This work has been performed in Inserm Unit U669, PSIGIAM ‘Paris Sud Innovation Group in Adolescent Mental Health’, Maison des Adolescents, 97 Boulevard de Port Royal Paris, France.
Mortality and Its Predictors in Severe Bulimia Nervosa Patients
Article first published online: 23 APR 2012
Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
European Eating Disorders Review
Volume 21, Issue 1, pages 15–19, January 2013
How to Cite
Huas, C., Godart, N., Caille, A., Pham-Scottez, A., Foulon, C., Divac, S. M., Lavoisy, G., Guelfi, J.-D., Falissard, B. and Rouillon, F. (2013), Mortality and Its Predictors in Severe Bulimia Nervosa Patients. Eur. Eat. Disorders Rev., 21: 15–19. doi: 10.1002/erv.2178
- Issue published online: 7 DEC 2012
- Article first published online: 23 APR 2012
- bulimia nervosa;
- eating disorders;
- predictive factors
The risk of mortality remains unclear for bulimia nervosa (BN) patients, especially the most severe. The aims of this study were to improve knowledge on BN and mortality.
With initial evaluation at admission, 258 BN (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) consecutive inpatients were included (1988–2004). Vital status was established from the French national register. Standardized Mortality Ratio (SMR) calculation and bivariate Cox analysis were performed for the hypothesised predictors of mortality.
Mean follow-up duration was 10.5 years. Ten deaths were recorded, and the crude mortality ratio was 3.9%; SMR = 5.52 [CI95 (2.64–10.15)]. The majority of deaths were from suicide [6/10, SMR = 30.9 (5.7–68.7)]. The mean age at time of death was 29.6 years. Predictive factors were previous suicide attempt and low minimum BMI.
Severe BN patients are at higher risk of death (mainly suicide) especially if previous suicide attempt or previous low BMI. More studies are needed to confirm these results. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.