Suicidal ideation reported by adults with type 1 or type 2 diabetes: results from Diabetes MILES-Australia

Handley, T. E., Ventura, A. D., Browne, J. L., Rich, J., Attia, J. R., Reddy, P., Pouwer, F. and Speight, J. 2016, Suicidal ideation reported by adults with type 1 or type 2 diabetes: results from Diabetes MILES-Australia, Diabetic medicine, vol. 33, no. 11, pp. 1582-1589, doi: 10.1111/dme.13022.

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Title Suicidal ideation reported by adults with type 1 or type 2 diabetes: results from Diabetes MILES-Australia
Author(s) Handley, T. E.
Ventura, A. D.
Browne, J. L.ORCID iD for Browne, J. L.
Rich, J.
Attia, J. R.
Reddy, P.
Pouwer, F.
Speight, J.ORCID iD for Speight, J.
Journal name Diabetic medicine
Volume number 33
Issue number 11
Start page 1582
End page 1589
Total pages 8
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2016-11
ISSN 0742-3071
Summary AIMS: To examine the prevalence and correlates of suicidal ideation 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 suicidal ideation 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 suicidal ideation.

RESULTS: Overall, we observed a suicidal ideation 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 suicidal ideation (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 suicidal ideation between diabetes types/treatments, but higher diabetes-specific distress significantly increased the odds of suicidal ideation.

CONCLUSIONS: As suicidal ideation 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. This article is protected by copyright. All rights reserved.
Language eng
DOI 10.1111/dme.13022
Field of Research 1103 Clinical Sciences
111714 Mental Health
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Diabetes UK
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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