Non-suicidal self-injury among women hospitalised for anorexia nervosa

Introduction Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. Methods This study was part of a larger French longit...

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Bibliographic Details
Published in:Eating and weight disorders Vol. 30; no. 1; pp. 21 - 7
Main Authors: Hirot, France, Ali, Aminata, Blanchet, Corinne, Grandclerc, Salomé, Gicquel, Ludovic, Berthoz, Sylvie, Godart, Nathalie
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 05.03.2025
Springer Nature B.V
Springer Verlag
Springer
Subjects:
Adolescent
Adult
Anorexia
Anorexia nervosa
Anorexia Nervosa - complications
Anorexia Nervosa - psychology
Brief Report
Depressive Disorder, Major - psychology
Eating disorders
Female
Hospitalization
Humanities and Social Sciences
Humans
Longitudinal Studies
Medicine
Medicine & Public Health
Mental depression
Mood disorders
Non-suicidal self-injury
Psychiatry
Psychology
Risk Factors
Self Concept
Self destructive behavior
Self-Injurious Behavior - epidemiology
Self-Injurious Behavior - psychology
Suicide
Suicide, Attempted - psychology
Suicides & suicide attempts
Women
Young Adult
Mood disorders
Anorexia nervosa
Suicide
Non-suicidal self-injury
Anorexia nervosa; Mood disorders; Non-suicidal self-injury; Suicide
ISSN:1590-1262, 1124-4909, 1590-1262
Online Access:Get full text
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Summary:Introduction Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population. Methods This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI. Results The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI. Discussion ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED. Level of evidence Level III, well-designed cohort or case–control analytic studies.
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ISSN:1590-1262
1124-4909
1590-1262
DOI:10.1007/s40519-025-01728-1