{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T14:33:58Z","timestamp":1788791638504,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,6]],"date-time":"2023-07-06T00:00:00Z","timestamp":1688601600000},"content-version":"am","delay-in-days":365,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T00:00:00Z","timestamp":1657065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["W81XWH\u201016\u201020003"],"award-info":[{"award-number":["W81XWH\u201016\u201020003"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["IK2HX003085\u201001A2"],"award-info":[{"award-number":["IK2HX003085\u201001A2"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Suicidality is known to be elevated among people with an eating disorder. The aim of the current study was to examine whether any of three specific behavioral facets of eating disorders (i.e., purging, binge eating, restricting) would be the strongest predictors of suicidal ideation, controlling for one another, in longitudinal analyses from admission to discharge. We hypothesized that purging, above and beyond restricting or binge eating, would be the most important predictor of suicidal ideation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In the present study, patients with an eating disorder (<jats:italic>N\u2009=<\/jats:italic>\u00a0936), the majority of whom met criteria for a current DSM\u20105 diagnosis of Anorexia Nervosa (<jats:italic>n\u2009=<\/jats:italic>\u00a0560), completed the Eating Pathology Symptoms Inventory (EPSI) and the Beck Depression Inventory II\u2010Item 9 suicidal ideation index, at admission and again at discharge. The settings were eating disorder treatment facilities offering inpatient, residential, partial hospitalization program (PHP), and intensive outpatient (IOP) levels of care. We pitted EPSI purging, EPSI restriction, and EPSI binge eating against one another in a regression framework predicting discharge suicidal ideation controlling for suicidal ideation at admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>EPSI Purging significantly predicted both presence\/absence of suicidal ideation (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0.22, <jats:italic>t\u2009=<\/jats:italic>\u00a02.48, p\u00a0<jats:italic>=<\/jats:italic>\u00a0.01; OR\u00a0=\u00a01.25, 95% CI [1.05, 1.49]) and intensity of suicidal ideation (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0.04, <jats:italic>t\u2009=<\/jats:italic>\u00a02.31, p\u00a0<jats:italic>=<\/jats:italic>\u00a0.02) at discharge, whereas neither EPSI Restricting nor EPSI Binge Eating did (p\u2009&gt;\u2009.30).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Study results suggest that purging may have particular relevance in estimating suicide risk in patients with an eating disorder.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23770","type":"journal-article","created":{"date-parts":[[2022,7,6]],"date-time":"2022-07-06T15:40:24Z","timestamp":1657122024000},"page":"1352-1360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Eating disorder behaviors as predictors of suicidal ideation among people with an eating disorder"],"prefix":"10.1002","volume":"55","author":[{"given":"Thomas E.","family":"Joiner","sequence":"first","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8685-9259","authenticated-orcid":false,"given":"Morgan","family":"Robison","sequence":"additional","affiliation":[{"name":"Department of Psychology Florida State University  Tallahassee Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"McClanahan","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood and Anxiety Center  Denver Colorado USA"},{"name":"Department of Psychiatry and Behavioral Sciences Northwestern University  Chicago Illinois USA"},{"name":"Department of Psychiatry and Behavioral Sciences Rush University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1162-9467","authenticated-orcid":false,"given":"Megan","family":"Riddle","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood and Anxiety Center  Denver Colorado USA"},{"name":"Department of Psychiatry and Behavioral Sciences University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Manwaring","sequence":"additional","affiliation":[{"name":"ACUTE at Denver Health  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee D.","family":"Rienecke","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood and Anxiety Center  Denver Colorado USA"},{"name":"Department of Psychiatry and Behavioral Sciences Northwestern University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7293-9496","authenticated-orcid":false,"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of California San Francisco School of Medicine  San Francisco California USA"},{"name":"Department of Psychiatry and Behavioral Neurosciences The University of Chicago  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Duffy","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood and Anxiety Center  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip S.","family":"Mehler","sequence":"additional","affiliation":[{"name":"Eating Recovery Center and Pathlight Mood and Anxiety Center  Denver Colorado USA"},{"name":"ACUTE at Denver Health  Denver Colorado USA"},{"name":"Department of Internal Medicine University of Colorado School of Medicine  Denver Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan V.","family":"Blalock","sequence":"additional","affiliation":[{"name":"Center of Innovation to Accelerate Discovery and Practice Transformation Durham Veterans Affairs Medical Center  Durham North Carolina USA"},{"name":"Department of Psychiatry and Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1525\/ae.2004.31.4.475"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23095"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2012.224"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20416"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1995.9.2.83"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22180"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032639"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22504"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000084"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.14m09391"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20335"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327957pspr1003_4"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2021.03.002"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000615"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1471-0153(02)00088-0"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010915709011"},{"key":"e_1_2_9_19_1","volume-title":"Why people die by suicide","author":"Joiner T.","year":"2005"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e3181594833"},{"key":"e_1_2_9_21_1","unstructured":"Lee I. A. &Preacher K. J.(2013).Calculation for the test of the difference between two dependent correlations with one variable in common[Computer software].http:\/\/quantpsy.org."},{"key":"e_1_2_9_22_1","volume-title":"Eating disorders: A reference sourcebook","author":"Lemberg R.","year":"1999"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj002"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23664"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22503"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021882717784"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.5.468"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3181c1fa2d"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2010.09.003"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1037\/pspi0000367"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.03.016"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.23266"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2017.08.023"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006x.76.1.72"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03000093"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23770","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23770","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/am-pdf\/10.1002\/eat.23770","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T15:08:33Z","timestamp":1692630513000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23770"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,6]]},"references-count":34,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1002\/eat.23770"],"URL":"https:\/\/doi.org\/10.1002\/eat.23770","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,6]]},"assertion":[{"value":"2022-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}