8 297

Cited 6 times in

Risk of suicidal ideation in diabetes varies by diabetes regimen, diabetes duration, and HbA1c level

Authors
 Hoo-Yeon Lee  ;  Myung-Il Hahm  ;  Sang Gyu Lee 
Citation
 JOURNAL OF PSYCHOSOMATIC RESEARCH, Vol.76(4) : 275-279, 2014 
Journal Title
 JOURNAL OF PSYCHOSOMATIC RESEARCH 
ISSN
 0022-3999 
Issue Date
2014
MeSH
Adult ; Aged ; Biomarkers/blood ; Cross-Sectional Studies ; Depression/etiology* ; Diabetes Mellitus/blood ; Diabetes Mellitus/psychology* ; Female ; Glycated Hemoglobin A/metabolism* ; Humans ; Logistic Models ; Male ; Middle Aged ; Prevalence ; Republic of Korea ; Risk ; Risk Factors ; Socioeconomic Factors ; Suicidal Ideation* ; Time Factors
Keywords
Depression ; Diabetes ; HbA1c ; Insulin ; Suicidal ideation
Abstract
OBJECTIVE: To investigate patient subgroups based on the clinical characteristics of diabetes to evaluate risk factors for suicidal ideation using a large population-based sample in South Korea. METHODS: Data from the Fifth Korea National Health and Nutrition Examination Survey, a cross-sectional, nationally representative survey, were analyzed. The participants were 9159 subjects aged ≥40years. We defined patients with diabetes based on self-reported physician-diagnosed diabetes. We evaluated clinical risk factors for suicidal ideation according to diabetes regimen, diabetes duration, and glycated hemoglobin (HbA1c) level compared with no diabetes. Given the complex sample design and unequal weights, we analyzed weighted percentages and used survey logistic regression. RESULTS: Diabetes per se was not associated with suicidal ideation. However, suicidal ideation was significantly more prevalent among patients who had injected insulin, had a duration of diabetes ≥5years and had HbA1c levels ≥6.5 compared with those without diabetes. Depressive symptoms were the most prominent predictor of suicidal ideation. CONCLUSIONS: Insulin therapy, diabetes of long duration, and unsatisfactory glycemic control were identified as risk factors for suicidal ideation; thus, patients with these characteristics warrant special attention. Our findings suggest the need to integrate efforts to manage emotional distress into diabetes care.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022399914000452
DOI
10.1016/j.jpsychores.2014.02.003
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98310
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse