More to Look in the Diabetic Patients: Depression

Abstract

EditorialSuicide risk varies by age, sex, and race/ethnicity. Risk factors for suicide attempt include presence of a mental health disorder; serious adverse childhood events; family history of suicide; prejudice or discrimination associated with being lesbian, gay, bisexual, or transgender; access to lethal means; and possibly a history of being bullied, sleep disturbances, and chronic medical conditions. In men, socioeconomic factors, such as low income, occupation, and unemployment are also related to suicide risk. In older adults, additional risk factors, such as social isolation, spousal bereavement, neurosis, affective disorders, physical illness, and functional impairment, increase the risk for suicide. Risk factors of special importance to military veterans include traumatic brain injury, separation from service within the past 12 months, posttraumatic stress disorder, and other mental health conditions. Individual risk factors have only limited ability to predict suicide in an individual at any particular time. A large proportion of Americans have a risk factor for suicide; however, only a small proportion will attempt suicide, and even fewer will die from it. U.S. Prevention Services Task Force Organization. (file:///Users/vivian/Downloads/suicidesumm.pdf. 9, October 2015).Suicide in later life is a global public health problem, with those aged 65 and above constituting the demographic group with the highest suicide rate in most countries that report suicide statistics to the World Health Organization [1]. Age-group specific suicide rates have traditionally been highestEach year over 7,000 adults aged 60 years and older die of suicide in the U.S., accounting for one of every five suicide deaths. Approximately 83% of those deaths between 2005 and 2007 were men, with a rate approximately six times that of women (27.0 and 4.5 per 100,000 population, respectively). Centers for Disease Control and Prevention (CDC) Web-based Injury Statistics Query and Reporting System (WISQARS™) CDC; Atlanta, GA, USA: 2009. Available online: http://www.cdc.gov/ ncipc/wisqars Chronic medical condition, such as diabetes and hypertension may have emotional consequences that might be overlooked by the medical doctor who is taking care of the patient. Adaptation is sometimes complex since it involves some social restriction and lifestyle modification.In a case control study Ceretta and collaborators [2] evaluated ,in 996 type 2 diabetic patients and 2.145 individuals without diabetes, the association of mood disorders, suicidal ideation and the quality of life in patients. The authors demonstrated a worse quality of life and a high comorbidity of type 2 DM with depressive disorders and suicidal ideation.Another study evaluated the mental health of patients with diabetes mellitus in Korea and compared it with mental health in the general Korean population. All data included in the final analyses were collected from 34,065 subjects (20 years of age or older) who participated in the 2007-2012 Korea National Health and Nutrition Exam...