{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:47:53Z","timestamp":1777434473657,"version":"3.51.4"},"reference-count":74,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Anorexia nervosa (AN) has a high mortality rate frequently related to suicidality; however, there are few studies on suicide attempts (SAs) and non-suicidal self-injuries (NSSIs) in adult inpatients with AN. This study aims to describe SA and NSSI prevalence and related clinical and sociodemographic factors in adult inpatients with AN. Methods: We retrospectively analyzed data on 298 inpatients hospitalized between 2014 and 2023. Suicidality and clinical and sociodemographic data were collected by experienced psychiatrists; then, the patients completed a battery of self-report questionnaires investigating eating-related and general psychopathology. Results: A total of 9.7% of the inpatients reported an SA in their lifetime, and 13.4% reported NSSI. The percentages were lower among patients with restricter-type AN (5.6% SA and 6.6% NSSI) and higher among patients with binge\u2013purging AN (18% SA and 27% NSSI). SAs were associated with unemployment, binge\u2013purging AN, personality disorders, and lifetime sexual abuse; NSSIs were correlated with family psychiatric disorders, binge\u2013purging AN, personality disorders, body dissatisfaction, restriction, and eating-related concerns. No differences emerged in the frequency of reported suicidality between patients tested before and after the COVID-19 pandemic. Conclusions: Suicidality is a relevant issue in AN. Many factors in the history of the patients and their eating-related pathologies should be considered as potentially associated with SA and NSSI and carefully assessed.<\/jats:p>","DOI":"10.3390\/jcm13226952","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T10:44:37Z","timestamp":1732013077000},"page":"6952","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Analysis of Suicidal Behavior in Adult Inpatients with Anorexia Nervosa: Prevalence of Suicide Attempts and Non-Suicidal Self-Injury and Associated Factors\u2014Data Before and After the COVID-19 Pandemic"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1347-7054","authenticated-orcid":false,"given":"Paola","family":"Longo","sequence":"first","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8877-0138","authenticated-orcid":false,"given":"Matteo","family":"Martini","sequence":"additional","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-1272","authenticated-orcid":false,"given":"Federica","family":"Toppino","sequence":"additional","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlotta","family":"De Bacco","sequence":"additional","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9003-9838","authenticated-orcid":false,"given":"Antonio","family":"Preti","sequence":"additional","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-5664","authenticated-orcid":false,"given":"Giovanni","family":"Abbate-Daga","sequence":"additional","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9385-0332","authenticated-orcid":false,"given":"Matteo","family":"Panero","sequence":"additional","affiliation":[{"name":"Eating Disorder Center for Treatment and Research, Department of Neuroscience, University of Turin, Via Cherasco 11, 10126 Turin, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition, Text Revision, American Psychiatric Association.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1080\/13642537.2023.2278088","article-title":"\u201cYou feel that you are stepping into a different world\u201d: Vulnerability and biases in the treatment of anorexia nervosa","volume":"25","author":"Tragantzopoulou","year":"2023","journal-title":"Eur. J. Psychother. Couns."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1001\/archgenpsychiatry.2011.74","article-title":"Mortality rates in patients with anorexia nervosa and other eating disorders: A meta-analysis of 36 studies","volume":"68","author":"Arcelus","year":"2011","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1097\/YCO.0000000000000739","article-title":"Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa","volume":"34","author":"Hoek","year":"2021","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1016\/j.jad.2018.12.015","article-title":"Socio-demographic and psychological risk factors for suicidal behavior among individuals with anorexia and bulimia nervosa: A systematic review","volume":"245","author":"Goldstein","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s40337-023-00736-9","article-title":"Weighing in: Qualitative explorations of weight restoration as recovery in anorexia nervosa","volume":"11","author":"Barko","year":"2023","journal-title":"J. Eat. Disord."