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The current status of suicide and self-injury in eating disorders: a narrative review
The aim of this paper is to review recent literature on suicide and self-injury in eating disorders (ED) including anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Among psychiatric diagnoses, EDs are associated with increased mortality rates, even when specialized treatment is available. Of the mortalities that are reported in individuals with EDs, suicide is among the most commonly reported causes of death. Additionally, suicidal and non-suicidal self-injurious behaviors occur frequently in this clinical population. A literature search was undertaken using the databases of Medline/PubMed and PsycInfo to identify papers describing suicidality in individuals with ED diagnoses. The authors identified studies and review articles published between 2005-2013 (inclusive) that describe the relationship between EDs and suicide, and associated behaviors including self-injurious behaviors, or non-suicidal self-injury (NSSI). The initial search resulted in 1095 papers that met the a priori search criteria. After careful review, 66 papers were included. The majority of papers described clinical cohorts that were studied longitudinally. The diagnosis described most frequently in selected studies was AN. There are limited current data about the prevalence of suicide and NSSI among individuals with EDs. Among the published studies that focus specifically on the relationship between EDs and suicidality, most describe AN in more detail than other EDs. Nonetheless, rates of mortality, and specifically rates of suicide, are undeniably high in ED populations, as are the rates of self-harm. Therefore, it is critical for clinicians and caretakers to carefully evaluate these patients for suicide risk and to refer promptly for appropriate treatment
Short-Term Perceptual Tuning to Talker Characteristics
When a listener encounters an unfamiliar talker, the ensuing perceptual accommodation to the unique characteristics of the talker has two aspects: (1) the listener assesses acoustic characteristics of speech to resolve the properties of the talker’s sound production; and, (2) the listener appraises the talker’s idiolect, subphonemic phonetic properties that compose the finest grain of linguistic production. A new study controlled a listener’s exposure to determine whether the perceptual benefit rests on specific segmental experience. Effects of sentence exposure were measured using a spoken word identification task of Easy words (likely words drawn from sparse neighbourhoods of less likely words) and Hard words (less likely words drawn from dense neighbourhoods of more likely words). Recognition of words was facilitated by exposure to voiced obstruent consonants. Overall, these findings indicate that talker-specific perceptual tuning might depend more on exposure to phonemically marked consonants than to exposure distributed across the phoneme inventory