Abstract
Maladaptive eating behaviors remain prevalent in the U.S. population,
and a significant percentage of U.S. college students acknowledge
engaging in maladaptive eating. Formally defined eating disorders (EDs)
have the highest mortality rate of any other mental illness. Suicide
risk is substantially elevated among individuals diagnosed with EDs, and
even subclinical levels of maladaptive eating behaviors are associated
with suicidality. The current study examined associations between
specific problematic eating behaviors measured dimensionally (e.g.,
purging, binging, laxative use) and specific suicide-related constructs
and behaviors as well as overall suicide risk. College students (n=188;
62% women) completed the EDE-Q, a well-established measure of
dysfunctional eating, as well as several self-report measures of
theoretical components of suicidality, and, finally, a semi-structured
clinical interview. Results showed a general pattern of moderate and
strong associations between the subscales and overall score of the EDE-Q
and core suicide constructs of the interpersonal-psychological theory of
suicide (IPTS). Many substantive correlations were found between
specific eating behaviors and specific suicide-related behaviors; for
example, purging was the highest correlate of overall suicide risk (
ρ = .36). These results are discussed in terms of consistency
with the IPTS as well as practical implications for intervention.