Avoidant restrictive food intake disorder and suicidal ideation

Morgan Robison; Megan L Rogers; Lee Robertson; Mary E Duffy; Jamie Manwaring; Megan Riddle; Renee D Rienecke; Daniel Le Grange; Alan Duffy; Millie Plotkin; Dan V Blalock; Philip S Mehler; Thomas E Joiner

doi:10.1016/j.psychres.2022.114925

Avoidant restrictive food intake disorder and suicidal ideation

Psychiatry Res. 2022 Nov:317:114925. doi: 10.1016/j.psychres.2022.114925. Epub 2022 Oct 23.

Authors

Affiliations

¹ Department of Psychology, Florida State University, 616 Wilson Ave, Apt A, Tallahassee, FL 32303, USA. Electronic address: mrobison@psy.fsu.edu.
² Department of Psychology, Texas State University, San Marcos, TX, USA.
³ Department of Psychology, Florida State University, 616 Wilson Ave, Apt A, Tallahassee, FL 32303, USA.
⁴ ACUTE at Denver Health, Denver, CO, USA; Eating Recovery Center and Pathlight Mood and Anxiety Center, Denver, CO, USA.
⁵ ACUTE at Denver Health, Denver, CO, USA; University of Washington Department of Psychiatry and Behavioral Sciences, Seattle, WA.
⁶ Eating Recovery Center and Pathlight Mood and Anxiety Center, Denver, CO, USA; Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.
⁷ Department of Psychiatry and Behavioral Sciences, University of California San Francisco School of Medicine, San Francisco, CA, USA; Department of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago, IL (Emeritus), USA.
⁸ Eating Recovery Center and Pathlight Mood and Anxiety Center, Denver, CO, USA.
⁹ Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
¹⁰ ACUTE at Denver Health, Denver, CO, USA; Eating Recovery Center and Pathlight Mood and Anxiety Center, Denver, CO, USA; Department of Internal Medicine, University of Colorado School of Medicine, Denver, CO, USA.

PMID: 37732866
DOI: 10.1016/j.psychres.2022.114925

Abstract

Most DSM-5 eating disorder diagnoses are associated with elevated suicide risk; however, little is known about the relationship between Avoidant/Restrictive Food Intake Disorder (ARFID) and suicidal ideation. The aim of the current study was to examine suicidal ideation within an adult ARFID sample. Patients with eating disorders (N = 936), some of whom met criteria for a current DSM-5 diagnosis of ARFID (n = 79), completed the Beck Depression Inventory II Item 9, regarding suicidal ideation. The study was conducted within an eating disorder treatment facility that offers inpatient, residential, partial hospitalization program, and intensive outpatient levels of care. Findings suggest no significant pairwise differences in suicidal ideation prevalence between participants with ARFID and those with any other ED diagnosis. Thorough screening for suicidal thoughts and risk among those with ARFID is warranted at all levels of care. We suggest that future research expand upon this work in a larger adult ARFID sample.

Keywords: Avoidant food; Eating disorder; Restrictive food; Suicide.

Publication types

Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Adult
Avoidant Restrictive Food Intake Disorder*
Day Care, Medical
Diagnostic and Statistical Manual of Mental Disorders
Feeding and Eating Disorders* / diagnosis
Humans
Suicidal Ideation