Mortality and Its Predictors in Severe Bulimia Nervosa Patients

Caroline Huas · Nathalie T. Godart · Agnès Caille · Alexandra Pham‐Scottez · C. Foulon · Snežana M. Divac +4 more

66 citations0/0 files storedEuropean Eating Disorders Review

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Eating Disorders and Behaviors Suicide and Self-Harm Studies Nutrition, Health and Food Behavior

Abstract

BACKGROUND: The risk of mortality remains unclear for bulimia nervosa (BN) patients, especially the most severe. The aims of this study were to improve knowledge on BN and mortality. METHODS: With initial evaluation at admission, 258 BN (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) consecutive inpatients were included (1988-2004). Vital status was established from the French national register. Standardized Mortality Ratio (SMR) calculation and bivariate Cox analysis were performed for the hypothesised predictors of mortality. RESULTS: Mean follow-up duration was 10.5 years. Ten deaths were recorded, and the crude mortality ratio was 3.9%; SMR = 5.52 [CI95 (2.64-10.15)]. The majority of deaths were from suicide [6/10, SMR = 30.9 (5.7-68.7)]. The mean age at time of death was 29.6 years. Predictive factors were previous suicide attempt and low minimum BMI. CONCLUSIONS: Severe BN patients are at higher risk of death (mainly suicide) especially if previous suicide attempt or previous low BMI. More studies are needed to confirm these results.

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2011Mortality Rates in Patients With Anorexia Nervosa and Other Eating Disorders 2000The Natural Course of Bulimia Nervosa and Binge Eating Disorder in Young Women 2009Increased Mortality in Bulimia Nervosa and Other Eating Disorders 2003Predictors of Mortality in Eating Disorders 1997Outcome in bulimia nervosa 2006Suicidality in eating disorders: Occurrence, correlates, and clinical implications 2006Comorbidity studies of eating disorders and mood disorders. Critical review of the literature 1999Long-term Outcome of Bulimia Nervosa

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