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1002\/eat.20276","article-title":"Holte The meaning of self-starvation: Qualitative study of patients\u2019 perception of anorexia nervosa","volume":"39","author":"Espeset","year":"2006","journal-title":"Int. J. Eat. Disord."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1002\/erv.774","article-title":"Shame and pride in anorexia nervosa: A qualitative descriptive study","volume":"15","year":"2007","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1002\/eat.20011","article-title":"Suicide in anorexia nervosa: A meta-analysis","volume":"36","author":"Pompili","year":"2004","journal-title":"Int. J. Eat. Disord."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/j.1600-0447.2010.01641.x","article-title":"A comprehensive meta-analysis of the risk of suicide in eating disorders","volume":"124","author":"Preti","year":"2011","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1080\/10640266.2023.2196492","article-title":"Prevalence of non-suicidal self-injury, suicidal ideation, suicide attempts, suicide mortality in eating disorders: A systematic review and meta-analysis","volume":"31","author":"Amiri","year":"2023","journal-title":"Eat. Disord."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1002\/eat.23240","article-title":"Suicide attempts requiring hospitalization in patients with eating disorders: A retrospective cohort study","volume":"53","author":"Cliffe","year":"2020","journal-title":"Int. J. Eat. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1002\/eat.24052","article-title":"Association of hospitalization for suicide attempts in adolescent girls with subsequent hospitalization for eating disorders","volume":"56","author":"Soullane","year":"2023","journal-title":"Int. J. Eat. Disord."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1017\/S0033291718003549","article-title":"Suicide attempts in eating disorder subtypes: A meta-analysis of the literature employing DSM-IV, DSM-5, or ICD-10 diagnostic criteria","volume":"49","author":"Mandelli","year":"2019","journal-title":"Psychol. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"305","DOI":"10.19127\/mbsjohs.825642","article-title":"Evaluation of the Frequency of Suicidal Thoughts and Attempts and Related Factors in Female Adolescents with Anorexia Nervosa","volume":"6","author":"Ucuz","year":"2020","journal-title":"Middle Black Sea J. Health Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1002\/eat.23770","article-title":"Eating disorder behaviors as predictors of suicidal ideation among people with an eating disorder","volume":"55","author":"Joiner","year":"2022","journal-title":"Int. J. Eat. Disord."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1002\/eat.24088","article-title":"Non-suicidal self-injury among individuals with an eating disorder: A systematic review and prevalence meta-analysis","volume":"57","author":"Kirkpatrick","year":"2024","journal-title":"Int. J. Eat. Disord."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s13034-022-00446-1","article-title":"Lifetime prevalence and clinical correlates of nonsuicidal self-injury in youth inpatients with eating disorders: A retrospective chart review","volume":"16","author":"Arnold","year":"2022","journal-title":"Child Adolesc. Psychiatry Ment. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1002\/eat.23880","article-title":"Non-suicidal self-injury, suicidal thoughts and behaviors in individuals with an eating disorder relative to healthy and psychiatric controls: A systematic review and meta-analysis","volume":"56","author":"Sohn","year":"2023","journal-title":"Int. J. Eat. Disord."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2447","DOI":"10.1007\/s40519-022-01384-9","article-title":"Suicidality in adolescents with onset of anorexia nervosa","volume":"27","author":"Mereu","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1080\/10640260290081786","article-title":"Self-Harm Behaviors Among Those with Eating Disorders: An Overview","volume":"10","author":"Sansone","year":"2022","journal-title":"Eat. Disord."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s40337-014-0019-x","article-title":"The current status of suicide and self-injury in eating disorders: A narrative review","volume":"2","author":"Kostro","year":"2014","journal-title":"J. Eat. Disord."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1111\/j.1600-0447.1997.tb10139.x","article-title":"Suicidality in eating disorders: Clinical and psychological correlates","volume":"95","author":"Favaro","year":"1997","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1002\/eat.23116","article-title":"Body dissatisfaction and symptoms of bulimia nervosa prospectively predict suicide ideation in adolescents","volume":"52","author":"Perkins","year":"2019","journal-title":"Int. J. Eat. Disord."