Risk Factors and Prevalence of Suicide Attempt in Patients with Type 2 Diabetes in the Mexican Population

Abstract

Background: It has been proposed that the risk of death by suicide is higher in patients with diabetes than in the general population. Therefore, it is necessary to investigate the risk factors of suicidal behavior in patients with type 2 diabetes. The aim of the present study was to analyze the prevalence of suicide attempt and determine the risk factors of suicide attempt, in patients with type 2 diabetes in a Mexican population. Methods: Clinic characteristics, anthropometric measurements, biochemical levels, depression, and suicidal behavior were evaluated in 185 Mexican patients with type 2 diabetes. A multivariate logistic regression analysis was performed to find predictive factors of suicide attempt. Results: 11.4% of patients reported previous suicide attempts n = 21). Younger patients (OR: 3.63, 95% CI: 1.29–10.19), having depression (OR: 3.33, 95% CI: 1.13–9.76) and normal BMI (OR: 3.14, 95% CI: 1.11–8.83), were predictive factors of suicide attempt. No other variables in the study showed statistical significance. Conclusions: Our results showed a high prevalence of suicidal behavior in patients with type 2 diabetes. We found that younger age, depression and normal BMI could be risk factors of suicide attempt in these patients. Therefore, psychiatric interventions to prevent depression and suicidal behavior in this population are necessary. New studies using larger samples are necessary to replicate and confirm these results.

Suicide Risk and Mental Disorders

“…The present special issue on ‘suicide risk and mental disorders’ reflects several aspects of prediction, including ethnicity/immigrant status, adverse childhood experiences, severity of depression and comorbidity of mental disorders. Other papers deal with internet addiction [ 19 ], risk of suicide in type 2 diabetes [ 20 ], and risk factors for suicidal ideation in rural and urban areas [ 21 ]. Suicide risk is multi-factorial and the stress (mental illness)—diatheses (tendency to experience suicidal ideation and act on suicidal feelings) model is applicable, with several examples of the latter described in the present special issue.…”

Patient-reported outcomes for diabetes and hypertension care in low- and middle-income countries: A scoping review

“…They also promoted individualized treatment plans and patient-centered care where patients are involved in their treatment plans [ 24 , 41 , 48 ]. The PROMs contributed to the policymaking process by identifying gaps such as need for frequent screening of diabetes or hypertension, patient education programs, behavioral interventions, psychosocial support, task-shifting and other areas needing financial allocations [ 37 , 39 , 54 , 61 , 65 , 67 , 86 , 95 , 99 , 107 – 113 ]. They can identify health system challenges leading to suboptimal care and barriers to achieving good outcomes that the policy makers can address such as cost of services, availability of medicines, waiting times, staff shortages, emergency response services [ 54 , 95 , 96 , 114 ].…”

La mortalidad por suicidio en las poblaciones masculinas joven, adulta y adulta mayor en ocho países de Latinoamérica y el Caribe

“…Uno de los aspectos que en ocasiones no es advertido al planear acciones para reducir las ideaciones suicidas, los intentos de suicidio o el suicidio mismo es el papel que desempeñan las enfermedades crónicas y sus efectos, incluyendo dolores o amputaciones, como mecanismos que detonan los ciclos que pueden culminar en el fallecimiento por una autolesión (Arias Vázquez et al, 2018). Afectaciones para la vida sexual, como la disfunción eréctil (Klaassen et al, 2018), formar parte de una minoría sexual (Plöderl et al, 2013;Pompili et al, 2014), padecer cáncer (Fang et al, 2012;Osazuwa-Peters et al, 2018), dolores crónicos (Tang y Crane, 2006) o alteraciones del sueño (Owen-Smith et al, 2019) o diabetes (Gómez-Peralta et al, 2018) han sido asociados con un aumento en el riesgo de suicidio.…”