- 作者：Alyson K. Myers ; Bruce D. Grannemann ; Ildiko Lingvay ; Madhukar H. Trivedi
- 关键词：BMI ; body mass index ; DSM III ; Diagnostic and Statistical Manual of Mental Disorders III ; DSM IV ; Diagnostic and Statistical Manual of Mental Disorders IV ; HbA1C ; hemoglobin A1C ; MDD ; major depressive disorder ; T2DM ; Type 2 Diabetes
- 刊名：Psychoneuroendocrinology
- 出版年：November, 2013
- 年：2013
- 卷：38
- 期：11
- 页码：2810-2814
- 全文大小：458 K
Summary
Aim
To assess past suicide attempts in a cohort of adults with Type 2 Diabetes diagnosed within the prior 24 months.Methods
Outpatients were recruited from diabetes education classes or diabetes shared medical appointment. Participants aged 18 or over with a self-reported diagnosis of Type 2 Diabetes (T2DM) in the prior 24 months completed questionnaires about medical (including diabetes), psychiatric, and social history. Participants also completed two screening questionnaires for depression: Patient Health Questionnaire 9 and the Questionnaire Inventory for Depressive Symptoms-Self Report. Those who screened positive for depression had confirmatory testing with a clinician administered Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) checklist.
Results
In this convenience sample of 145 patients with Type 2 Diabetes, 9.7% of patients had history of a suicide attempt and 38.2% met diagnosis for major depressive disorder (MDD). Patients with MDD were more likely to have a history of suicide attempts than those without MDD (p = 0.0002). Of the patients with prior suicide attempts, 50% screened positive for MDD at the time of the survey.
Conclusion
In patients with newly-diagnosed Type 2 Diabetes the rate of past suicide attempts was nearly 10%, which is twice the rate seen in the general population. The rate of past suicide attempts in currently depressed patients with diabetes is 21.8%. These findings suggest the need for monitoring patients with diabetes and depression for future suicide risk.