Neha J Goel1,2,3, Shiri Sadeh-Sharvit1,2,4, Rachael E Flatt1,2, Mickey Trockel1, Katherine N Balantekin5,6, Ellen E Fitzsimmons-Craft5, Grace E Monterubio5, Marie-Laure Firebaugh5, Corinna Jacobi7, Denise E Wilfley5, C Barr Taylor1,2. 1. Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California. 2. Center for m2Health, Palo Alto University, Palo Alto, California. 3. Department of Psychology, Virginia Commonwealth University, Richmond, Virginia. 4. School of Psychology, Interdisciplinary Center, Herzliya, Israel. 5. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri. 6. Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York. 7. Technische Universität, Dresden, Germany.
Abstract
OBJECTIVE: To identify the correlates of suicidal ideation (SI) in a large sample of college women with eating disorders (EDs). METHOD: A total of 690 female college students from 28 US colleges who screened positive for an ED, with the exception of anorexia nervosa, were assessed for SI. Univariate logistic regression analyses were performed to determine independent correlates of SI. Measures included: ED psychopathology, ED behaviors (i.e., binge eating, vomiting, laxatives, compulsive exercise), current co-morbid psychopathology (i.e., depression, anxiety, insomnia), weight/shape concerns, ED-related clinical impairment, and body mass index (BMI). All significant variables were included in a backward binary multivariate logistic regression model to determine which variables were most strongly associated with SI. RESULTS: A total of 25.6% of the sample reported SI. All variables examined were significantly independently associated with SI, with the exception of compulsive exercise. Depression, anxiety, and vomiting remained as significant correlates of SI in the multivariate logistic regression model. DISCUSSION: ED screening on college campuses should assess for suicidality, and prevention and treatment efforts should target vomiting and co-morbid depression and anxiety symptoms to reduce risk of SI for high-risk individuals.
OBJECTIVE: To identify the correlates of suicidal ideation (SI) in a large sample of college women with eating disorders (EDs). METHOD: A total of 690 female college students from 28 US colleges who screened positive for an ED, with the exception of anorexia nervosa, were assessed for SI. Univariate logistic regression analyses were performed to determine independent correlates of SI. Measures included: ED psychopathology, ED behaviors (i.e., binge eating, vomiting, laxatives, compulsive exercise), current co-morbid psychopathology (i.e., depression, anxiety, insomnia), weight/shape concerns, ED-related clinical impairment, and body mass index (BMI). All significant variables were included in a backward binary multivariate logistic regression model to determine which variables were most strongly associated with SI. RESULTS: A total of 25.6% of the sample reported SI. All variables examined were significantly independently associated with SI, with the exception of compulsive exercise. Depression, anxiety, and vomiting remained as significant correlates of SI in the multivariate logistic regression model. DISCUSSION: ED screening on college campuses should assess for suicidality, and prevention and treatment efforts should target vomiting and co-morbid depression and anxiety symptoms to reduce risk of SI for high-risk individuals.
Authors: David Cella; William Riley; Arthur Stone; Nan Rothrock; Bryce Reeve; Susan Yount; Dagmar Amtmann; Rita Bode; Daniel Buysse; Seung Choi; Karon Cook; Robert Devellis; Darren DeWalt; James F Fries; Richard Gershon; Elizabeth A Hahn; Jin-Shei Lai; Paul Pilkonis; Dennis Revicki; Matthias Rose; Kevin Weinfurt; Ron Hays Journal: J Clin Epidemiol Date: 2010-08-04 Impact factor: 6.437
Authors: Vandana Aspen; Hannah Weisman; Anna Vannucci; Najia Nafiz; Dana Gredysa; Andrea E Kass; Mickey Trockel; Corinna Jacobi; Denise E Wilfley; C Barr Taylor Journal: Eat Behav Date: 2014-12
Authors: April R Smith; Erin L Fink; Michael D Anestis; Jessica D Ribeiro; Kathryn H Gordon; Heather Davis; Pamela K Keel; Anna M Bardone-Cone; Carol B Peterson; Marjorie H Klein; Scott Crow; James E Mitchell; Ross D Crosby; Stephen A Wonderlich; Daniel le Grange; Thomas E Joiner Journal: Psychiatry Res Date: 2012-12-07 Impact factor: 3.222
Authors: Neha J Goel; Shiri Sadeh-Sharvit; Mickey Trockel; Rachael E Flatt; Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Grace E Monterubio; Marie-Laure Firebaugh; Denise E Wilfley; C Barr Taylor Journal: J Am Coll Health Date: 2020-01-23