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  • Comorbidity of self-harm and disordered eating in young people: evidence from a UK population-based cohort

  • Helen Bould, Naomi Warne, Jon Heron, Becky Mars, Paul Moran, Anne Stewart, Marcus Munafo, Lucy Biddle, Andy Skinner, David Gunnell
  • Journal: BJPsych Open / Volume 7 / Issue S1 / June 2021
  • Published online by Cambridge University Press: 18 June 2021, p. S9
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  • Aims

    Self-harm and eating disorders are often comorbid in clinical samples but their co-occurrence in the general population is unclear. Given that only a small proportion of individuals who self-harm or have disordered eating present to clinical services, and that both self-harm and eating disorders are associated with substantial morbidity and mortality, we aimed to study these behaviours at a population level.

    Method

    We assessed the co-occurrence of self-harm and disordered eating behaviours in 3384 females and 2326 males from a UK population-based cohort: the Avon Longitudinal Study of Parents and Children (ALSPAC). Participants reported on their self-harm and disordered eating behaviours (fasting, purging, binge-eating and excessive exercise) in the last year via questionnaire at 16 and 24 years. At each age we assessed how many individuals who self-harm also reported disordered eating, and how many individuals with disordered eating also reported self-harm.

    Result

    We found high comorbidity of self-harm and disordered eating. Almost two-thirds of 16-year-old females, and two-in-five 24-year-old males who self-harmed also reported some form of disordered eating. Young people with disordered eating reported higher levels of self-harm at both ages compared to those without disordered eating.

    Conclusion

    As self-harm and disordered eating commonly co-occur in young people in the general population, it is important to screen for both sets of difficulties to provide appropriate treatment.

Music and Instruments of the Middle Ages

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