All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Abstract

The Pre-Existing Depressive Disorders, Substance Use Disorders Predicted the Suicidal Death of the Patients with Eating Disorders ´┐Ż?´┐Ż?´┐Ż?┬ó´┐Ż?´┐Ż?´┐Ż?´┐Ż?´┐Ż?´┐Ż?´┐Ż?´┐Ż? A Preliminary Result of National Health Insurance Research Databases in a Chinese Population

Author(s): Chiu-Lan Yan, Jung-Chen Chang, Shu-Chuan Weng, Ming-Kung Yeh, Chin-Bin Yeh

Objective

Recent evidence suggests that additional psychiatric disorders in patients with eating disorders (ED) may contribute to suicide risk. The aim of our study was to investigate the association between eating disorders, its comorbidity and suicidal deaths by the analyzing the data from National Health Insurance Research Databases (NHIRD) and statistical reports on the causes of death.

Methods

We identified 19,648 patients with ED diagnoses from the Taiwan National Health Insurance Database between 2001 and 2012. The patients who had been diagnosed eating disorders ≥4 times at outpatient visits, or had ≥1 time of hospitalization were recruited as the group of ED (N=9974). The outcome of measurements was defined as the death of the group of eating disorders either by suicide (N=113), accidental death (N=35) or others (N=97). Cox regression was applied to investigate the relationship between psychiatry comorbidities and the suicidal death of the patients with ED.

Results

Age of onset with Anorexia Nervosa (AN) was significantly younger than Bulimia Nervosa (BN) or Eating disorders, NOS (EDNOS) in patients with ED. The risk of suicide had 2.4-fold higher of preexisting (aHR=2.4; 95% CI=1.6-3.7) but not concurrent (aHR=1.0; 95% CI=0.7-1.5) or subsequent (aHR=0.8; 95% CI=0.4-1.3) any psychiatric comorbidity with ED patients than without psychiatric comorbidity. The risk of suicide was 1.8-fold higher in patients with previous major depressive disorder (aHR=1.8; 95% CI=1.2-2.7), and 2.6-fold higher in patients with prior substance use disorder (aHR=2.6; 95% CI=1.5-4.5). Patients with four or more psychiatric comorbidities had a 6.3- fold increased risk of suicide (aHR=6.3; 95% CI=3.1–12.8; p<0.05).

Conclusion

The previous psychiatric comorbidities including major depressive disorder and substance use disorder were associated with the suicidal death in patients with ED. The patients with more psychiatric comorbidities had a higher risk of suicide.


Full-Text | PDF

Share this       

antalya escort

izmir rus escort

bursa escort bayan

antalya escort bayanlar

izmir escort

porno indir

porno izle

be┼čikta┼č escort

eski┼čehir escort

burdur escort

bart─▒n escort

havaland─▒rma

t├╝rk takip├ži sat─▒n al

smmabi.com

takipbonus.com

izmir escort

bursa escort

t├╝rk porno

escort bayan

yabanci porno

takip├ži sat─▒n al

takip├ži sat─▒n al

instagram takip├ži sat─▒n al

instagram be─čeni sat─▒n al

instagram takip├ži sat─▒n al

takip├ži sat─▒n alma

escort

panel smm

takip├ži sat─▒n al instagram

smm panel

atak├Ây escort

izmit escort

Ledger Live desktop: Your secure gateway to crypto. Secure your assets with confidence using Ledger Live desktop. Experience a secure gateway that prioritizes the safety of your digital assets, providing peace of mind.