title: Is childhood trauma associated with lifetime suicide attempts in women with bulimia nervosa?
abstract: OBJECTIVE
  The purpose of this study was to explore the association between specific forms of childhood abuse and neglect with lifetime suicide attempts in women with bulimia nervosa (BN).
  
  
  METHODS
  Two hundred and four women aged 18-65 (mean 25.6 years, SD 9.13) with full or subclinical BN were recruited in five US Midwestern communities and specialized eating disorder clinics. Participants completed questionnaires including the Childhood Trauma Questionnaire (CTQ) and self-reported whether they had ever had a lifetime suicide attempt. Logistic regression analyses were used to predict lifetime suicide attempts from each subscale of the CTQ.
  
  
  RESULTS
  Childhood emotional, physical, and sexual abuse were significantly associated with the presence of a lifetime suicide attempt in women with BN. Childhood emotional and physical neglect were not associated with suicide attempts.
  
  
  CONCLUSIONS
  Individuals with BN who have experienced childhood emotional and sexual abuse are at increased risk of a lifetime suicide attempt. Future research is needed to understand the mechanism to address in treatment and prevention efforts. It is important for clinicians to be aware of the potential increased risk of suicide in individuals with BN with a history of childhood abuse.
authors.affiliation: Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN, 55454, USA.
authors.forename: Christina E
authors.initials: CE
authors.lastname: Smith
authors.affiliation: Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN, 55454, USA. episetsk@umn.edu.
authors.forename: Emily M
authors.identifier: http://orcid.org/0000-0002-3296-5304
authors.initials: EM
authors.lastname: Pisetsky
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Wonderlich
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors.forename: Ross D
authors.initials: RD
authors.lastname: Crosby
authors.affiliation: Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA.|Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: Mitchell
authors.affiliation: Department of Psychology, Florida State University, Tallahassee, FL, USA.
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Joiner
authors.affiliation: Department of Psychology, University of North Carolina, Chapel Hill, NC, USA.
authors.forename: Anna
authors.initials: A
authors.lastname: Bardone-Cone
authors.affiliation: Department of Psychiatry, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Le Grange
authors.affiliation: Department of Psychiatry, University of Wisconsin, Madison, WI, USA.
authors.forename: Marjorie H
authors.initials: MH
authors.lastname: Klein
authors.affiliation: Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN, 55454, USA.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Crow
authors.affiliation: Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN, 55454, USA.
authors.forename: Carol B
authors.initials: CB
authors.lastname: Peterson
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000368:Aged; D052018:Bulimia Nervosa / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Bulimia nervosa; Childhood abuse; Childhood neglect; Suicide attempts