Familial and sociopsychopathological risk factors for suicide attempt in bulimic and in depressed women: prospective study.
OBJECTIVE
This study was carried out to examine sociopsychopathological predictors of prospective observed suicide attempts in bulimic women purging type without comorbid major depression (BNG) at the time of study entry and in woman with major depression without comorbid eating disorder at the time of study entry (MDG).


METHODS
Data from 28 BNG (age 23.5 +/- 3.6) and 126 MDG women (age 33.4 +/- 5.1) who had attempted suicide during 12 months' monitoring were compared.


RESULTS
A univariate comparison of the two groups revealed various differences. Analysis of risk factors for suicide attempts using stepwise logistic regression was conducted separately for each group. The derived logistic models showed that patients from the BNG group had a history of higher incidence of sexual abuse in childhood, as well as abuse of laxatives and illicit drugs; they also lacked orientation in life, felt lonely despite family and friends, tended to direct their anger outward, and were unable to relax.


CONCLUSIONS
Sociopsychopathological risk factors for suicide attempts in the BNG and MDG appear to vary.
Nickel
Marius K
MK
Clinic for Psychosomatic Medicine, Inntalklinik, Simbach/Inn, Germany. m.nickel@inntalklinik.de
Simek
Marietta
M
Lojewski
Niluefer
N
Muehlbacher
Moritz
M
Fartacek
Reinhold
R
Kettler
Christian
C
Bachler
Egon
E
Egger
Christoph
C
Rother
Nadine
N
Buschmann
Wiebke
W
Pedrosa Gil
Francisco
F
Kaplan
Patrick
P
Mitterlehner
Ferdinand O
FO
Anvar
Javaid
J
Rother
Wolfhardt K
WK
Loew
Thomas H
TH
Nickel
Cerstin
C
D000293:Adolescent; D000328:Adult; D000374:Aggression / Q000523:psychology; D002032:Bulimia / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000706:statistics & numerical data; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D005190:Family / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008016:Life Change Events; D016015:Logistic Models; D010555:Personality Inventory / Q000706:statistics & numerical data; D011446:Prospective Studies; D011594:Psychometrics / Q000706:statistics & numerical data; D012307:Risk Factors; D012931:Social Environment; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data