{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:36:49Z","timestamp":1790710609462,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,4,23]],"date-time":"2012-04-23T00:00:00Z","timestamp":1335139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>With initial evaluation at admission, 258 BN (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) consecutive inpatients were included (1988\u20132004). 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean follow\u2010up duration was 10.5\u2009years. Ten deaths were recorded, and the crude mortality ratio was 3.9%; SMR\u2009=\u20095.52 [CI95 (2.64\u201310.15)]. The majority of deaths were from suicide [6\/10, SMR\u2009=\u200930.9 (5.7\u201368.7)]. The mean age at time of death was 29.6\u2009years. Predictive factors were previous suicide attempt and low minimum BMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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. Copyright \u00a9 2012 John Wiley &amp; Sons, Ltd and Eating Disorders Association.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2178","type":"journal-article","created":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T02:26:03Z","timestamp":1335234363000},"page":"15-19","source":"Crossref","is-referenced-by-count":59,"title":["Mortality and Its Predictors in Severe Bulimia Nervosa Patients"],"prefix":"10.1002","volume":"21","author":[{"given":"Caroline","family":"Huas","sequence":"first","affiliation":[{"name":"Inserm, U669  Paris France"},{"name":"University Paris\u2010Sud and University Paris Descartes  Paris France"},{"name":"University of Tours Department of General Practice  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Godart","sequence":"additional","affiliation":[{"name":"Inserm, U669  Paris France"},{"name":"University Paris\u2010Sud and University Paris Descartes  Paris France"},{"name":"Institut Mutualiste Montsouris  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u00e8s","family":"Caille","sequence":"additional","affiliation":[{"name":"Inserm, U669  Paris France"},{"name":"University Paris\u2010Sud and University Paris Descartes  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Pham\u2010Scottez","sequence":"additional","affiliation":[{"name":"Inserm, U669  Paris France"},{"name":"Hopital Ste Anne, CMME  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Foulon","sequence":"additional","affiliation":[{"name":"Inserm, U669  Paris France"},{"name":"University Paris\u2010Sud and University Paris Descartes  Paris France"},{"name":"Hopital Ste Anne, CMME  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snezana M.","family":"Divac","sequence":"additional","affiliation":[{"name":"Hopital Ste Anne, CMME  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Lavoisy","sequence":"additional","affiliation":[{"name":"Hopital Ste Anne, CMME  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien\u2010Daniel","family":"Guelfi","sequence":"additional","affiliation":[{"name":"Hopital Ste Anne, CMME  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Falissard","sequence":"additional","affiliation":[{"name":"Inserm, U669  Paris France"},{"name":"University Paris\u2010Sud and University Paris Descartes  Paris France"},{"name":"AP\u2010HP, H\u00f4pital Paul Brousse  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Rouillon","sequence":"additional","affiliation":[{"name":"Hopital Ste Anne, CMME  Paris France"},{"name":"Inserm 894  Paris France"},{"name":"University Paris Descartes  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,4,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Psychiatric Association. 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