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Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes.
Pediatr Diabetes 2009; 10(7):424-31PD

Abstract

OBJECTIVE

To determine lifetime prevalence of suicidal and self-injurious behaviors in Slovenian adolescents with type 1 diabetes compared with healthy controls.

RESEARCH DESIGN AND METHODS

Adolescents (14-19 yr) with type 1 diabetes were compared with a normative control group of healthy secondary school students by means of a self-reported questionnaire (according to Kienhorst) containing questions on demographic and family characteristics, suicidal ideation, intended suicide, attempted suicide, possible future suicide, and self-injurious behavior. Patients received the questionnaires at regular outpatient visits to the pediatric diabetes clinic, completed them in private, and returned them by mail. Questionnaires for control subjects were administered in classrooms.

RESULTS

The responses of 126 eligible patients and 499 controls were analyzed. The control group trended toward higher lifetime prevalence of all suicidal behaviors and self-injurious behavior. The lowest prevalence of all suicidal behaviors and self-injurious behavior was reported by males with diabetes. Compared with male controls, the differences were statistically significant for suicidal ideation (p < 0.05) and intended suicide (p < 0.05). Compared with females with diabetes, the differences were statistically significant for suicidal ideation (p < 0.001), intended suicide (p < 0.01), attempted suicide (p < 0.05), and self-injurious behavior (p < 0.05). Females with diabetes reported highest prevalence of all suicidal but not self-injurious behaviors. More patients than controls reported receiving counseling the year preceding the study (p < 0.001).

CONCLUSIONS

In the study, type 1 diabetes showed a protective effect for suicidal behavior in adolescent males but not in adolescent females. Professionals working with adolescents with type 1 diabetes should be alert to possible suicidality, especially among females.

Authors+Show Affiliations

Clinical Department for Mental Health, University Psychiatric Hospital Ljubljana, SI-1000 Ljubljana, Slovenia. maja.radobuljac@psih-klinika.siNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19490494

Citation

Radobuljac, Maja Drobnic, et al. "Lifetime Prevalence of Suicidal and Self-injurious Behaviors in a Representative Cohort of Slovenian Adolescents With Type 1 Diabetes." Pediatric Diabetes, vol. 10, no. 7, 2009, pp. 424-31.
Radobuljac MD, Bratina NU, Battelino T, et al. Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes. Pediatr Diabetes. 2009;10(7):424-31.
Radobuljac, M. D., Bratina, N. U., Battelino, T., & Tomori, M. (2009). Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes. Pediatric Diabetes, 10(7), pp. 424-31. doi:10.1111/j.1399-5448.2009.00501.x.
Radobuljac MD, et al. Lifetime Prevalence of Suicidal and Self-injurious Behaviors in a Representative Cohort of Slovenian Adolescents With Type 1 Diabetes. Pediatr Diabetes. 2009;10(7):424-31. PubMed PMID: 19490494.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lifetime prevalence of suicidal and self-injurious behaviors in a representative cohort of Slovenian adolescents with type 1 diabetes. AU - Radobuljac,Maja Drobnic, AU - Bratina,Natasa Ursic, AU - Battelino,Tadej, AU - Tomori,Martina, Y1 - 2009/04/08/ PY - 2009/6/4/entrez PY - 2009/6/6/pubmed PY - 2010/2/2/medline SP - 424 EP - 31 JF - Pediatric diabetes JO - Pediatr Diabetes VL - 10 IS - 7 N2 - OBJECTIVE: To determine lifetime prevalence of suicidal and self-injurious behaviors in Slovenian adolescents with type 1 diabetes compared with healthy controls. RESEARCH DESIGN AND METHODS: Adolescents (14-19 yr) with type 1 diabetes were compared with a normative control group of healthy secondary school students by means of a self-reported questionnaire (according to Kienhorst) containing questions on demographic and family characteristics, suicidal ideation, intended suicide, attempted suicide, possible future suicide, and self-injurious behavior. Patients received the questionnaires at regular outpatient visits to the pediatric diabetes clinic, completed them in private, and returned them by mail. Questionnaires for control subjects were administered in classrooms. RESULTS: The responses of 126 eligible patients and 499 controls were analyzed. The control group trended toward higher lifetime prevalence of all suicidal behaviors and self-injurious behavior. The lowest prevalence of all suicidal behaviors and self-injurious behavior was reported by males with diabetes. Compared with male controls, the differences were statistically significant for suicidal ideation (p < 0.05) and intended suicide (p < 0.05). Compared with females with diabetes, the differences were statistically significant for suicidal ideation (p < 0.001), intended suicide (p < 0.01), attempted suicide (p < 0.05), and self-injurious behavior (p < 0.05). Females with diabetes reported highest prevalence of all suicidal but not self-injurious behaviors. More patients than controls reported receiving counseling the year preceding the study (p < 0.001). CONCLUSIONS: In the study, type 1 diabetes showed a protective effect for suicidal behavior in adolescent males but not in adolescent females. Professionals working with adolescents with type 1 diabetes should be alert to possible suicidality, especially among females. SN - 1399-5448 UR - https://www.unboundmedicine.com/medline/citation/19490494/Lifetime_prevalence_of_suicidal_and_self_injurious_behaviors_in_a_representative_cohort_of_Slovenian_adolescents_with_type_1_diabetes_ L2 - https://doi.org/10.1111/j.1399-5448.2009.00501.x DB - PRIME DP - Unbound Medicine ER -