Suicide risk in youth and young adults with Type 1 Diabetes: A review of the literature and clinical recommendations for prevention

Purpose of review:┬áThe 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 […]

Risk of psychiatric disorders and suicide attempts in emerging adults with diabetes

OBJECTIVE: To determine the longitudinal risks of psychiatric disorders in adolescents and emerging adults with versus without diabetes. RESEARCH DESIGN AND METHODS: We conducted a retrospective cohort study in Quebec, Canada, using linked health administrative databases of adolescents (age 15 years) with and without diabetes and without prior psychiatric disorders between 1997 and 2015, followed […]

Integrative Harm Reduction Psychotherapy: a Case of Substance use, Multiple Trauma, and Suicidality

Harm reduction is a new paradigm that seeks to reduce the harmful consequences of substance use & other risky behaviours without requiring abstinence. This article discusses integrative harm reduction psychotherapy, one application of harm reduction principles to psychotherapy. 7 therapeutic tasks are described with attention to clinical process, skills, & strategies. A case is presented […]

Quality of Life and Suicide Risk in Patients With Diabetes Mellitus

The authors evaluated the perceived quality of life & its association with suicide risk in 100 Italian patients with diabetes mellitus. Patients with diabetes showed greater hopelessness & suicide ideation than internal medicine patients. Poor quality of life was related to low self-efficacy, high hopelessness, & suicidality. A stepwise multiple regression found that polytherapy & […]

No Relationship Between Serum Cholesterol and Suicidal Ideation and Depression in African-American Diabetics

The Dread of Integration: Integrative Processes in a Chronically ill Borderline Patient

This article discusses the difficulties that are encountered in the integration of a patient’s mental organization in psychotherapy. A case study is used to illustrate these difficulties. The patient described was affected by brittle diabetes, had a history of suicidal ideation, & was considered at high risk to seriously harm herself through the mistreatment of […]

Suicide in Adolescents

In exploring the problems of suicide in young people, this article reviews 4 cases of self-destructive female adolescents, all of whom were diabetics who used their illness to express their suicidal tendencies. Some comments are offered regarding the clinical features & dynamics of these patients. The significance of sexual stressors in the suicial attempts & […]

Reliability of Causes of Death in Persons With Type I Diabetes

In order to investigate the reliability of death certificates & ICD-codes in determining the cause of specific mortality in persons with Type I diabetes, causes of death for 251 patients were assessed by a clinical review committee & compared to the information provided by death certificates & ICD-9 codes. The review committee considered suicide as […]

Blindness, Diabetes, and Amputation: Alleviation of Depression and Pain Through Thermal Biofeedback Therapy

This article describes a 39 year-old man suffering from diabetes who had become blind & a double amputee as a result of its complications. The patient was depressed & expressed suicidal ideation. The patient was treated through thermal biofeedback, which teaches patients how to increase their blood flow through machinery & imagery. The patient was […]

Suicidal Ideation and Suicide Attempts Among Youth With Insulin-Dependent Diabetes Mellitus

95 children, aged 8-13 when their disease was diagnosed, were followed longitudinally for up to 12 years. Results: Young patients evidenced higher than expected rates of suicidal ideation, but relatively few attempted suicide over the follow-up. Those who did, used diabetes-related methods. Suicidal ideation over the follow-up was associated with later noncompliance with medical regimen. […]

Negative Social Events, Stress, and Health in Hong Kong

The objective of this study was to investigate the association between negative social events and physical illness. The study demonstrated that: 1. the stress induced in the community by major negative social events in Hong Kong had been increasing; and, 2. this stress is associated with attempted suicide but not with diabetes mellitus or coronary […]

Fatal Self-Induced Hyperinsulinaemia: a Delayed Post-Mortem Analytical Detection

The inconspicuous number of cases of self-induced hyperinsulinaemia reported in the literature suggest that many escape detection. This article reviews the case of a nurse who fatally overdosed using insulin. Investigation showed that there had been at least 4 previous episodes of parasuicide, all involving insulin overdoses. Information on insulin is also presented as background […]

