{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:16:29Z","timestamp":1792545389479,"version":"4.5.0"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"unspecified","delay-in-days":4550,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. psychiatr."],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0924933800257623_abs1\" sec-type=\"other\"><jats:title>Objective<\/jats:title><jats:p>Anorexia nervosa has the highest suicide mortality ratio of psychiatric disorders, suicide being associated with many factors. We assessed the first lifetime occurrence of these factors taking into account their possible overlap.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800257623_abs2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Three hundred and four in- and out-patients with anorexia nervosa (DSM-IV) were systematically recruited in three hospitals of Paris suburbs, between December 1999 and January 2003. Patients were assessed by a face-to-face interview (DIGS). Current eating disorder dimensions were measured, and patients interviewed by a trained clinician to assess minimal BMI and, retrospectively, the age at which anorexia nervosa, major depressive disorder, anxiety disorders and switch to bingeing\/purging type occurred for the first time, if applicable.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800257623_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Major depressive disorder (<jats:italic>p<\/jats:italic> &lt; 0.001) and subtype switch from the restrictive to the bingeing\/purging type (<jats:italic>p<\/jats:italic> &lt; 0.001) were the two factors significantly more frequently occurring before suicidal attempts, and remained involved when a multivariate analysis is performed, whether syndromic or dimensional measures are being used. Taking into account lifetime occurrence with a survival analysis, the switch to bingeing\/purging type of anorexia appears as a major predictive factor, with a large increase of the frequency of suicidal attempts (OR = 15) when compared to patients with neither major depressive disorder nor bingeing\/purging type.<\/jats:p><\/jats:sec><jats:sec id=\"S0924933800257623_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Bingeing\/purging type of anorexia nervosa is largely associated with suicidal attempts, and may deserve specific attention. If confirmed on a prospectively designed study, these results would argue for early detection and\/or more intensive and specific therapeutic intervention on this aspect of bingeing and purging behaviors.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.eurpsy.2007.03.004","type":"journal-article","created":{"date-parts":[[2007,5,8]],"date-time":"2007-05-08T13:33:55Z","timestamp":1178631235000},"page":"513-519","source":"Crossref","is-referenced-by-count":52,"title":["Switching to the bingeing\/purging subtype of anorexia nervosa is frequently associated with suicidal attempts"],"prefix":"10.1017","volume":"22","author":[{"given":"C.","family":"Foulon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.D.","family":"Guelfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kipman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Ad\u00e8s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Romo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Houdeyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Marquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.C.","family":"Mouren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Rouillon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Gorwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"S0924933800257623_bib6","doi-asserted-by":"publisher","DOI":"10.1016\/S0191-8869(01)00071-X"},{"key":"S0924933800257623_bib45","first-page":"118","article-title":"Depression and suicidality in eating disorders","volume":"46","author":"Viesselman","year":"1985","journal-title":"J\u00a0Clin Psychiatry"},{"key":"S0924933800257623_bib7","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199205)11:4<305::AID-EAT2260110403>3.0.CO;2-2"},{"key":"S0924933800257623_bib11","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199607)20:1<99::AID-EAT11>3.0.CO;2-E"},{"key":"S0924933800257623_bib34","doi-asserted-by":"publisher","DOI":"10.1007\/s004060050084"},{"key":"S0924933800257623_bib46","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.103.1.137"},{"key":"S0924933800257623_bib8","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.11.2116"},{"key":"S0924933800257623_bib23","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1958.10501452"},{"key":"S0924933800257623_bib15","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199303)13:2<171::AID-EAT2260130205>3.0.CO;2-L"},{"key":"S0924933800257623_bib49","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-1809.1955.tb01348.x"},{"key":"S0924933800257623_bib43","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.162.4.732"},{"key":"S0924933800257623_bib50","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2003.11.005"},{"key":"S0924933800257623_bib21","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291796004394"},{"key":"S0924933800257623_bib30","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700009879"},{"key":"S0924933800257623_bib33","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2005.12.004"},{"key":"S0924933800257623_bib36","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20189"},{"key":"S0924933800257623_bib38","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1176\/ajp.145.11.1424","article-title":"Intent and lethality of suicide attempts among female borderline inpatients","volume":"145","author":"Shearer","year":"1988","journal-title":"Am J Psychiatry"},{"key":"S0924933800257623_bib25","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2003.10.005"},{"key":"S0924933800257623_bib35","first-page":"371","article-title":"Clinical correlates of anorexia nervosa subtypes","volume":"19","author":"Pryor","year":"May 1996","journal-title":"Int J Eat Disord"},{"key":"S0924933800257623_bib40","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2004.07.011"},{"key":"S0924933800257623_bib48","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10213"},{"key":"S0924933800257623_bib2","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(02)00455-X"},{"key":"S0924933800257623_bib26","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(00)00157-8"},{"key":"S0924933800257623_bib5","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1980.01780220068007"},{"key":"S0924933800257623_bib28","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.163.1.20"},{"key":"S0924933800257623_bib47","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.4.547"},{"key":"S0924933800257623_bib1","first-page":"1","article-title":"Practice guideline for assessment and treatment of patients with suicidal behaviors","volume":"160","year":"2003","journal-title":"Am J Psychiatry"},{"key":"S0924933800257623_bib3","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"S0924933800257623_bib4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1999.tb10910.x"},{"key":"S0924933800257623_bib9","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199904)25:3<243::AID-EAT1>3.0.CO;2-2"},{"key":"S0924933800257623_bib12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1997.tb10139.x"},{"key":"S0924933800257623_bib10","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.162.2.193"},{"key":"S0924933800257623_bib13","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291703001545"},{"key":"S0924933800257623_bib14","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1980.01780220074008"},{"key":"S0924933800257623_bib16","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700030762"},{"key":"S0924933800257623_bib19","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.170.3.205"},{"key":"S0924933800257623_bib20","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(200007)28:1<20::AID-EAT3>3.0.CO;2-X"},{"key":"S0924933800257623_bib17","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6"},{"key":"S0924933800257623_bib22","volume-title":"Applied logistic regression","author":"Hosmer","year":"1980"},{"key":"S0924933800257623_bib24","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.179"},{"key":"S0924933800257623_bib27","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1994.03950110009002"},{"key":"S0924933800257623_bib31","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20011"},{"key":"S0924933800257623_bib29","doi-asserted-by":"publisher","DOI":"10.1521\/suli.31.3.237.24250"},{"key":"S0924933800257623_bib32","doi-asserted-by":"publisher","DOI":"10.1080\/08039480500320025"},{"key":"S0924933800257623_bib37","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20296"},{"key":"S0924933800257623_bib39","first-page":"20","article-title":"Eating disorders and the serotonin connection: state, trait and the developmental effects","volume":"29","author":"Steiger","year":"2004","journal-title":"J Psychiatry Neurosci"},{"key":"S0924933800257623_bib41","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1176\/ajp.152.7.1073","article-title":"Mortality in anorexia nervosa","volume":"152","author":"Sullivan","year":"1995","journal-title":"Am J Psychiatry"},{"key":"S0924933800257623_bib44","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700047978"}],"container-title":["European Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933807013041?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0924933807013041?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0924933800257623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,4,17]],"date-time":"2020-04-17T09:31:12Z","timestamp":1587115872000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0924933800257623\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,11]]},"references-count":48,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2007,11]]}},"alternative-id":["S0924933800257623"],"URL":"https:\/\/doi.org\/10.1016\/j.eurpsy.2007.03.004","relation":{},"ISSN":["0924-9338","1778-3585"],"issn-type":[{"value":"0924-9338","type":"print"},{"value":"1778-3585","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,11]]}}}