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Specifically, suicidal ideation longitudinally predicted increased drive for size and appearance intolerance. Results may suggest that individuals engage in MD symptoms potentially to cope with distressing thoughts of suicide. Clinicians should provide clients with comorbid MD and suicidality with appropriate coping tools to manage distress from suicidal thoughts outside of engaging in compulsive exercise characteristic of MD symptoms. Results may suggest that individuals engage in MD symptoms potentially to cope with distressing thought