Years of Potential Life Lost Before age 65, by Race, Hispanic Origin, and sex – United States, 1986-1988

Rates of years-of-potential-life-lost before age 65 in the United States were calculated for 1986-99 for leading causes of preventable death, by race, Hispanic origin, & sex. Among males & females, the rate was highest for non-Hispanic blacks. This was due to increased rates for all causes of death considered, particularly homicide. The high rate for […]

An Attempted Suicide When Hypoglycaemic

The case history of a diabetic who had been changed from beef to human insulin is presented. He became depressed & irritable, & attempted suicide. He was returned to beef insulin, & since then, has been well. (2 refs.) (VM)

Medical Illness and Suicide (IN: Suicide Over the Life Cycle, ed. by S J Blumenthal and D J Kupfer)

This article reviews studies which explore the link between physical illness & suicide. Results of studies are included for AIDS, cancer, diabetes, epilepsy, head injuries, Huntington’s Chorea, hypertension, multiple sclerosis, peptic ulcers, premenstrual syndrome, pulmonary disease, arthritis, & spinal cord injuries, as well as for hospital patients & people undergoing medical procedures. Rational suicide is […]

The Suicide Club. A Portrait of the Doctor as Father to the Artist

This article describes the life & suicide of Dr. Clarence Edmonds Hemingway, the father of Ernest Hemingway. The doctor committed suicide while suffering from diabetes & angina, as well as suffering financial problems. The author of this article asserts that Dr. Hemingway’s suicide, especially considering what a strict moralist he was, paved the way for […]

Insulin Misuse: a Review of an Overlooked Psychiatric Problem

Forms of insulin misuse other than noncompliance have been reported in the literature on the treatment of diabetes mellitus. They include attempted & completed suicide, factitious hypoglycemia, Munchausen syndrome by proxy, & the use of insulin by substance abusers. Recommendations for treatment are discussed for clinicians & investigators regarding this overlooked problem. (70 ref)

Insulin Misuse: Omissions and Additions

Discusses Kaminer & Robbins’ review of insulin misuse, noting that the authors’ literature review is incomplete & suggesting that the reasoning in the review is faulty. A list of additional references about insulin misuse is given. (22 ref)

Retrospective Cohort Mortality Study of Roman Catholic Priests

To test the hypothesis that RC priests are at low risk for prostatic cancer because of their celibacy, a cohort of 10,026 men who were active or retired diocesan RC priests in the US on 1/1/49 were followed until death, leaving the priesthood or 1/1/78. The overall standardized mortality ratio (SMR) was 103 & the […]

Age, Period and Cohort Analysis of Trends in Mortality From Major Diseases in Japan, 1955 to 1979: Peculiarity of the Cohort Born in the Early Showa Era

This study investigates the apparent increase in mortality rates among middle-aged Japanese males from diabetes mellitus, ischemic heart disease, cirrhosis of the liver, & suicide. Both period & cohort effects are taken into consideration in the quantitative analysis of mortality data obtained from the Japanese vital statistics list “B” & census data for the years […]

Attempted Suicide by Insulin Overdose in Insulin-Dependent Diabetic Adolescents

Living in the Shadow: An Example of the Social Learning Theory of Suicide

In this summarized paper, Lester discusses his social learning theory of suicidal behavior using the case of Ernest Hemingway’s younger brother, Leicester as an example. Leicester’s father, Ernest, & Leicester all shot themselves when they were depressed & suffering from diabetes. Even if we grant the possibility of a genetic predisposition to depression, Leicester appears […]

Attempted Suicide by Insulin Injection Treated With Artificial Pancreas

An elderly woman with longstanding insulin dependent diabetes tried to commit suicide by injecting 400 units of insulin subcutaneously (usual total daily dose 56 units). She was admitted to hospital within the hour & treated with an artificial pancreas. This avoided the usual difficulty of the physician having to cope with rapid & substantial fluctuations […]