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Suicidality in body dysmorphic disorder: a prospective study.

Katharine A Phillips1, William Menard

  • 1Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906, USA. katharine_phillips@brown.edu

The American Journal of Psychiatry
|July 4, 2006
PubMed
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Individuals with body dysmorphic disorder (BDD) experience high rates of suicidal thoughts and attempts. This prospective study found that over 57% reported suicidal ideation annually, with a concerningly high completed suicide rate.

Area of Science:

  • Psychiatry
  • Mental Health Research
  • Clinical Psychology

Background:

  • Previous cross-sectional studies suggest high suicidality in body dysmorphic disorder (BDD).
  • Prospective data on the course of suicidality in BDD has been lacking.

Purpose of the Study:

  • To prospectively examine the incidence of suicidal ideation and attempts in individuals with BDD.
  • To assess the rate of completed suicide in a BDD cohort over time.

Main Methods:

  • Prospective cohort study involving 185 subjects diagnosed with BDD.
  • Longitudinal assessment of suicidality over a period of up to 4 years.

Main Results:

  • An average of 57.8% of subjects reported suicidal ideation annually.

Related Experiment Videos

  • An average of 2.6% of subjects attempted suicide annually.
  • A preliminary rate of 0.3% per year for completed suicides was observed.

    • Conclusions:

    • Individuals with BDD exhibit persistently high rates of suicidal ideation and attempts.
    • The preliminary completed suicide rate suggests a markedly elevated risk in the BDD population.
    • Further research is warranted to confirm and understand the high completed suicide rate in BDD.