Suicidal Behaviour in Adolescents With Eating Disorders: A Pandemic Timeline Comparison

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-10-02 DOI:10.1111/eip.70091

Ayşe Bilge Baklaci, Eylem Şerife Kalkan, Yelda Kiliç, Melis Pehlivantürk Kizilkan, Orhan Derman, Sinem Akgül

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引用次数: 0

Abstract

Objective

This study aimed to explore the impact of the COVID-19 pandemic on suicide attempts (SA), suicide ideation (SI), and self-harm behaviours (SHB) in adolescents with eating disorders (EDs) across four pandemic phases (pre, early, middle and late).

Methods

The prevalence of SA, SI and SHB during the pandemic was assessed retrospectively using the HEEADSSS (Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicidal ideation and Safety) instrument of participants, with four time periods defined based on clinic visits: pre-pandemic (T0), early (T1), middle (T2) and late (T3) pandemic.

Results

Among all participants (403), 112 (27.8%) reported SHB, 137 (34%) reported SI, and 41 (10.2%) reported SA in the study across all periods. During T1 + T2 + T3 compared to T0, SHB and SI increased significantly (p < 0.001), especially at T2 and T3, while SA did not show any significant change (p = 0.124), and SHB increased in anorexia nervosa (AN) (p = 0.017), atypical anorexia nervosa (AAN) (p = 0.002), bulimia nervosa (BN) (p = 0.001) and unspecified feeding or eating disorder (UFED) (p = 0.025) groups, while SI increased by 2.2 times in the BN group (p = 0.015), but no significant change was found in SA in any of the ED groups.

Conclusions

This study indicates an increase in SI and SHB among adolescents with EDs during the pandemic, especially in the middle and late phases, highlighting the need for healthcare providers to be aware of the long-term mental health impacts of the pandemic.

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青少年饮食失调的自杀行为：流行病时间轴比较

目的本研究旨在探讨COVID-19大流行对饮食失调（EDs）青少年自杀企图（SA）、自杀意念（SI）和自残行为（SHB）在4个大流行阶段（前、早期、中期和后期）的影响。方法采用HEEADSSS（家庭、教育/就业、饮食、活动、药物、性行为、自杀意念和安全）量表对大流行期间SA、SI和SHB的流行情况进行回顾性评估，并根据门诊就诊确定4个时间段：大流行前（T0）、早期（T1）、中期（T2）和晚期（T3）。结果在所有参与者（403）中，112（27.8%）报告SHB， 137（34%）报告SI， 41（10.2%）报告SA。T1 + T2 + T3与T0相比，SHB和SI显著升高（p < 0.001），尤其是T2和T3时，SA无显著变化（p = 0.124）， SHB在神经性厌食症（AN）组（p = 0.017）、非典型神经性厌食症（AAN）组（p = 0.002）、神经性贪食症（p = 0.001）和不明确进食障碍（UFED）组（p = 0.025）均升高，而BN组SI升高2.2倍（p = 0.015）。但没有发现任何ED组的SA有明显变化。本研究表明，在大流行期间，特别是在中期和后期，青少年急症患者的SI和SHB增加，突出了卫生保健提供者需要意识到大流行对心理健康的长期影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.