@article{ref1,
title="Suicide attempts among people with eating disorders and adverse childhood experiences: results from a nationally representative sample of adults",
journal="International journal of eating disorders",
year="2020",
author="Forrest, Lauren N. and Grilo, Carlos M. and Udo, Tomoko",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: People with eating disorders (EDs) have elevated rates of suicide attempts. A need exists to identify factors that help predict which people with EDs  might be at greater risk for suicidal behavior. Adverse childhood experiences (ACEs)  are associated with both EDs and with suicide attempts. Thus, the current study  examined whether having histories of ACEs and EDs augments lifetime risk for suicide  attempts. <br><br>METHOD: This study included 36,146 adult participants in the National  Epidemiologic Survey on Alcohol and Related Conditions-III who completed structured  diagnostic interviews and answered questions regarding ACEs and suicide attempts. Weighted means, frequencies, and cross-tabulations were computed for prevalence of  ACEs and suicide attempts by ED diagnosis. Multiple logistic regression was used to  compare risk of lifetime suicide attempts by ED diagnosis and ACE history. <br><br>RESULTS:  Prevalence of ACEs among people with EDs was 54.1-67.8%. ACE history and ED  diagnosis were associated with elevated odds of experiencing a lifetime suicide  attempt (AORs = 4.64-6.45 and 3.20-4.06, respectively). There was no ACE  history-by-ED interaction on risk of suicide attempt, regardless of forms of EDs. <br><br>DISCUSSION: ACEs are common among people with EDs and associated significantly with  suicide attempts, but ACEs and EDs do not appear to interact to augment risk for  suicide attempts. Considering ACE exposure in theoretical models of suicidal  behavior in people with and without EDs and in suicide risk assessment and  management with people with EDs may prove useful.<p /> <p>Language: en</p>",
language="en",
issn="0276-3478",
doi="10.1002/eat.23457",
url="http://dx.doi.org/10.1002/eat.23457"
}