Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention.
Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention.
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DOI：
10.1007/s11892-021-01427-y
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发表时间：
2021-12-13
影响因子：
4.2
通讯作者：
Hilliard ME
中科院分区：
文献类型：
--
作者：
Hill RM;Gallagher KAS;Eshtehardi SS;Uysal S;Hilliard ME
该手稿回顾了现有的文献自杀相关的思想和行为的青少年和年轻成人与儿童糖尿病。这些证据是在当前自杀行为病因学理论的背景下提出的，以强调糖尿病如何导致自杀风险，并支持提供者理解儿科糖尿病和自杀风险之间的相互作用。手稿还审查了以证据为基础的自杀预防方法，适用于儿科医疗机构，并建议他们应用于这一独特的人群。最近的几项研究发现，与没有糖尿病的同龄人相比，患有儿童糖尿病的青少年和年轻人的自杀意念、自杀企图和自杀率更高。基于证据的自杀预防方法经常强调减少自杀青少年获得潜在致命自杀行为手段的重要性。这种方法可能需要特别考虑患有儿科糖尿病的青少年，因为他们需要携带足量的胰岛素，并且胰岛素剂量不准确和/或过量的危险。针对这一人群的自杀预防建议包括：将风险筛查作为常规糖尿病护理的一部分，早期预防，对青少年和家庭的教育，以及提供者对风险因素、警告信号和糖尿病护理意义的认识。据报道，与没有糖尿病的同龄人相比，患有糖尿病的青少年和年轻人自杀相关行为的比例更高。现有的自杀预防方法可能需要对青少年和年轻糖尿病患者进行大量调整。如何最好地预防这一人群的自杀行为需要进一步的研究。
The manuscript reviews the extant literature on suicide-related thoughts and behaviors among youth and young adults with pediatric diabetes. This evidence is presented within the context of current theories of the etiology of suicidal behavior to highlight how diabetes may contribute to suicide risk, and to support providers in understanding the interplay between pediatric diabetes and suicide risk. The manuscript also reviews evidence-based approaches to suicide prevention suitable for use in pediatric healthcare settings, with suggestions for their application to this unique population. Several recent studies identify heightened rates of suicidal ideation, suicide attempts, and suicide among youth and young adults with pediatric diabetes, as compared with their peers without diabetes. Evidence-based suicide prevention approaches frequently emphasize the importance of reducing suicidal youths’ access to potentially lethal means for suicidal behavior. This approach may require special considerations for youth with pediatric diabetes, due to their need to carry sufficient quantities of insulin and the dangers of inaccurate insulin dosing and/or overdose. Suggestions for suicide prevention for this population include risk screening as part of routine diabetes care, early prevention, education for youth and families, and provider awareness of risk factors, warning signs, and implications for diabetes care. Youth and young adults with diabetes reported elevated rates of suicide-related behaviors as compared with their peers without diabetes. Existing suicide prevention approaches may require substantial adaptation for use with youth and young adults with diabetes. Further research is needed to examine how to best prevent suicidal behaviors among this population.
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