Correlates of non-suicidal self-injury and suicide attempts in bulimic spectrum disorders

Alexandra Gómez-Expósito, Ines Wolz, Ana B. Fagundo, Roser Granero, Trevor Steward, Susana Jiménez-Murcia, Zaida Agüera, Fernando Fernández-Aranda

Research output: Contribution to journalArticleResearchpeer-review

14 Citations (Scopus)


© 2016 Gómez-Expósito, Wolz, Fagundo, Granero, Steward, Jiménez-Murcia, Agüera and Fernández-Aranda. Objective: The aim of this study was to examine the implication of personality, impulsivity, and emotion regulation difficulties in patients with a bulimic-spectrum disorder (BSD) and suicide attempts (SA), BSD patients with non-suicidal self-injury (NSSI), and BSD patients without these behaviors. Method: One hundred and twenty-two female adult BSD patients were assessed using self-report questionnaires. Patients were clustered post-hoc into three groups depending on whether they presented BSD without NSSI or SA (BSD), BSD with lifetime NSSI (BSD + NSSI) or BSD with lifetime SA (BSD + SA). Results: The BSD + NSSI and BSD + SA groups presented more emotion regulation difficulties, more eating and general psychopathology, and increased reward dependence in comparison with the BSD group. In addition, BSD + SA patients specifically showed problems with impulse control, while also presenting higher impulsivity than both the BSD and BSD + NSSI groups. No differences in impulsivity between the BSD and BSD + NSSI groups were found. Conclusions: The results show that BSD + NSSI and BSD + SA share a common profile characterized by difficulties in emotion regulation and low reward dependence, but differ in impulsivity and cooperativeness. This suggests that self-injury, in patients without a history of suicide attempts (i.e., BSD + NSSI), may have a regulatory role rather than being due to impulsivity.
Original languageEnglish
Article number01244
Pages (from-to)-
JournalFrontiers in Psychology
Issue numberAUG
Publication statusPublished - 22 Aug 2016


  • Bulimic spectrum disorder (BSD)
  • Emotion regulation
  • Impulsivity
  • Non-suicidal self-injury (NSSI)
  • Personality
  • Suicide attempts


Dive into the research topics of 'Correlates of non-suicidal self-injury and suicide attempts in bulimic spectrum disorders'. Together they form a unique fingerprint.

Cite this