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1037\/a0034902","article-title":"Suicide attempts in women with eating disorders","volume":"122","author":"Pisetsky","year":"2013","journal-title":"J. Abnorm. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s40337-018-0214-2","article-title":"Self-injurious behaviour in patients with anorexia nervosa: A quantitative study","volume":"6","author":"Smithuis","year":"2018","journal-title":"J. Eat. Disord."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"152115","DOI":"10.1016\/j.comppsych.2019.152115","article-title":"Clinical and personality characteristics of adolescents with anorexia nervosa with or without non-suicidal self-injurious behavior","volume":"94","author":"Davico","year":"2019","journal-title":"Compr. Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s40479-023-00216-1","article-title":"Frequency and correlates of lifetime suicidal ideation and suicide attempts among consecutively hospitalized youth with anorexia nervosa and bulimia nervosa: Results from a retrospective chart review","volume":"10","author":"Arnold","year":"2023","journal-title":"Borderline Personal. Disord. Emot. Dysregulation"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Cozzi, G., Grillone, A., Zuliani, E., Giangreco, M., Zanchi, C., Abbracciavento, G., Barbi, E., and Amaddeo, A. (2023). Suicide attempts and eating disorders in adolescents, the mental health wave of the second year of the COVID-19 pandemic: A paediatric emergency department perspective. Front. Pediatr., 11.","DOI":"10.3389\/fped.2023.1078274"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1016\/S2352-4642(23)00126-8","article-title":"Temporal trends in eating disorder and self-harm incidence rates among adolescents and young adults in the UK in the 2 years since onset of the COVID-19 pandemic: A population-based study","volume":"7","author":"Trafford","year":"2023","journal-title":"Lancet Child Adolesc. Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.jpsychires.2021.08.029","article-title":"Preliminary suicide trends during the COVID-19 pandemic in Milan, Italy","volume":"143","author":"Calati","year":"2021","journal-title":"J. Psychiatr. Res."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Balestrieri, M., Rucci, P., Amendola, D., Bonizzoni, M., Cerveri, G., Colli, C., Dragogna, F., Ducci, G., Elmo, M.G., and Ghio, L. (2021). Emergency Psychiatric Consultations During and After the COVID-19 Lockdown in Italy. A Multicentre Study. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.697058"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Boldrini, T., Girardi, P., Clerici, M., Conca, A., Creati, C., Di Cicilia, G., Ducci, G., Durbano, F., Maci, C., and Maone, A. (2021). Consequences of the COVID-19 pandemic on admissions to general hospital psychiatric wards in Italy: Reduced psychiatric hospitalizations and increased suicidality. Prog. Neuro-Psychopharmacol. Biol. Psychiatry, 110.","DOI":"10.1016\/j.pnpbp.2021.110304"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1186\/s40337-021-00510-9","article-title":"Disordered eating and self-harm as risk factors for poorer mental health during the COVID-19 pandemic: A UK-based birth cohort study","volume":"9","author":"Warne","year":"2021","journal-title":"J. Eat. Disord."},{"key":"ref_35","unstructured":"First, M.B., Williams, J.B.W., Karg, R.S., and Spitzer, R.L. (2015). Structured Clinical Interview for DSM-5 Research Version, Biometrics Research, Psychiatry, Columbia University at the New York State Psychiatric Institute."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1002\/1098-108X(198321)2:2<15::AID-EAT2260020203>3.0.CO;2-6","article-title":"Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia","volume":"2","author":"Garner","year":"1983","journal-title":"Int. J. Eat. Disord."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"159","DOI":"10.3349\/ymj.2021.62.2.159","article-title":"Identifying predictors of non-suicidal self-injuries in individuals with eating disorders","volume":"62","author":"Ahn","year":"2021","journal-title":"Yonsei Med. J."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#","article-title":"Assessment of eating disorders: Interview or self-report questionnaire?","volume":"16","author":"Fairburn","year":"1994","journal-title":"Int. J. Eat. Disord."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1002\/eat.23410","article-title":"Emotion dysregulation and suicidality in eating disorders","volume":"54","author":"Rania","year":"2021","journal-title":"Int. J. Eat. Disord."