title: Suicide attempts versus suicidal ideation in bulimic female adolescents.
abstract: BACKGROUND
  Suicide attempts by adolescents continue to be a major public health problem. The purpose of this study was to examine the difference in the family functioning and sociopsychopathological risk factor relationship between female bulimic adolescents with suicidal ideation only, and those who attempted suicide.
  
  
  METHODS
  A group of 211 patients were observed for 12 months. Data from 63 subjects (SUG [suicide group], age 17.2 +/- 1.3 years) who had attempted suicide were then compared with 148 (control group, age 18.1 +/- 1.5 years) who had expressed suicidal ideation but did not follow through.
  
  
  RESULTS
  Those in the suicide attempt group had been exposed more frequently to physical/sexual violence in childhood. As adults they either lived alone or were dissatisfied with their partnership. The frequency of borderline personality disorders and depressive disorders in this group was significant. Psychosomatic symptoms, disturbed coenesthesia, substance abuse, social impairment and interference with their perception of their own life circumstances, as well as their job performance, often preceded the suicide attempt. Nine genuine risk factors that occurred significantly more often in the SUG were calculated out of all the stress factors using stepwise logistic regression: 'as a child I was even hit with a stick or whip', 'I had no set orientation in life', 'I had a feeling of loneliness despite family and friends', 'I could not relax', 'incapable of dealing with the public', 'I do not like to be touched', 'parents have psychiatric disorders', 'misuse of stimulants', and 'as a child I felt lonely' (odds ratio, 10.56-1.90).
  
  
  CONCLUSIONS
  Adverse family experiences and multiple sociopsychopathological factors may increase the risk of suicide in female bulimic adolescents.
authors.affiliation: Clinic for Psychosomatic Medicine, Inntalklinik, Simbach/Inn, Germany.
authors.forename: Cerstin
authors.initials: C
authors.lastname: Nickel
authors.forename: Marjeta
authors.initials: M
authors.lastname: Simek
authors.forename: Aldona
authors.initials: A
authors.lastname: Moleda
authors.forename: Moritz
authors.initials: M
authors.lastname: Muehlbacher
authors.forename: Wiebke
authors.initials: W
authors.lastname: Buschmann
authors.forename: Reinhold
authors.initials: R
authors.lastname: Fartacek
authors.forename: Egon
authors.initials: E
authors.lastname: Bachler
authors.forename: Christoph
authors.initials: C
authors.lastname: Egger
authors.forename: Wolfhardt K
authors.initials: WK
authors.lastname: Rother
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Loew
authors.forename: Marius K
authors.initials: MK
authors.lastname: Nickel
mesh_terms: D000293:Adolescent; D001317:Austria; D002032:Bulimia / Q000523:psychology*; D016022:Case-Control Studies; D005192:Family Health; D005260:Female; D005858:Germany; D006801:Humans; D016015:Logistic Models; D011044:Poland; D011446:Prospective Studies; D012372:ROC Curve; D018570:Risk Assessment; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data