Eating Disorders Have Highest Mortality Rate
By Dr. Randi Fredricks, Ph.D.
Eating disorders have the highest mortality rate of any mental illness. The mortality rate among people with anorexia has been estimated at
0.56% per year, or about 5.6% per decade, which is about 12 times higher than the annual death rate due to all causes of death among females
ages 15 to 24 in the general population.
Eating disorders can begin with a simple desire to lose weight. Most of us want to trim off a few unwanted pounds at some point in our lives
and once we shed them, we’re satisfied. For some people, losing weight and keeping weight off becomes an obsession that can lead to anxiety,
depression, and other irreversible health damage, such as stunted growth, thinning bones, infertility, injury to teeth and internal organs, and death.
Eating disorders are characterized by severe disturbances in eating behavior. The practice of an eating disorder is a survival mechanism that can
be an expression of something that the person has no other way of expressing. Just as an alcoholic uses alcohol to cope, a person with an eating
disorder uses eating, purging or restricting to deal with their problems.
Some of the underlying issues that are associated with an eating disorder
include low self-esteem, depression, feelings of loss of control, feelings of worthlessness, identity concerns, family communication problems
and an inability to cope with emotions.
For those with anorexia, bulimia or compulsive overeating, every meal is a minefield. Their lives are controlled by food and gaining or
losing weight becomes the focus of their existence. They tend to feel guilty, isolated, depressed and ashamed. In response to these feelings,
they compulsively overeat, binge purge, and/or starve themselves. All eating disorders have one thing in common; they can be fatal if left untreated.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
Fredricks, Randi. (2008) Healing & Wholeness: Complementary and Alternative Therapies for Mental Health. Bloomington,IN: Authorhouse.
Harris EC, Barraclough B. Excess mortality of mental disorder. Br J Psychiatry 1998;173: 11-53.
Robinson PH. Recognition and treatment of eating disorders in primary and secondary care. Aliment Pharmacol Ther 2000;Apr 14: 367-77.
Sullivan PF. Mortality in anorexia nervosa. Am J Psychiatr 1995 Jul;152(7): 1073-4.
Zerbe KJ. Anorexia nervosa and bulimia nervosa. When the pursuit of bodily ‘perfection’ becomes a killer. Postgrad Med 1996;99: 161-4,167-9.