Suicidal thoughts and behaviours in body dysmorphic disorder: Prevalence and correlates in a sample of mental health service users in the UK.
J Affect Disord
; 361: 515-521, 2024 Sep 15.
Article
en En
| MEDLINE
| ID: mdl-38821371
ABSTRACT
BACKGROUND:
Previous research indicates an association of body dysmorphic disorder (BDD) with suicidal thoughts and behaviours, but has largely relied on small cohorts drawn from specialist clinics.METHODS:
Anonymised health-records from the South London and Maudsley NHS Foundation Trust between 2007 and 2019 were systematically searched using the Clinical Record Interactive Search data system.RESULTS:
298 patients diagnosed with BDD between age 12 and 65 years were identified. 206 (69 %) had experienced lifetime suicidal ideation. 149 (50 %) had recorded lifetime acts of self-harm or suicide attempts, most commonly involving cutting and self-poisoning. Rates of self-harm/suicide attempts were similar in those diagnosed before or after 18 years. Comorbid depression was associated with suicidal ideation (OR 4.26 95% CI 2.07-9.72). Additionally, comorbid depression, OCD and anxiety were all associated with self-harm/suicide attempts (OR 1.94 95% CI 1.15-3.31, OR 1.99 95% CI 1.09-3.73, and OR 1.93 95% CI 1.09-3.45, respectively). The presence of two or more psychiatric comorbidities was associated with a significantly elevated likelihood of suicidal ideation (OR 7.06 95% CI 2.80-21.7) and self-harm/suicide attempts (OR 4.62 95% CI 2.32-9.62).LIMITATIONS:
It is likely that BDD was under-diagnosed in the cohort, and those identified may not be representative. Additionally, the frequency and detail with which suicidal thoughts and behaviours were assessed varied and may also represent underestimates.CONCLUSIONS:
Suicidal ideation and self-harm/suicide attempts are common among individuals with BDD accessing mental health services. Psychiatric comorbidity and suicidal ideation should be assessed in all BDD patients.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Intento de Suicidio
/
Comorbilidad
/
Conducta Autodestructiva
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Trastorno Dismórfico Corporal
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Ideación Suicida
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Affect Disord
Año:
2024
Tipo del documento:
Article