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.psychres.2017.08.014","article-title":"Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury","volume":"257","author":"Smith","year":"2017","journal-title":"Psychiatry Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s40519-016-0276-6","article-title":"The Eating Disorder Examination Questionnaire: Reliability and validity of the Italian version","volume":"22","author":"Calugi","year":"2017","journal-title":"Eat. Weight Disord."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Spielberger, C.D., Gorsuch, R.L., and Lushene, R. (1983). State-Trait Anxiety Inventory STAI (Form Y), American Psychiatric Association.","DOI":"10.1037\/t06496-000"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Spielberger, C. (1983). State-Trait Anxiety Inventory for Adults\u2014Manual, Instrument and Scoring Guide, Mind Garden, Inc.","DOI":"10.1037\/t06496-000"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/ppc.12423","article-title":"Interaction between anxiety and depression on suicidal ideation, quality of life, and work productivity impairment: Results from a representative sample of the Lebanese population","volume":"56","author":"Khansa","year":"2020","journal-title":"Perspect. Psychiatr. Care"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/archpsyc.1961.01710120031004","article-title":"An Inventory for Measuring Depression","volume":"4","author":"Beck","year":"1961","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2312","DOI":"10.1192\/j.eurpsy.2022.2312","article-title":"High depression symptomatology and mental pain characterize suicidal psychiatric patients","volume":"65","author":"Pompili","year":"2022","journal-title":"Eur. Psychiatry"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1590\/1516-4446-2012-1048","article-title":"Psychometric properties of the Beck Depression Inventory-II: A comprehensive review","volume":"35","author":"Wang","year":"2013","journal-title":"Rev. Bras. Psiquiatr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1037\/a0018697","article-title":"The interpersonal theory of suicide","volume":"117","author":"Witte","year":"2010","journal-title":"Psychol. Rev."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"106453","DOI":"10.1016\/j.ypmed.2021.106453","article-title":"On prediction, refutation, and explanatory reach: A consideration of the Interpersonal Theory of Suicidal Behavior","volume":"152","author":"Joiner","year":"2021","journal-title":"Prev. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/BF03325346","article-title":"Lifetime and recent DSM and ICD psychiatric comorbidity of inpatients engaging in different eating disorder behaviours","volume":"17","author":"Boyd","year":"2012","journal-title":"Eat. Weight Disord."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"207","DOI":"10.26502\/jppd.2572-519X0075","article-title":"A Review of Anorexia Nervosa, Its Relationship to Autism and Borderline Personality Disorder, and Implications for Patient Related Outcomes","volume":"3","author":"Kelly","year":"2019","journal-title":"J. Psychiatry Psychiatr. Disord."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Miller, A.E., Bicaker, E., Trolio, V., Falk, C.F., White, C., Zhu, L.Y., and Racine, S.E. (2024). Capturing the Experience of Borderline Personality Disorder Symptoms in the Daily Lives of Women With Eating Disorders. J. Psychopathol. Clin. Sci.","DOI":"10.1037\/abn0000953"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Oudijn, M., Linders, J., Mocking, R., Lok, A., van Elburg, A., and Denys, D. (2022). Psychopathological and Neurobiological Overlap Between Anorexia Nervosa and Self-Injurious Behavior: A Narrative Review and Conceptual Hypotheses. Front. Psychiatry, 13.","DOI":"10.3389\/fpsyt.2022.756238"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jad.2016.05.067","article-title":"The impact of suicidality on health-related quality of life: A latent growth curve analysis of community-based data","volume":"203","author":"Batterham","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"12563","DOI":"10.1001\/jamanetworkopen.2020.12563","article-title":"Association of Childhood Maltreatment with Suicide Behaviors among Young People: A Systematic Review and Meta-analysis","volume":"3","author":"Angelakis","year":"2020","journal-title":"JAMA Netw. Open"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1815282","DOI":"10.1080\/20008198.2020.1815282","article-title":"Predictors and correlates of lifetime and persistent non-suicidal self-injury and suicide attempts among adult survivors of childhood sexual abuse","volume":"11","author":"Steine","year":"2020","journal-title":"Eur. J. Psychotraumatol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"100372","DOI":"10.1016\/j.ejtd.2023.100372","article-title":"European Journal of Trauma & Dissociation An updated report on trauma in Anorexia Nervosa: Confirmation and novel data","volume":"8","author":"Longo","year":"2024","journal-title":"Eur. J. Trauma Dissociation"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1177\/0020764010387059","article-title":"Employment status influences suicide mortality in Europe","volume":"58","author":"Sisask","year":"2012","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Mathieu, S., Treloar, A., Hawgood, J., Ross, V., and K\u00f5lves, K. (2022). The Role of Unemployment, Financial Hardship, and Economic Recession on Suicidal Behaviors and Interventions to Mitigate Their Impact: A Review. