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Eating Behaviors Associated with Suicidal Behaviors and Overall Risk
  • David McCord,
  • Terran Sutphin,
  • Adam Hicks
David McCord
Western Carolina University Department of Psychology

Corresponding Author:[email protected]

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Terran Sutphin
Western Carolina University Department of Psychology
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Adam Hicks
Western Carolina University Department of Psychology
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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.