Assessment of self-harm and suicide risk
A recent meta-analysis observed a decreased risk of
completed suicide in AN [76] over recent decades, with
a standardised mortality ratio (SMR) of 31. This SMR
still represents an elevated risk when compared with
other EDs and the general population. The extent to
which AN directly contributes to this risk as opposed to
the combined effects of AN and co-morbidity to this risk
is still debated [77].