title: [Factors Associated With Suicide Attempts and Nonsuicidal Self-Injurious Behaviors in Patients With Eating Disorders].
abstract: Suicide attempt (SA) and non-suicidal self-injurious behaviors (NSSI) have been described in patients with eating disorders (ED), and they have been associated with increased morbidity and poor prognosis.
  
  
  OBJECTIVE
  To explore the presence of SA and NSSI in patients attending an outpatient ED program, as well as to evaluate the associated variables and the correlation between both types of behaviors.
  
  
  METHODS
  A total of 908 patients of both sexes attending the Equilibrio outpatient program in Bogotá were studied. The histories of SA and NSSI were systematically examined in the development of medical history by direct and structured questions to the patient, and then validated during interviews with the family. Sociodemographic and clinical variables, as well as history of traumatic experiences, were also studied. Simple frequencies were calculated, and a bivariate analysis was performed between SA, NSSI, and the other variables of the study. Finally, two models of association were designed for the multivariate analysis, using variables of clinical importance and statistical significance.
  
  
  RESULTS
  SA sometime in their lives was reported by 13% of the patients, and 26% of them reported NSSI. The variables associated with SA were bipolar disorder (OR: 3.86, 95% CI; 2.4-6.1), borderline personality, purgative subtype of ED, and self-injury. Sexual abuse was associated with NSSI (OR: 3.48, 95%CI; 2.2-5.4), as well as bipolar disorder, trichotillomania, and suicide attempt.
  
  
  CONCLUSIONS
  SA and NSSI are frequent in patients with eating disorders with multiple comorbidities, increased impulsivity and emotional dysregulation, and they should be explored and treated.
authors.affiliation: Psiquiatra, MSc Epidemiología Clínica, de la Pontificia Universidad Javeriana de Bogotá. Coordinadora científica del Programa Equilibrio, Bogotá, Colombia. Electronic address: maritzar@cable.net.co.
authors.forename: Maritza
authors.initials: M
authors.lastname: Rodríguez Guarín
authors.affiliation: Bioestadística. Profesora asociada del Departamento de Epidemiología Clínica, de la Pontificia Universidad Javeriana, Bogotá. Profesora asistente de la Universidad Nacional de Colombia, Bogotá, Colombia.
authors.forename: Nelcy
authors.initials: N
authors.lastname: Rodríguez Malagón
authors.affiliation: Psicóloga clínica, coordinadora científica del Programa Equilibrio, Bogotá, Colombia.
authors.forename: Juanita
authors.initials: J
authors.lastname: Gempeler Rueda
authors.affiliation: Médico, residente II de psiquiatría, de la Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Daniel Felipe
authors.initials: DF
authors.lastname: Garzón
keywords: Eating disorders; Impulsividad; Impulsivity; Intento de suicidio; Suicide attempt; Trastornos del comportamiento alimentario; Trauma