Suicide Risk Assessment in Youth and Young Adults With Type 1 Diabetes
Suicide Risk Assessment in Youth and Young Adults With Type 1 Diabetes
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DOI：
10.2337/dc19-0831
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发表时间：
2020-02-01
期刊：
影响因子：
16.2
通讯作者：
Driscoll, Kimberly A.
中科院分区：
文献类型：
--
作者：
Majidi, Shideh;O'Donnell, Holly K.;Driscoll, Kimberly A.
目的描述青年和年轻成人1型糖尿病患者的社会人口学和临床特征，这些患者将自杀意念作为常规抑郁症筛查的一部分，并对其自杀风险评估结果进行分析。研究设计和方法患者健康问卷-9被用来评估抑郁症状和自杀/死亡意念在550名青年和年轻的1型糖尿病患者年龄10 - 24岁。只有那些赞同自杀/死亡想法的人（n = 49）完成了标准化的自杀风险评估方案和安全计划。结果：9%的人赞同自杀/死亡意念，其中83.4%的人报告临床抑郁症状加重; 16%的人曾有自杀企图。没有年轻人（n = 39）或年轻人（n = 11）透露目前的自杀计划或准备，但5名表达自杀意念的人承认胰岛素的致命性。三人曾使用胰岛素试图自杀。绝大多数人被归类为未来自杀企图/完成的低风险。没有人住院作为自杀风险评估的一部分，也没有自杀完成。结论：本研究的结果提供了初步了解青年和年轻成人1型糖尿病患者的行为和认知谁经历自杀和死亡的想法。在常规1型糖尿病门诊预约期间，全面的自杀风险评估和安全计划是可行的。
OBJECTIVE To describe sociodemographic and clinical characteristics of youth and young adults with type 1 diabetes who endorsed suicidal ideations as part of routine depression screening and the results of their suicide risk assessments. RESEARCH DESIGN AND METHODS The Patient Health Questionnaire-9 was used to assess depressive symptoms and suicide/death ideation in 550 youth and young adults with type 1 diabetes ages 10-24 years. Only individuals who endorsed suicidal/death ideations (n = 49) completed a standardized suicide risk assessment protocol and safety planning. RESULTS Nine percent of individuals endorsed suicidal/death ideation and of those, 83.4% reported clinically elevated depressive symptoms; 16% made a previous suicide attempt. No youth (n = 39) or young adults (n = 11) disclosed current plans or preparations for suicide, but five who expressed suicidal ideation acknowledged the lethality of insulin for an attempt. Three previously used insulin to attempt suicide. The overwhelming majority of individuals were classified as being low risk for future suicide attempt/completion. None were hospitalized as a part of the suicide risk assessment, and no suicide completions have occurred. CONCLUSIONS The findings of this study provide initial insight into the behaviors and cognitions of youth and young adults with type 1 diabetes who experience suicidal and death ideations. Comprehensive suicide risk assessment and safety planning are feasible during routine type 1 diabetes clinic appointments.