Anxiety disorders as predictors of suicidality in people with type 2 diabetes mellitus: Findings of a study in six European countries
Psychiatr Pol. 2024 Feb 28;58(1):7-24.
doi: 10.12740/PP/161864.
Epub 2024 Feb 28.
[Article in
English,
Polish]
Authors
Tomasz M Gondek
1
, Andrzej Kiejna
2
, Ewelina Cichoń
2
, Andrzej Kokoszka
3
, Alexey Bobrov
4
, Giovanni de Girolamo
5
, Dusica Lecic-Tosevski
6
, Boris Mankovsky
7
, Karsten Müssig
8
, Wolfgang Wölwer
9
, Cathy E Lloyd
10
, Norman Sartorius
11
, Arie Nouwen
12
Affiliations
- 1 Specialty Training Section, Polish Psychiatric Association, Wroclaw, Poland.
- 2 1. Department of Psychology, WSB University in Toruń, Toruń, Poland; 2. Department of Psychology, Faculty of Education, Psychology Research Unit for Public Health, University of Lower Silesia, Wroclaw, Poland.
- 3 II Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
- 4 National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia.
- 5 IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
- 6 Serbian Academy of Sciences and Arts, Belgrade, Serbia.
- 7 National Medical Academy for Postgraduate Education, Kiev, Ukraine.
- 8 1. Institute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University of Düsseldorf, Düsseldorf, Germany; 2. Department of Endocrinology and Diabetology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany; 3. German Center for Diabetes Research (DZD), München-Neuherberg, Germany 4. Department of Internal Medicine and Gastroenterology, Niels Stensen Hospitals, Franziskus Hospital Harderberg, Georgsmarienhütte, Germany.
- 9 Department of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University of Düsseldorf, Düsseldorf, Germany.
- 10 School of Health, Wellbeing and Social Care, Faculty of Well-being, Education and Languages. The Open University, Milton Keynes, UK.
- 11 Association for the Improvement of Mental Health Programmes (AMH), Geneva, Switzerland.
- 12 1. Department of Psychology, Middlesex University, London, UK; 2. School of Health, Wellbeing and Social Care, Faculty of Well-being, Education and Languages. The Open University, Milton Keynes, UK.
Abstract
Objectives:
Anxiety disorders are significant predictors of suicidality and are proposed to be independent risk factors for suicide attempts. They are common in people with type 2 diabetes (T2DM) and are associated with longer duration of diabetes and poorer treatment outcomes. The aim was to examine associations between anxiety disorders and suicidal thoughts and behaviour in people with T2DM, to establish the prevalence of suicidality among people with T2DM in the selected European countries and to examine whether anxiety disorders were predictive of current outcomes of suicidality in this population using data from the International Prevalence and Treatment of Diabetes and Depression study.
Methods:
The study sample comprised 1063 adults with T2DM from 6 European countries. The presence of anxiety disorders and suicidality was assessed with the MINI International Neuropsychiatric Interview. The group of participants with current suicidal risk was compared with the group of participants with no suicidal risk.
Results:
The participants from Germany were more likely to report suicidality than those from other countries, whereas people from Serbia and Ukraine were less likely to report it. Depression and anxiety disorders significantly contributed to the increased presence of suicidality among people with T2DM. Agoraphobia was a significant predictor of suicidality when controlling for depression. The participants with T2DM and comorbid agoraphobia had 4.86 times higher odds to report suicidality than those without agoraphobia.
Conclusions:
Agoraphobia was a significant predictor of suicidality in people with T2DM.
Keywords:
anxiety disorders; suicidality; type 2 Diabetes Mellitus.
MeSH terms
-
Adult
-
Aged
-
Anxiety Disorders* / epidemiology
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Anxiety Disorders* / psychology
-
Comorbidity
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Diabetes Mellitus, Type 2* / epidemiology
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Diabetes Mellitus, Type 2* / psychology
-
Europe / epidemiology
-
Female
-
Germany / epidemiology
-
Humans
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Male
-
Middle Aged
-
Prevalence
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Risk Factors
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Suicidal Ideation*
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Suicide, Attempted / psychology
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Suicide, Attempted / statistics & numerical data
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Ukraine / epidemiology