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BED is often poorly understood and under-represented in research, despite high prevalence. It is unclear how self-harm in BED populations compares to rates of self-harm in other eating disorder populations or control groups. A systematic review and meta-analysis were undertaken with the aim of investigating how often self-harm occurs along with BED compared to other eating disorders and control groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Method<\/jats:title>\n            <jats:p>The protocol for this review was pre-registered (PROSPERO reference: CRD42023466201). Online databases, PsycINFO, MEDLINE and Web of Science, were searched using key terms relating to BED and self-harm, for publications dating up to February 2025. Inclusion criteria were studies that measured BED and self-harm. Titles, abstracts and full texts were screened by independent screeners. Sixteen studies were identified. Meta-analyses were completed to determine the odds of self-harm in BED groups compared to other eating disorders and non-clinical control groups. Risk of bias and publication bias were assessed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>There was no difference in rate of self-harm between people experiencing BED compared to those experiencing Anorexia Nervosa (Odds Ratio [OR]\u2009=\u20090.7, 95% Confidence Interval [CI]\u2009=\u20090.4\u20131.2) or Other Specified Feeding and Eating Disorders (OR\u2009=\u20090.7, 95% CI\u2009=\u20090.4-1.0). Self-harm was 1.6 times more likely in BED groups compared to non-clinical controls (OR\u2009=\u20091.6, 95% CI\u2009=\u20091.0-2.5), and almost half as likely compared to Bulimia Nervosa groups (OR\u2009=\u20090.6, 95% CI\u2009=\u20090.4\u20130.8).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>BED is associated with a higher prevalence of self-harm compared to non-clinical populations and should be approached similarly to other eating disorders in this regard. Increased awareness of the potential for self-harm in BED groups is vital to ensure interventions for eating disorders integrate self-harm prevention. Further research is required in non-western communities and across sexes and gender identities.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s40337-025-01379-8","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T12:31:25Z","timestamp":1756816285000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Self-harm in individuals who experience binge eating disorder: A systematic review and meta-analysis"],"prefix":"10.1186","volume":"13","author":[{"given":"Elana","family":"Moore","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Clements","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Flattery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anam","family":"Bhutta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"1379_CR1","doi-asserted-by":"publisher","unstructured":"Qian J, Wu Y, Liu F, Zhu Y, Jin H, Zhang H, et al. 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