and sleep. General linear mixed models examined whether agitation and/or sleep quality were concurrently or prospectively associated with suicidal ideation across 12 weeks of treatment. Results There was a significant interaction between within-person agitation and sleep quality on suicidal ideation [B(s.e.) = −0.02(0.01), p < 0.05], such that on weeks when an individual experienced both higher than their average agitation and lower than their average sleep quality, they also experienced their highest levels of suicidal ideation. However, neither agitation nor sleep quality prospectively predicted suicidal ideation. Conclusions This study was the first to examine dynamic associations between interpersonal constructs and suicidal ideation in individuals with eating disorders. Results suggest that ongoing assessment for overarousal symptoms, such as agitation and poor sleep quality, in individuals with eating disorders may be warranted in order to manage suicidal ideation among this vulnerable population.


2018 ◽  
Vol 74 (9) ◽  
pp. 1607-1625 ◽  
Author(s):  
Tracy K. Witte ◽  
Jami M. Gauthier ◽  
Xieyining Huang ◽  
Jessica D. Ribeiro ◽  
Joseph C. Franklin

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0180793 ◽  
Author(s):  
Xieyining Huang ◽  
Jessica D. Ribeiro ◽  
Katherine M. Musacchio ◽  
Joseph C. Franklin

2015 ◽  
Vol 45 (5) ◽  
pp. 633-649 ◽  
Author(s):  
Craig J. Bryan ◽  
James E. Griffith ◽  
Brian T. Pace ◽  
Kent Hinkson ◽  
AnnaBelle O. Bryan ◽  
...  

2016 ◽  
Vol 43 ◽  
pp. 30-46 ◽  
Author(s):  
Kate H. Bentley ◽  
Joseph C. Franklin ◽  
Jessica D. Ribeiro ◽  
Evan M. Kleiman ◽  
Kathryn R. Fox ◽  
...  

2012 ◽  
Vol 73 (09) ◽  
pp. e1160-e1167 ◽  
Author(s):  
Wilfred R. Pigeon ◽  
Martin Pinquart ◽  
Kenneth Conner

2021 ◽  
Vol 12 ◽  
Author(s):  
Hanna Suh ◽  
Jisun Jeong

Objectives: Self-compassion functions as a psychological buffer in the face of negative life experiences. Considering that suicidal thoughts and behaviors (STBs) and non-suicidal self-injury (NSSI) are often accompanied by intense negative feelings about the self (e.g., self-loathing, self-isolation), self-compassion may have the potential to alleviate these negative attitudes and feelings toward oneself. This meta-analysis investigated the associations of self-compassion with STBs and NSSI.Methods: A literature search finalized in August 2020 identified 18 eligible studies (13 STB effect sizes and seven NSSI effect sizes), including 8,058 participants. Two studies were longitudinal studies, and the remainder were cross-sectional studies. A random-effects meta-analysis was conducted using CMA 3.0. Subgroup analyses, meta-regression, and publication bias analyses were conducted to probe potential sources of heterogeneity.Results: With regard to STBs, a moderate effect size was found for self-compassion (r = −0.34, k = 13). Positively worded subscales exhibited statistically significant effect sizes: self-kindness (r = −0.21, k = 4), common humanity (r = −0.20, k = 4), and mindfulness (r = −0.15, k = 4). For NSSI, a small effect size was found for self-compassion (r = −0.29, k = 7). There was a large heterogeneity (I2 = 80.92% for STBs, I2 = 86.25% for NSSI), and publication bias was minimal. Subgroup analysis results showed that sample characteristic was a moderator, such that a larger effect size was witnessed in clinical patients than sexually/racially marginalized individuals, college students, and healthy-functioning community adolescents.Conclusions: Self-compassion was negatively associated with STBs and NSSI, and the effect size of self-compassion was larger for STBs than NSSI. More evidence is necessary to gauge a clinically significant protective role that self-compassion may play by soliciting results from future longitudinal studies or intervention studies.


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