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标题：Eating Disorders and Suicidal Behaviors in Adolescents with Major Depression: Insights from the US Hospitals
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作者：Rikinkumar S. Patel ; Tanya Machado ; William E. Tankersley 等
期刊名称：Behavioral Sciences
电子版ISSN：2076-328X
出版年度：2021
卷号：11
期号：5
页码：78
DOI：10.3390/bs11050078
出版社：MDPI Publishing
摘要：Objective: To evaluate the odds of association between suicidal ideation and/or attempt with comorbid eating disorders in adolescents with major depressive disorder (MDD). Methods: We conducted a cross-sectional study and included 122,020 adolescents with a primary diagnosis of MDD from the nationwide inpatient sample (NIS, 2012–2014). They were sub-grouped by a comorbid diagnosis of eating disorders (N = 1675). We calculated the adjusted odds ratio (aOR) using a logistic regression model with demographic confounders for associations of eating disorders with suicidal ideation and attempt. Results: Suicidal ideations were seen in a higher proportion of adolescents with eating disorders (46.3% vs. 14.2% in those without eating disorders). On the contrary, a low proportion of adolescents with eating disorders had suicidal attempts (0.9% vs. 39.4% in those without eating disorders). Overall, eating disorders were associated with higher odds for suicidal ideations (aOR 5.36, 95% CI 4.82–5.97) compared to those without eating disorders, but with lower odds of suicidal attempt (aOR 0.02, 95% CI 0.01–0.03). Conclusions: Adolescents with MDD and comorbid eating disorders had five-times increased odds of suicidal ideations but lower odds of a suicide attempt. Self-harm/injurious behaviors are early signs of suicidal ideations in these patients. A collaborative care model is required for the screening, early diagnosis, and management of adolescents with eating disorders to improve their quality of life.
关键词：eating disorders; bulimia nervosa; anorexia nervosa; nationwide inpatient sample; suicide ideations; suicidal attempts eating disorders ; bulimia nervosa ; anorexia nervosa ; nationwide inpatient sample ; suicide ideations ; suicidal attempts