We study theoretically single electron loss from helium-like highly charged ions involving excitation and decay of autoionizing states of the ion. Electron loss is caused by either photo absorption or the interaction with a fast atomic particle (a bare nucleus, a neutral atom, an electron). The interactions with the photon field and the fast particles are taken into account in the first order of perturbation theory. Two initial states of the ion are considered: 1s 2 and (1s 2s)J=0. We analyze in detail how the shape of the emission pattern depends on the atomic number ZI of the ion discussing, in particular, the inter-relation between electron loss via photo absorption and due to the impact of atomic particles in collisions at modest relativistic and extreme relativistic energies. According to our results, in electron loss from the 1s 2 state autoionization may substantially influence the shape of the emission spectra only up to ZI ≈ 35-40. A much more prominent role is played by autoionization in electron loss from (1s 2s)J=0 where it not only strongly affect the shape of the emission pattern but also may substantially increase the total loss cross section.