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Non‐suicidal self‐injury, suicidal thoughts and behaviors in individuals with an eating disorder relative to healthy and psychiatric controls: A systematic review and meta‐analysis.

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Title: Non‐suicidal self‐injury, suicidal thoughts and behaviors in individuals with an eating disorder relative to healthy and psychiatric controls: A systematic review and meta‐analysis.
Authors: Sohn, Maya N., Dimitropoulos, Gina, Ramirez, Ana, McPherson, Claire, Anderson, Alida, Munir, Amlish, Patten, Scott B., McGirr, Alexander, Devoe, Daniel J.
Source: International Journal of Eating Disorders. Mar2023, Vol. 56 Issue 3, p501-515. 15p. 1 Diagram, 2 Charts, 5 Graphs.
Subjects: Suicide, Psychology information storage & retrieval systems, CINAHL database, Meta-analysis, Medical information storage & retrieval systems, Confidence intervals, Binge-eating disorder, Systematic reviews, Suicidal ideation, Suicidal behavior, Health behavior, Research funding, Disease prevalence, Bulimia, MEDLINE, Death, Odds ratio, Anorexia nervosa, Self-mutilation, Eating disorders
Geographic Terms: Canada
Abstract: Objective: Eating disorders (ED) may be associated with an increased prevalence of non‐suicidal self‐injury (NSSI) and suicidal thoughts and behaviors (STBs) relative to healthy (HC) and psychiatric (PC) controls. However, precise estimates of differences in prevalence between individuals with EDs and controls are unclear. We compared the prevalence of NSSI, suicidal ideation (SI), suicide attempts (SA), and deaths by suicide in controls and individuals with EDs. Method: We searched MEDLINE, PsycINFO, EMBASE, and CINAHL for peer‐reviewed publications reporting the prevalence of NSSI and/or STBs in EDs and HC or PC group (PROSPERO: CRD42021286754). A series of random‐effects meta‐analyses were conducted to estimate pooled odds ratios (ORs) for NSSI, SI, SA, and death by suicide in EDs. Results: Across 32 studies, individuals with an ED had a significantly increased prevalence of NSSI (HC: OR = 6.85 [95% CI: 3.60, 13.04]; PC: OR = 2.74 [95% CI: 1.49, 5.06]), SI (HC: OR = 3.63 [95% CI: 2.43, 5.41]; PC: OR = 3.10 [95% CI: 2.01, 4.78]), and SA (HC: OR = 5.16 [95% CI: 4.27, 6.24]; PC: OR = 1.37 [95% CI: 0.37, 4.99]) relative to HC and PC groups. A 2.93‐times increased odd of death by suicide did not achieve statistical significance. There was a high‐level of heterogeneity between studies. Discussion: Our findings indicate that ED populations have an increased prevalence of NSSI, SI, and SA but not death by suicide compared to controls and emphasize the need for effective clinical strategies to address these behaviors in ED populations. Public Significance: This review provides evidence for an increased prevalence of non‐suicidal self‐injury, suicidal ideation, and suicide attempts in populations with eating disorders compared to controls. Our findings emphasize the need for effective clinical strategies to address these behaviors in patients with eating disorders. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Non‐suicidal self‐injury, suicidal thoughts and behaviors in individuals with an eating disorder relative to healthy and psychiatric controls: A systematic review and meta‐analysis.
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  Data: <searchLink fieldCode="AR" term="%22Sohn%2C+Maya+N%2E%22">Sohn, Maya N.</searchLink><br /><searchLink fieldCode="AR" term="%22Dimitropoulos%2C+Gina%22">Dimitropoulos, Gina</searchLink><br /><searchLink fieldCode="AR" term="%22Ramirez%2C+Ana%22">Ramirez, Ana</searchLink><br /><searchLink fieldCode="AR" term="%22McPherson%2C+Claire%22">McPherson, Claire</searchLink><br /><searchLink fieldCode="AR" term="%22Anderson%2C+Alida%22">Anderson, Alida</searchLink><br /><searchLink fieldCode="AR" term="%22Munir%2C+Amlish%22">Munir, Amlish</searchLink><br /><searchLink fieldCode="AR" term="%22Patten%2C+Scott+B%2E%22">Patten, Scott B.</searchLink><br /><searchLink fieldCode="AR" term="%22McGirr%2C+Alexander%22">McGirr, Alexander</searchLink><br /><searchLink fieldCode="AR" term="%22Devoe%2C+Daniel+J%2E%22">Devoe, Daniel J.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Mar2023, Vol. 56 Issue 3, p501-515. 15p. 1 Diagram, 2 Charts, 5 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+information+storage+%26+retrieval+systems%22">Medical information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Binge-eating+disorder%22">Binge-eating disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+behavior%22">Suicidal behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Bulimia%22">Bulimia</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Death%22">Death</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Self-mutilation%22">Self-mutilation</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Eating disorders (ED) may be associated with an increased prevalence of non‐suicidal self‐injury (NSSI) and suicidal thoughts and behaviors (STBs) relative to healthy (HC) and psychiatric (PC) controls. However, precise estimates of differences in prevalence between individuals with EDs and controls are unclear. We compared the prevalence of NSSI, suicidal ideation (SI), suicide attempts (SA), and deaths by suicide in controls and individuals with EDs. Method: We searched MEDLINE, PsycINFO, EMBASE, and CINAHL for peer‐reviewed publications reporting the prevalence of NSSI and/or STBs in EDs and HC or PC group (PROSPERO: CRD42021286754). A series of random‐effects meta‐analyses were conducted to estimate pooled odds ratios (ORs) for NSSI, SI, SA, and death by suicide in EDs. Results: Across 32 studies, individuals with an ED had a significantly increased prevalence of NSSI (HC: OR = 6.85 [95% CI: 3.60, 13.04]; PC: OR = 2.74 [95% CI: 1.49, 5.06]), SI (HC: OR = 3.63 [95% CI: 2.43, 5.41]; PC: OR = 3.10 [95% CI: 2.01, 4.78]), and SA (HC: OR = 5.16 [95% CI: 4.27, 6.24]; PC: OR = 1.37 [95% CI: 0.37, 4.99]) relative to HC and PC groups. A 2.93‐times increased odd of death by suicide did not achieve statistical significance. There was a high‐level of heterogeneity between studies. Discussion: Our findings indicate that ED populations have an increased prevalence of NSSI, SI, and SA but not death by suicide compared to controls and emphasize the need for effective clinical strategies to address these behaviors in ED populations. Public Significance: This review provides evidence for an increased prevalence of non‐suicidal self‐injury, suicidal ideation, and suicide attempts in populations with eating disorders compared to controls. Our findings emphasize the need for effective clinical strategies to address these behaviors in patients with eating disorders. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=162168239
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23880
    Languages:
      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 501
    Subjects:
      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
      – SubjectFull: CINAHL database
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Binge-eating disorder
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Suicidal ideation
        Type: general
      – SubjectFull: Suicidal behavior
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Bulimia
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      – SubjectFull: Eating disorders
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      – SubjectFull: Canada
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      – TitleFull: Non‐suicidal self‐injury, suicidal thoughts and behaviors in individuals with an eating disorder relative to healthy and psychiatric controls: A systematic review and meta‐analysis.
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              M: 03
              Text: Mar2023
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              Y: 2023
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