With diabetes, psychiatric disorder, suicide risks higher in transition to adulthood

  • Robinson ME & al.
  • Diabetes Care
  • 16.12.2019

  • von Miriam Tucker
  • Clinical Essentials
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Takeaway

  • The risk of developing psychiatric disorders is increased between ages 15 and 25 years in individuals with vs without diabetes mellitus (DM).
  • Findings highlight the importance of identifying psychiatric disorders and increasing access to mental health services for this vulnerable age group.

Why this matters

  • Topic has not previously been examined in individuals transitioning from adolescence to adulthood.
  • Psychiatric disorders are associated with serious adverse diabetes-related outcomes.

Study design

  • Retrospective cohort study in Quebec, Canada, using linked health administrative databases of adolescents (age 15 years) with (n=3544) and without (n=1,388,397) diabetes and without prior psychiatric disorders between 1997 and 2015, followed to age 25 years.
  • Funding: McGill University Health Center, Fonds de Recherche du Québec – Santé, Ministère de la Santé et des Services Sociaux du Québec.

Key results

  • Individuals with diabetes had a greater likelihood (adjusted HRs; 95% CIs) of:
    • A mood disorder diagnosed in an emergency department or hospital: 1.33 (1.19-1.50);
    • Hospital admission for a suicide attempt: 3.24 (1.79-5.88);
    • Psychiatrist visit: 1.82 (1.67-1.98); or
    • Any psychiatric disorder: 1.29 (1.21-1.37).
  • The risks for mood disorders diagnosed in the outpatient clinic or for a schizophrenia diagnosis did not vary based on diabetes status.

Limitations

  • Retrospective.
  • All-Canadian population.
  • Diabetes type not distinguished.