title: Brief report: depression and history of suicide attempts in adults with new-onset Type 2 Diabetes.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of Psychiatry, University of Texas at Southwestern Medical Center, Dallas, TX, United States; Division of Endocrinology, University of Texas at Southwestern Medical Center, Dallas, TX, United States. Electronic address: dr.akmyers@gmail.com.
authors: Alyson K
authors: AK
authors: Myers
authors: Bruce D
authors: BD
authors: Grannemann
authors: Ildiko
authors: I
authors: Lingvay
authors: Madhukar H
authors: MH
authors: Trivedi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003865:Major Depressive Disorder / Q000150:complications* / Q000453:epidemiology* / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D057566:Self Report; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology
keywords: BMI; DSM III; DSM IV; Depression; Diagnostic and Statistical Manual of Mental Disorders III; Diagnostic and Statistical Manual of Mental Disorders IV; HbA1C; MDD; Suicide attempts; T2DM; Type 2 Diabetes; body mass index; hemoglobin A1C; major depressive disorder