title: Depression and Personality Traits Associated With Emotion Dysregulation: Correlates of Suicide Attempts in Women with Bulimia Nervosa.
abstract: OBJECTIVE
  The objective of this study was to identify personality traits and psychiatric comorbidities associated with a lifetime history of a suicide attempt in women with bulimia nervosa (BN).
  
  
  METHODS
  Data from two samples of women with BN (n = 204 and n = 133) were examined. Participants in both samples completed the Dimensional Assessment of Personality Pathology-Basic Questionnaire and reported whether they had ever had a lifetime suicide attempt. Comorbid psychopathology was based on self-reported questionnaire and interview data. Univariate and multivariate logistic regression analyses were run, predicting a lifetime suicide attempt.
  
  
  RESULTS
  Based on the Dimensional Assessment of Personality Pathology-Basic Questionnaire, identity problems were associated with a lifetime suicide attempt in both samples; cognitive dysregulation, anxiousness and insecure attachment were associated with a lifetime suicide attempt in one but not both samples. Lifetime anxiety disorder was associated with a lifetime suicide attempt in one sample, and depression was associated with a lifetime suicide attempt in both samples. Multivariate analyses revealed that only depression was uniquely associated with a lifetime suicide attempt in both samples.
  
  
  CONCLUSIONS
  Although personality traits associated with aspects of emotion dysregulation were associated with a lifetime suicide attempt, depression was found to have the strongest association with a lifetime suicide attempt in two samples of women with BN. These findings suggest that depression severity may be the most important target of treatment and suicide prevention efforts in women with BN.
authors: Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA.
authors: Emily M
authors: EM
authors: Pisetsky
authors: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors: Stephen A
authors: SA
authors: Wonderlich
authors: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors: Ross D
authors: RD
authors: Crosby
authors: Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA.
authors: Carol B
authors: CB
authors: Peterson
authors: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors: James E
authors: JE
authors: Mitchell
authors: Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors: Scott G
authors: SG
authors: Engel
authors: Department of Psychology, Florida State University, Tallahassee, FL, USA.
authors: Thomas E
authors: TE
authors: Joiner
authors: Department of Psychology, University of North Carolina, Chapel Hill, NC, USA.
authors: Anna
authors: A
authors: Bardone-Cone
authors: Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, USA.
authors: Daniel
authors: D
authors: Le Grange
authors: Department of Psychiatry, University of Wisconsin, Madison, WI, USA.
authors: Marjorie H
authors: MH
authors: Klein
authors: Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA.|The Emily Program, St. Paul, MN, USA.
authors: Scott J
authors: SJ
authors: Crow
mesh_terms: D000293:Adolescent; D000328:Adult; D052018:Bulimia Nervosa / Q000453:epidemiology / Q000523:psychology*; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D056348:Emotional Intelligence; D005260:Female; D006801:Humans; D010551:Personality; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: bulimia nervosa; eating disorders; suicide