Suicidal ideation and suicide attempts among diabetes mellitus: The Korea National Health and Nutrition Examination Survey (KNHANES IV, V) from 2007 to 2012

Chung, Jae Ho; Moon, Kitae; Kim, Do-Hyung; Min, Joo-Won; Kim, Tae Ho; Hwang, Heejin

doi:10.1016/j.jpsychores.2014.08.008

Cited by 37 publications

(36 citation statements)

References 32 publications

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“…The study also found an association of SI with the insulin regimen, a longer duration of DM (≥5 years) and a poorer glycemic control (HbA1c levels ≥ 6.5). Another Korean study (13) also reported a marked increase in SI and suicide attempts among participants classified as having DM in comparison with controls. Moreover, mental health problems (depressive mood for two or more continuous weeks, SI, and suicide attempts) increased in association with blood glucose levels.…”

Section: Resultsmentioning

confidence: 88%

“…In line with these results, a previous study in 2012 (11) showed that patients with more comorbid conditions were more likely to report depressive disorders and SI versus individuals without DM. Chung et al (13) further demonstrated that depressive mood, SI, and suicide attempts increased in association with blood glucose levels. Furthermore, in 2004, one study (20) measured insulin concentration in cerebrospinal fluid in 74 suicide attempters to clarify the role of insulin in major depressive disorder and violent suicide attempt and found that cerebrospinal fluid insulin is involved in violent behavior but not in major depressive disorder.…”

Section: Discussionmentioning

confidence: 98%

“…DM and particular aspects of living with DM are known to be associated with greater SI (9–12). Chung et al found that DM was associated with a marked increase in suicidal behaviors (13). …”

Section: Introductionmentioning

confidence: 99%

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Clinical Characteristics of Diabetes Mellitus and Suicide Risk

et al. 2017

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BackgroundDiabetes mellitus (DM) is a chronic illness with impaired health-related quality of life and a high risk of psychiatric disorders. We carried out a systematic review analyzing the relationship between DM and suicide by providing a qualitative data synthesis of the studies.MethodsWe conducted, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic search of the literature in PubMed, Scopus, ISI Web of Science, PsycINFO, Google Scholar, and ScienceDirect. Search terms were “suicid*” combined with the Boolean “AND” operator with “diabetes.”ResultsThe initial search identified 568 citations. A total of 17 research reports met the predefined inclusion criteria and were analyzed. DM was found to be significantly associated with a marked increase in suicidal behaviors and suicidal ideation (SI), especially in patients with depressive symptoms. Insulin therapy, DM of long duration, and unsatisfactory glycemic control were identified as risk factors for SI in Type 1 (T1DM) and Type 2 (T2DM).ConclusionHealth-care professionals need to be aware of the higher suicidal risk in patient subgroups based on the clinical characteristics of DM; thus, patients with these characteristics warrant special attention. In this regard, clinical management should include efforts to manage emotional distress in DM care.

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Section: Resultsmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 98%

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Clinical Characteristics of Diabetes Mellitus and Suicide Risk

et al. 2017

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“…Some other studies, however, found that DM was a significant risk factor for suicidal ideations. A study from Korea (where the prevalence of suicide is relatively high) found that suicidal thoughts were reported by 20.7% of patients with DM and 15.3% of controls (p<0.001) and suicidal attempts by 1.3% of patients with DM and 0.8% of controls (p=0.006) [29]. Another study from Korea also reported that patients with only DM showed a significantly increased risk of suicidal ideations after adjusting for age and sex among four groups based on DM and depression [30].…”

Section: Discussionmentioning

confidence: 99%

Help-seeking behaviors for serious psychological distress among individuals with diabetes mellitus: The California Health Interview Survey, 2011–2012

Shin

Poltavskiy²,

Kim

et al. 2017

Primary Care Diabetes

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Aim To investigate patterns of and factors associated with help-seeking behaviors among individuals with diabetes mellitus (DM) and/or serious psychological distress (SPD). Methods The analysis was conducted with the California Health Interview Survey (CHIS) 2011–2012 of 40,803 adults. Logistic regression was used to examine the associations between the multiple facilitating/preventing factors and outcome, guided by the Andersen’s Health Care Utilization Model. Results The prevalence of DM and SPD were 10.9% and 3.4%, respectively, among participants in the survey. The participants with DM were more likely to experience SPD than those without DM (OR 1.46, 95% CI=1.11–1.91, p=0.006). Participants with combined DM and SPD, the most underserved, were less likely to perceive the need for mental health services and less likely to seek help, compared to those with only SPD. Need factors (SPD status and perceived need) were significantly associated with help-seeking behaviors for mental health, along with predisposing factors (age, gender, obesity, race, and employment), and enabling factors (insurance, English proficiency). Conclusions Perceptions about need for seeking help seem to play an important role in receiving mental health services in addition to other predisposing or enabling factors. Identification of these factors may improve clinical outcomes related to DM and SPD.

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“…The mental health of 3846 DM patients were compared with that of 30,219 controls. The report found that DM was associated with a marked increase in suicidal behaviors [3]. …”

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confidence: 99%

More to Look in the Diabetic Patients: Depression

Ellinger¹

2015

JDMDC

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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...

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Suicidal ideation and suicide attempts among diabetes mellitus: The Korea National Health and Nutrition Examination Survey (KNHANES IV, V) from 2007 to 2012

Cited by 37 publications

References 32 publications

Clinical Characteristics of Diabetes Mellitus and Suicide Risk

Clinical Characteristics of Diabetes Mellitus and Suicide Risk

Help-seeking behaviors for serious psychological distress among individuals with diabetes mellitus: The California Health Interview Survey, 2011–2012

More to Look in the Diabetic Patients: Depression

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