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The Fear of Losing—Nonsuicidal Self-Injury as a Protective Mechanism in Eating Disorders

Bibliographic Data

ID15528409
AuthorsEran Sagiv (Bar-Ilan University, corresponding author), Gergö Hadlaczky (0000-0002-0556-6244, Karolinska Institutet), Noga Sheetrit (Bar-Ilan University), Eitan Gur (0009-0001-8625-3302, Sheba Medical Center), Netta Horesh (Bar-Ilan University), Yari Gvion (0000-0003-1269-6415, Bar-Ilan University)
Year2019
Volume10
Pages825-825
Publication date2019-11-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00825
PMID31803081
OpenAlexW2981390174
LanguageEN
Citations received3
References cited76

Background: This study examined the moderating role of loss aversion (LA) on the relationship between impulsivity, nonsuicidal self-injury (NSSI), suicidal attempts, and ideations among Eating Disorder (ED) patients. Methods: Data was collected on 81 ED patients and 37 healthy controls. ED patients were divided into 2 groups: 25 AN-Rs, 56 AN-BPs and BNs. Measurements of trait impulsivity, LA, NSSI, suicide attempts, and suicide ideations were collected. Results: The rate of attempting suicide was highest in the AN-BP/BN (34.8%), lower in the AN-Rs (8%), and the lowest in the controls (2.7%). Suicide ideation was also higher in AN-BP/BN compared to both AN-R and controls. NSSI was higher in the AN-BP/BN group compared to both AN-R and control groups. LA scores were lower among participants with EDs compared to controls. BMI and depression were positively associated with suicide ideation and NSSI. Impulsivity was associated to suicide attempt and suicide ideation. Contrary to our hypothesis, LA scores were positively correlated with NSSI and SI. A stepwise regression revealed that contradictory to our hypothesis, higher LA predicted NSSI prevalence severity of NSSI and suicide ideation. Limitations: (1) Cross-sectional design; (2) Relatively small sample size of clinical subjects and only female participants; (3) Heterogeneity of treatment status. Conclusions: EDs are associated with lower levels of LA compared to general population. Although high LA is considered a protective factor against "high damage" decisions, it may serve as a facilitator of lower risk decisions which help the individual soothe and communicate his or her own suffering such as NSSI

Depression (economics · Eating disorders · Impulsivity · Injury prevention · Medical emergency · Poison control · Population · Psychiatry · Suicidal ideation · Suicide attempt · Suicide prevention · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Medicine · Psychology · Psychosomatic Disorders and Their Treatments · Suicide and Self-Harm Studies

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Unique citing works3
Citations per year0,5
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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