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Although associations between eating disorders\/BDD and suicidality are well documented, research has rarely examined associations between MD symptoms and suicidality, which is concerning given MD is associated with additional suicide risk factors compared with these disorders. Further, existing associations between MD symptoms and suicidality have yet to establish temporal ordering for these relationships. Therefore, the current study investigated longitudinal relationships between MD symptoms and suicidal ideation to establish the direction of the MD\u2010suicidality relationship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were 272 US men displaying sub\u2010clinical MD symptoms who completed self\u2010report measurement at three time points over 6\u00a0weeks. Longitudinal relationships between MD symptoms and suicidal ideation were examined using a three\u2010wave autoregressive cross\u2010lagged model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Certain MD symptoms were longitudinally predicted by suicidal ideation. Specifically, suicidal ideation longitudinally predicted increased drive for size and appearance intolerance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results may suggest that individuals engage in MD symptoms potentially to cope with distressing thoughts of suicide. Clinicians should provide clients with comorbid MD and suicidality with appropriate coping tools to manage distress from suicidal thoughts outside of engaging in compulsive exercise characteristic of MD symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12852","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T11:59:56Z","timestamp":1646654396000},"page":"683-695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Longitudinal relationships between muscle dysmorphia symptoms and suicidal ideation"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3216-112X","authenticated-orcid":false,"given":"William","family":"Grunewald","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences Auburn University  Auburn Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8088-8254","authenticated-orcid":false,"given":"Shelby N.","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Department of Psychology Miami University  Oxford Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti S.","family":"Kinkel\u2010Ram","sequence":"additional","affiliation":[{"name":"Department of Psychology Miami University  Oxford Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Auburn University  Auburn Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_9_4_1","volume-title":"Longitudinal structural equation modeling. 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