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. 1998 Aug;88(8):1206–1207. doi: 10.2105/ajph.88.8.1206

Is anorexia nervosa associated with elevated rates of suicide?

S Coren 1, P L Hewitt 1
PMCID: PMC1508312  PMID: 9702149

Abstract

OBJECTIVES: The purpose of this study was to ascertain whether individuals with anorexia nervosa are more likely to commit suicide, as suggested by previously noted associations between anorexia nervosa and mood disorders. METHODS: Data from death records representing over 5 million women were examined, yielding 571 cases in which anorexia nervosa was mentioned as an existing condition. The women with anorexia were compared with 1713 control subjects matched for age, sex, and race. RESULTS: The percentage of suicides among those listed as having anorexia nervosa was only 1.4%, compared with 4.1% for the controls. CONCLUSIONS: These findings suggest that the suicide rate is not elevated among individuals currently suffering from anorexia nervosa.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Apter A., Gothelf D., Orbach I., Weizman R., Ratzoni G., Har-Even D., Tyano S. Correlation of suicidal and violent behavior in different diagnostic categories in hospitalized adolescent patients. J Am Acad Child Adolesc Psychiatry. 1995 Jul;34(7):912–918. doi: 10.1097/00004583-199507000-00015. [DOI] [PubMed] [Google Scholar]
  2. Herpertz-Dahlmann B. M., Wewetzer C., Remschmidt H. The predictive value of depression in anorexia nervosa. Results of a seven-year follow-up study. Acta Psychiatr Scand. 1995 Feb;91(2):114–119. doi: 10.1111/j.1600-0447.1995.tb09750.x. [DOI] [PubMed] [Google Scholar]
  3. Jobes D. A., Berman A. L., Josselson A. R. Improving the validity and reliability of medical-legal certifications of suicide. Suicide Life Threat Behav. 1987 Winter;17(4):310–325. doi: 10.1111/j.1943-278x.1987.tb00071.x. [DOI] [PubMed] [Google Scholar]
  4. Jones D. J., Fox M. M., Babigian H. M., Hutton H. E. Epidemiology of anorexia nervosa in Monroe County, New York: 1960-1976. Psychosom Med. 1980 Nov;42(6):551–558. doi: 10.1097/00006842-198011000-00003. [DOI] [PubMed] [Google Scholar]
  5. Kennedy S. H., Kaplan A. S., Garfinkel P. E., Rockert W., Toner B., Abbey S. E. Depression in anorexia nervosa and bulimia nervosa: discriminating depressive symptoms and episodes. J Psychosom Res. 1994 Oct;38(7):773–782. doi: 10.1016/0022-3999(94)90030-2. [DOI] [PubMed] [Google Scholar]
  6. Kircher T. The autopsy and vital statistics. Hum Pathol. 1990 Feb;21(2):166–173. doi: 10.1016/0046-8177(90)90125-o. [DOI] [PubMed] [Google Scholar]
  7. Lucas A. R., Beard C. M., O'Fallon W. M., Kurland L. T. 50-year trends in the incidence of anorexia nervosa in Rochester, Minn.: a population-based study. Am J Psychiatry. 1991 Jul;148(7):917–922. doi: 10.1176/ajp.148.7.917. [DOI] [PubMed] [Google Scholar]
  8. Monk M. Epidemiology of suicide. Epidemiol Rev. 1987;9:51–69. doi: 10.1093/oxfordjournals.epirev.a036308. [DOI] [PubMed] [Google Scholar]
  9. Muñoz R. A., Amado H. Anorexia nervosa: an affective disorder. New Dir Ment Health Serv. 1986 Fall;(31):13–19. doi: 10.1002/yd.23319863104. [DOI] [PubMed] [Google Scholar]
  10. Phillips D. P., Ruth T. E. Adequacy of official suicide statistics for scientific research and public policy. Suicide Life Threat Behav. 1993 Winter;23(4):307–319. [PubMed] [Google Scholar]
  11. Ratnasuriya R. H., Eisler I., Szmukler G. I., Russell G. F. Anorexia nervosa: outcome and prognostic factors after 20 years. Br J Psychiatry. 1991 Apr;158:495–502. doi: 10.1192/bjp.158.4.495. [DOI] [PubMed] [Google Scholar]
  12. Viesselman J. O., Roig M. Depression and suicidality in eating disorders. J Clin Psychiatry. 1985 Apr;46(4):118–124. [PubMed] [Google Scholar]

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