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Mortality in eating disorders: a descriptive study.

D B Herzog1, D N Greenwood, D J Dorer

  • 1Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.herzogd@al.mgh.harvard.edu

The International Journal of Eating Disorders
|May 9, 2000
PubMed
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Eating disorders, particularly anorexia nervosa, carry a high risk of death and suicide. Factors like longer illness duration and comorbid conditions increase mortality risk in these patients.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Epidemiology

Background:

  • Eating disorders, including anorexia nervosa and bulimia nervosa, are serious mental health conditions.
  • Mortality rates and causes in individuals with eating disorders require further investigation.

Purpose of the Study:

  • To determine the mortality rates and causes of death in a cohort of women with eating disorders.
  • To identify factors associated with fatal outcomes in this population.

Main Methods:

  • Longitudinal study tracking 246 women with eating disorders for 11 years.
  • Mortality data collected via death certificates, autopsy reports, interviews, and the National Death Index.

Main Results:

  • Seven deaths occurred, all in patients with anorexia nervosa, binging/purging history, and comorbid Axis I disorders.

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  • Crude mortality rate was 5.1%; standardized mortality ratios for death (9.6) and suicide (58.1) were significantly elevated.

    • Conclusions:

    • Anorexia nervosa is linked to a significant risk of death and suicide.
    • Longer illness duration, binging/purging behaviors, substance abuse, and affective disorders are associated with increased mortality.