Evidence map›Paper›PMID 41466532›Full record

ArticleThe International journal of eating disorders2026

Suicidal Ideation in Adult Women: The Unique Roles of Binging, Purging, and Restricting.

Holly K Spinner, Sara Prostko, Thomas E Joiner, Pamela K Keel

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Holly K SpinnerDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID https://orcid.org/0000-0001-7094-0864
Sara ProstkoDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID https://orcid.org/0000-0003-2208-4201
Thomas E JoinerDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID https://orcid.org/0000-0001-6798-9085
Pamela K KeelDepartment of Psychology, Florida State University, Tallahassee, Florida, USA.ORCID https://orcid.org/0000-0001-6542-5147

Funding

Biobehavioral Prediction of Illness Trajectory in Bulimic SyndromesR01MH111263 · NIMH · FLORIDA STATE UNIVERSITY · PI KEEL, PAMELA K. · 2016 to 2020
$2.1M
Binge Eating: Clinical Patterns &Biological CorrelatesR01MH061836 · NIMH · UNIVERSITY OF IOWA · PI KEEL, PAMELA K. · 2001 to 2011
$1.8M
DOES SIZE MATTER FOR BINGE EPISODES OF BULIMIA NERVOSA?R03MH061320 · NIMH · HARVARD UNIVERSITY · PI KEEL, PAMELA K. · 2000 to 2000
$39k
NIMH NIH HHS R01 MH061836NIMH NIH HHS R01MH061836NIMH NIH HHS R01 MH111263NIMH NIH HHS R01MH111263NIMH NIH HHS R03MH061320
6 · The paper itself

Abstract

objectiveSuicidal ideation represents a serious experience common in individuals with eating disorders. To inform screening and clinical assessment and advance theoretical work, the current study compared clinical characteristics between adult women with and without current suicidal ideation and examined whether binging, fasting, and purging behaviors are uniquely associated with suicidal ideation above and beyond existing psychiatric diagnoses.

methodData come from four studies conducted between 2000 and 2023 (N = 732) that evaluated current suicidal ideation in all participants. Participants completed diagnostic interviews assessing lifetime psychiatric diagnoses and current eating disorder diagnoses and behavioral symptom frequencies. Five hundred and fifty-three participants had DSM-5 eating disorders (54.6% bulimia nervosa, 15.0% purging disorder [PD], 28.2% other specified [excluding PD], 1.4% anorexia nervosa, and 0.7% binge-eating disorder).

resultsIndividuals with current suicidal ideation had a greater prevalence of most psychiatric diagnoses and greater frequency of binging, fasting, and purging. Additionally, purging frequency was associated with current suicidal ideation independent of binging, fasting, and lifetime psychiatric comorbidities. DISCUSSION: Results support prior work suggesting that purging may fall on the self-harm continuum with nonsuicidal self-injury. Further, findings support screening for purging and suicide risk assessment in individuals with eating disorders.

Indexed as

FastingFeeding and Eating DisordersSuicidal IdeationAdolescentAdultFemaleHumansMiddle AgedYoung Adultbingingcomorbiditieseating disordersfastingpurgingsuicidal ideation

Identifiers

PMID41466532
PMCPMC13401432

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.