- Title
- Suicidal ideation reported by adults with Type 1 or Type 2 diabetes: results from Diabetes MILES-Australia
- Creator
- Handley, T. E.; Ventura, A. D.; Browne, J. L.; Rich, J.; Attia, J. R.; Reddy, P.; Pouwer, F.; Speight, J.
- Relation
- Diabetic Medicine Vol. 33, Issue 11, p. 1582-1589
- Publisher Link
- http://dx.doi.org/10.1111/dme.13022
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2016
- Description
- Aims: To examine the prevalence and correlates of suicidal ideation (SI) in a community-based sample of adults with Type 1 or Type 2 diabetes. Methods: Participants were 3338 adults aged 18-70 years with Type 1 diabetes (n = 1376) or Type 2 diabetes (non-insulin: n = 1238; insulin: n = 724) from a national survey administered to a random sample registered with the National Diabetes Services Scheme. Depression and SI were assessed using the Patient Health Questionnaire, and diabetes-specific distress with the Problem Areas In Diabetes scale. Separate logistic regression analyses by diabetes type/treatment were used to determine relative contribution to SI. Results: Overall, we observed a SI rate of 14% in our sample. Participants with Type 2 diabetes using insulin reported more frequent depressive symptoms, and were more likely to report recent SI (19%) compared with those with either Type 1 diabetes or Type 2 diabetes not using insulin (14 and 12%, respectively). After controlling for depression, there was little difference in the prevalence of SI between diabetes types/treatments, but higher diabetes-specific distress significantly increased the odds of SI. Conclusions: As SI is a significant risk factor for a suicide attempt, the findings have implications for healthcare professionals, pointing to the importance of adequate screening and action plans for appropriate follow-up of those reporting depression. Our findings are also indicative of the psychological toll of diabetes more generally, and the need to integrate physical and mental healthcare for people with diabetes.
- Subject
- National Diabetes Service Scheme; depression; survey; risk factors
- Identifier
- http://hdl.handle.net/1959.13/1329354
- Identifier
- uon:26141
- Identifier
- ISSN:0742-3071
- Language
- eng
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