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.907052"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1002\/erv.2487","article-title":"Identity Processes and Statuses in Patients with and without Eating Disorders","volume":"25","author":"Verschueren","year":"2017","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.comppsych.2018.11.010","article-title":"Body image as a predictor of nonsuicidal self-injury in women: A longitudinal study","volume":"88","author":"Black","year":"2019","journal-title":"Compr. Psychiatry"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/j.1943-278X.2012.00128.x","article-title":"Interpersonal features and functions of nonsuicidal self-injury","volume":"43","author":"Muehlenkamp","year":"2013","journal-title":"Suicide Life-Threatening Behav."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1007\/s40519-021-01340-z","article-title":"Body dissatisfaction and non-suicidal self-injury among Chinese young adults: A moderated mediation analysis","volume":"27","author":"Tie","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.neubiorev.2019.03.007","article-title":"When the body is the target\u2014Representations of one\u2019s own body and bodily sensations in self-harm: A systematic review","volume":"101","author":"Hielscher","year":"2019","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Colle, L., Hilviu, D., Boggio, M., Toso, A., Longo, P., Abbate-Daga, G., Garbarini, F., and Fossataro, C. (2023). Abnormal sense of agency in eating disorders. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-41345-5"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/erv.618","article-title":"Self-injurious behaviour in people with eating disorders","volume":"13","author":"Solano","year":"2005","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1007\/s11920-020-01191-y","article-title":"Non-Suicidal Self-Injury and Eating Disordered Behaviors: An Update on What We Do and Do Not Know","volume":"22","author":"Kiekens","year":"2020","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Martini, M., Longo, P., Delsedime, N., Abbate-Daga, G., and Panero, M. (2023). Increased General, Eating, and Body-Related Psychopathology in Inpatients in a Specialized Eating Disorders Unit after the Beginning of the COVID-19 Pandemic: A Retrospective Comparison with the Pre-Pandemic Period. J. Clin. Med., 12.","DOI":"10.3390\/jcm12020573"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Longo, P., Toppino, F., Martini, M., Panero, M., De Bacco, C., Marzola, E., and Abbate-Daga, G. (2022). Diagnostic Concordance between Research and Clinical-Based Assessments of Psychiatric Comorbidity in Anorexia Nervosa. J. Clin. Med., 11.","DOI":"10.3390\/jcm11247419"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1176\/appi.ajp.2020.20060864","article-title":"Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review","volume":"178","author":"Mann","year":"2021","journal-title":"Am. J. Psychiatry"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1002\/cpp.2515","article-title":"The impact on mental health practitioners of the death of a patient by suicide: A systematic review","volume":"28","author":"Sandford","year":"2021","journal-title":"Clin. Psychol. Psychother."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1111\/1556-4029.13519","article-title":"Understanding Suicide Across the Lifespan: A United States Perspective of Suicide Risk Factors, Assessment & Management","volume":"63","author":"Steele","year":"2018","journal-title":"J. Forensic Sci."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.jad.2021.08.014","article-title":"Age effects on clinical and neurocognitive risk factors for suicide attempt in depression\u2014Findings from the AFSP lifespan study","volume":"295","author":"Buerke","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Ku\u0142ak-Bejda, A., Bejda, G., and Waszkiewicz, N. (2021). Mental Disorders, Cognitive Impairment and the Risk of Suicide in Older Adults. Front. 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