Suicide prevalence in the eating disorder community is a serious concern. Eating disorders are some of the most lethal forms of mental illness—in the United States alone, one person dies every 52 minutes as a result of eating disorder complications. But this high mortality rate is not just a reflection of the various health risks that eating disorders cause. Suicide accounts for many of those deaths as well. In fact, the prevalence of suicide attempts is a tragically common trend among those who suffer from eating disorder behaviors. (Note: This post contains a trigger warning.)
Eating Disorder Stigma
The National Eating Disorders Association runs an annual social media campaign each June called #NEDAPride. I just learned of its existence, but I love it already. As someone who is both queer and in eating disorder recovery, this combination feels so poignant to me.
I used to subscribe to the toxic positivity message. I wanted to believe that if I could maintain a persona of relentless confidence, enthusiasm, resilience, and optimism, then I would eventually outdistance the pain of my eating disorder.
Disclosing an eating disorder can be uncomfortable—even downright scary. In fact, research shows the prevalence of those who suffer from eating disorders is vastly underrepresented. A 2019 estimate from the Global Burden of Diseases reveals that as many as 41.9 million eating disorder cases were unreported over the course of just one year.
Sometimes—not too often, but occasionally—I stand in front of the full-length mirror on my bathroom wall and ask the reflection staring back at me, "Will I ever learn to love all the parts of my own body?" This can be a complicated question for someone with an eating disorder history, and as of right now, I do not have a clear, definitive answer.
I am an identical twin. For most of my childhood, I was viewed as one-half of a package deal. In fact, my sister and I resemble each other so strongly that, as small children, my mom painted our toenails two contrasting colors just to tell us apart. We were known as The Twins, a source of fascination to those around us. I rarely encountered other sets of identical twins in those formative years—until my first experience at a residential eating disorder treatment facility. Twins were not uncommon there, which has me wondering: Is there a connection between eating disorders and twin dynamics?
When you enter the process of eating disorder recovery, one of the most intrusive—not to mention, persuasive—lies you might have to wrestle with is the belief that you're a burden. The combination of shame and stigma, which often underpins an eating disorder and many other forms of mental illness, can leave you feeling like just too much for those around you to tolerate. But as difficult as it can be to tune out this message, don't listen to the eating disorder voice: You are not a burden. In fact, you are worth claiming space in this world.
Why am I, a queer woman of mostly European descent, talking about the movement to decolonize body image? The answer is simple: because it matters—therefore, it must be talked about. In the United States, November is recognized as National Native American Heritage Month, which makes this as ideal a time as any to further the conversation.
When I walked into a residential treatment center at the age of 19, I saw myself as anorexic. Flash forward almost 10 years later, and I still identified as an anorexic in recovery. This descriptor used to roll off my tongue as if on instinct—it felt purely automatic to view the illness in terms of who I had become, rather than a diagnosis I could heal from. But as I'm about to turn 30 in just a couple of weeks, I have chosen to shed this label once and for all. I no longer call myself anorexic, and here is why I am making that intentional choice from now on.
If I had to wear a name badge in public each day, it would announce to everyone around me: "Hello, my name is Perfectionist." This might seem vain or self-important, but in truth, it's debilitating because perfectionism is a roadblock to eating disorder recovery. The merciless expectations of achievement, the rigorous standards of appearance, and the continuous loop of self-deprecation can form just the right conditions for an eating disorder to take root. Therefore, to heal from an eating disorder, the roadblock of perfectionism must be overcome. This is hard work—but so necessary and worthwhile.