Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention

Hill, Ryan M.; Gallagher, Katherine A.; Eshtehardi, Sahar S.; Uysal, Serife; Hilliard, Marisa E.

doi:10.1007/s11892-021-01427-y

Cited by 10 publications

(12 citation statements)

References 119 publications

(133 reference statements)

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“…Clinicians should be interested in nonlethal parameters of suicidality as well. For example, evidence indicates that youth and young adults with Type I Diabetes mellitus have higher rates of suicidal ideation, suicide attempts but also suicide than non‐diabetic peers (Hill et al., 2021). However, studies on completed suicides show inconsistent results (Hill et al., 2021).…”

Section: Resultsmentioning

confidence: 99%

“…Long term deaths attributed to suicide were clear in Type 1 DM at 7.7% but not Type 2 DM at 1.3%. Suicidal behaviors were shown to be elevated in youths and young adults with diabetes(Hill et al, 2021).CancerUsingthe Surveillance, Epidemiology and End Results program of the National Cancer Institute, Zaorsky et al (2019), abstracted 8,651,569 cancer cases diagnosed between 1973 and 2014. Of these cancer patients 13,311 committed suicide, resulting in the suicide rate of 28.58/100,000 person years and a standard mortality ration (SMR) of 4.44, that is, four times that of the general population and a two-fold increase from the SMR in 2002…”

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confidence: 99%

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DSM‐5‐TR diagnosis as a guide to suicide risk assessment

Felthous

Kulkarni

Belean

2023

Behavioral Sci & The Law

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A specific mental disorder can itself constitute a risk factor for a completed suicide. Even more important, the disorder is typically a modifiable risk factor which informs its own treatment. Recent editions of the DSM have included "suicide subsections" for specific mental disorders and conditions in which the risks of suicidal thoughts and behaviors for the disorder are noted in the literature. The DSM-5-TR can therefore serve as a compendium to be referred to for initial guidance as to whether a specific disorder could contribute to the risk. Adding completed suicides and suicide attempts, also addressed in these subsections, the sections were examined individually for the four parameters of suicidality.Accordingly, the four parameters of suicidality examined here are: suicide, suicidal thoughts, suicidal behavior, and suicide attempts. After providing interpretive comments for each, the parameters for all disorders with a suicide subsection were tabulated for ease of reference. Because specific medical disorders are also associated with elevated rates of suicide, these disorders and the supporting research are tabulated and briefly acknowledged. Allowing for the limitations of the suicide subsections and their analysis, this exegesis is proposed to contribute to training in risk assessment for forensic psychiatry and psychology fellows and to highlight the potential referential value of the DSM-5-TR's suicide subsections for clinical practitioners and those who pursue research on suicide.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

DSM‐5‐TR diagnosis as a guide to suicide risk assessment

Felthous

Kulkarni

Belean

2023

Behavioral Sci & The Law

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“… 41 Similar observations were made among youths and young adults with T1DM showing an increased risk of suicidal and death ideations. 42 , 43 It is, therefore, essential that anxiety is addressed among young people with T1DM. This can be done by adopting an integrated care model that encompasses social, emotional, physical and psychological well-being, encouraging routine screening of depression, counselling and boosting health workers’ training to recognise and address psychosocial challenges.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This can be done by adopting an integrated care model that encompasses social, emotional, physical and psychological well-being, encouraging routine screening of depression, counselling and boosting health workers' training to recognise and address psychosocial challenges. 42 Among critical barriers to care was the lack of transport to come for routine medical appointments. While the direct medical costs associated with insulin therapy, testing strips, glycated haemoglobin tests and glucose monitoring devices are met by the CDiC ® program, 44 indirect costs like transport remained a considerable burden to the families of these children given that most of the parents to our participants had semi-skilled or casual sources of income.…”

Section: Discussionmentioning

confidence: 99%

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Lived Experiences of Newly Diagnosed Type 1 Diabetes Mellitus Children and Adolescents in Uganda

Nsamba¹,

Nabirye²,

Hense³

et al. 2022

JMDH

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Introduction The first-year post-diagnosis is the most challenging and stressful period in the lifetime of a young child and adolescent living with diabetes, given the adjustments that are meant to be adopted. Therefore, psychosocial factors affecting newly diagnosed children and adolescents need to be well understood and children supported to improve treatment adherence. However, evidence concerning psychosocial experiences among young patients with diabetes is scant in Uganda. This study explores the perceptions and experiences of newly diagnosed children and adolescents in Uganda. Methods A qualitative exploratory design was employed. We recruited participants aged 6 to <18 years diagnosed within twelve months from three study sites: Mulago National Referral Hospital, Wakiso HCIV, and St Francis Nsambya Hospital. Twenty in-depth interviews were conducted, and textual data were analysed thematically using a framework approach. Results We identified five themes: battling with symptoms, emotions at diagnosis, challenges in coping with diabetes management, changes I have made, and positive outcomes registered. The analysis found that young people living with diabetes experience a new world of adjustments, including insulin therapy, routine blood glucose monitoring, and dietary changes that are often difficult to deal with, especially in the first year after diagnosis. Discussion Continuous psychosocial support to newly diagnosed young children and adolescents with T1DM is vital. Addressing psychosocial challenges may improve adherence to treatment regimens. Conclusion Our findings have demonstrated the mixed experiences of newly diagnosed young children and adolescents living with diabetes, from anxiety and stigmatization to independence.

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