Diabetes mellitus and suicide.

Area of Science:

• Endocrinology
• Psychiatry
• Public Health

Background:

• Diabetes mellitus (DM) is extensively linked to mental health issues like depression.
• The association between diabetes and suicidal tendencies is less understood.
• Suicidal ideation and attempts are a significant concern in diabetes care.

Purpose of the Study:

• To conduct a narrative review assessing the existing literature on the relationship between diabetes mellitus and suicide.
• To synthesize current knowledge on the prevalence and risk factors of suicidality in diabetic patients.

Main Methods:

• A comprehensive literature search was performed on PubMed and Google Scholar.
• English language, peer-reviewed studies were included using keywords related to diabetes and suicide.
• Cross-referencing was utilized to identify additional relevant publications.

Main Results:

• The majority of studies indicate a higher frequency of suicidal ideas and attempts in patients with diabetes mellitus compared to controls.
• Type 1 diabetes mellitus (T1DM) patients exhibit a higher mortality rate due to suicide compared to age-matched controls.
• Psychological morbidity, particularly depression, often precedes suicidal behavior in diabetic individuals, though other modulating factors exist.

Conclusions:

• Diabetes mellitus is associated with an increased risk of suicidal ideation and attempts.
• Psychological support and screening for depression and suicidality are recommended for all patients with diabetes.
• Interventions should address both the psychological impact of diabetes and the specific risks of suicidality.