How Eating Disorders and Suicidality Intersect: What Families Need to Know

Monday, Sep 15  •  

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September is National Suicide Prevention Month, a time to raise awareness, share resources, and support individuals who may be struggling. At Avalon Hills, we know that eating disorders often come with risks that extend far beyond food and body image. One of the most serious risks is suicidality. Families play a vital role in both recognizing warning signs and offering support, and understanding this intersection can truly save lives.

The Overlap Between Eating Disorders and Suicide Risk

Research has shown that people with eating disorders experience higher rates of suicidal thoughts and behaviors than the general population. In fact, eating disorders have one of the highest mortality rates of any mental health condition. While medical complications from malnutrition play a role, suicide is a leading cause of death among those with eating disorders.

Why does this overlap exist? Eating disorders often develop alongside other mental health conditions such as depression, anxiety, or trauma. The feelings of hopelessness, isolation, and shame that accompany these struggles can increase the risk of suicidal thinking. When combined with the physical toll of an eating disorder, the emotional burden can feel overwhelming.

Warning Signs to Watch For

For families and loved ones, it’s important to be aware of both eating disorder behaviors and signs of suicidality. Some red flags include:

  • Expressions of hopelessness or feeling like a burden.
  • Talking or writing about death or suicide.
  • Withdrawal from friends, family, and activities once enjoyed.
  • Worsening of restrictive eating, bingeing, or purging behaviors.
  • Dramatic mood changes or increased irritability.

Even if you are unsure whether someone is serious about suicide, it’s always better to take concerns seriously. Asking directly about suicidal thoughts does not “put the idea” in someone’s head—it opens the door for honest conversation and help.

How Families Can Help

Your presence and support can make a profound difference. Here are some steps families can take:

  1. Create an Open Space for Conversation: Encourage your loved one to share how they are feeling without judgment or quick fixes. Sometimes, just listening is the most powerful thing you can do.
  2. Be Proactive in Seeking Professional Help: Eating disorders and suicidality require specialized care. Treatment programs like Avalon Hills address both the medical and emotional complexities of recovery.
  3. Take All Talk of Suicide Seriously: If your loved one expresses suicidal thoughts, reach out for help immediately. Call 988 (the Suicide & Crisis Lifeline) in the U.S., or take them to the nearest emergency room.
  4. Prioritize Your Own Support: Supporting someone in crisis can be emotionally exhausting. Consider joining a support group or seeking counseling yourself.

Hope Is Possible

While the link between eating disorders and suicide is serious, there is hope. Recovery is possible with the right treatment, support, and resources. Families can be a lifeline—offering encouragement, reminding their loved one of their worth, and connecting them with professional care.

This September, let’s remember that awareness leads to action, and action can save lives. If you or someone you love is struggling with an eating disorder and suicidal thoughts, please know you are not alone. Help is available, and healing is possible.

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