The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)

A. Severely restricted food intake can lead to imbalances in electrolytes such as potassium, sodium, and chloride. These imbalances can disrupt normal heart rhythm (arrhythmias) and other vital functions, potentially leading to cardiac arrest, which is a common cause of death in individuals with anorexia nervosa. B. Individuals with anorexia nervosa are at increased risk of suicidal thoughts and behaviors. This risk may be due to the severe psychological distress associated with the disorder, as well as the physical complications that can feel overwhelming. Suicide can unfortunately be a tragic consequence in some cases. D. Dehydration is a significant risk in individuals with anorexia nervosa, especially when combined with electrolyte imbalances. Dehydration can lead to organ failure, particularly kidney failure, which can be life-threatening if not promptly treated. E. Severe muscle wasting can occur in individuals with anorexia nervosa, particularly in later stages of the disorder. Loss of muscle mass contributes to overall physical weakness and compromises essential bodily functions, potentially leading to organ failure and death. C. Anorexia nervosa itself does not directly cause diabetes. However, individuals with severe anorexia may develop metabolic disturbances, including insulin resistance, due to malnutrition. This can lead to abnormal blood sugar levels, but diabetes as a direct cause of death in anorexia is less common compared to other complications.