Health care professional experiences and opinions on depression and suicide in people with diabetes
Health care professional experiences and opinions on depression and suicide in people with diabetes
Objective:
People with diabetes have an increased risk of depression, intentional self-injury and self-harm (ISI), and suicide compared with the general population. This study aimed to explore experiences and awareness of health care professionals (HCPs) regarding depression, ISI, and suicide, and understand resource use and needs among HCPs who care for persons with diabetes (PWD).
Methods:
Health care professionals who see children and/or adults with type 1 diabetes or type 2 diabetes anonymously completed an online survey about their experiences, opinions, barriers, and needs surrounding identification and care of PWD with depression, ISI, and suicide.
Results:
One hundred twenty-nine HCPs participated. The majority were medical doctors (MDs) or advanced practice providers (APPs). Only a quarter of MDs and APPs felt very comfortable asking about ISI or suicidal ideation (SI), whereas 20% felt they had received appropriate training to support those with ISI or SI. The primary needs reported include more training on how to ask, respond, and support those expressing ISI and SI. Health care professionals reported wanting better access to resources for PWD.
Discussion:
The HCPs tend to underestimate SI in the diabetes population and rates of training were low. Areas to address include providing education and training to HCPs to improve identification and management of ISI and suicide risk. These data can inform the development of mechanisms to improve discussions of depression and suicide and of resources to help HCPs support PWD.
depression, suicidal ideation, suicide, type 1 diabetes, type 2 diabetes
Majidi, Shideh
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Cohen, Lauren
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Holt, Richard
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Clements, Mark
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O’Neill, Simon
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Renard, Eric
552b749b-0cfd-4d08-876d-56cb13142bdc
Tynan, Doug
f8b2c948-de26-4ff4-a436-ec32c51ba211
Naranjo, Diana
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Messer, Laurel H.
aa071a3c-ecc9-43ce-a440-f9aff1c89524
Klonoff, David
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Barnard-Kelly, Katharine
ba61487d-e9a9-4e06-a7f7-393011254117
10 May 2023
Majidi, Shideh
46cfca21-f13f-4492-8660-6bd9d258bac6
Cohen, Lauren
29c9d83b-c946-4e12-a449-13fc16b13c82
Holt, Richard
d54202e1-fcf6-4a17-a320-9f32d7024393
Clements, Mark
ee33f04b-2195-4147-b47e-adf4300dbc6f
O’Neill, Simon
ce47246d-d8ce-4138-86d8-ae668693ca21
Renard, Eric
552b749b-0cfd-4d08-876d-56cb13142bdc
Tynan, Doug
f8b2c948-de26-4ff4-a436-ec32c51ba211
Naranjo, Diana
141eb9c3-d2f4-4a38-8b32-02cfaa022d62
Messer, Laurel H.
aa071a3c-ecc9-43ce-a440-f9aff1c89524
Klonoff, David
7c0b707b-c500-4dd7-b0d0-0e525a82181e
Barnard-Kelly, Katharine
ba61487d-e9a9-4e06-a7f7-393011254117
Majidi, Shideh, Cohen, Lauren, Holt, Richard, Clements, Mark, O’Neill, Simon, Renard, Eric, Tynan, Doug, Naranjo, Diana, Messer, Laurel H., Klonoff, David and Barnard-Kelly, Katharine
(2023)
Health care professional experiences and opinions on depression and suicide in people with diabetes.
Journal of Diabetes Science and Technology.
(doi:10.1177/19322968231171616).
Abstract
Objective:
People with diabetes have an increased risk of depression, intentional self-injury and self-harm (ISI), and suicide compared with the general population. This study aimed to explore experiences and awareness of health care professionals (HCPs) regarding depression, ISI, and suicide, and understand resource use and needs among HCPs who care for persons with diabetes (PWD).
Methods:
Health care professionals who see children and/or adults with type 1 diabetes or type 2 diabetes anonymously completed an online survey about their experiences, opinions, barriers, and needs surrounding identification and care of PWD with depression, ISI, and suicide.
Results:
One hundred twenty-nine HCPs participated. The majority were medical doctors (MDs) or advanced practice providers (APPs). Only a quarter of MDs and APPs felt very comfortable asking about ISI or suicidal ideation (SI), whereas 20% felt they had received appropriate training to support those with ISI or SI. The primary needs reported include more training on how to ask, respond, and support those expressing ISI and SI. Health care professionals reported wanting better access to resources for PWD.
Discussion:
The HCPs tend to underestimate SI in the diabetes population and rates of training were low. Areas to address include providing education and training to HCPs to improve identification and management of ISI and suicide risk. These data can inform the development of mechanisms to improve discussions of depression and suicide and of resources to help HCPs support PWD.
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Accepted/In Press date: 5 April 2023
e-pub ahead of print date: 10 May 2023
Published date: 10 May 2023
Additional Information:
Funding Information:
The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: L. H. Messer has received speaking/consulting honoraria from Tandem Diabetes and Dexcom, Inc and also consults for Capillary Biomedical and Beta Bionics. Her institution receives research/project grants from Medtronic, Tandem Diabetes, Beta Bionics, Dexcom, Abbott, and Insulet Corp. R. I. G. Holt received fees for lecturing, consultancy work, and attendance at conferences from the following: Boehringer Ingelheim, Eli Lilly, Janssen, Lundbeck, Novo Nordisk, Novartis, Otsuka, Sanofi, Sunovion, Takeda, and MSD. E. Renard has received speaking/consulting honoraria from A. Menarini Diagnostics, Abbott, Adelia Medical, Air Liquide SI, Astra-Zeneca, Asten, Bastide Médical, Becton-Dickinson, Boehringer-Ingelheim, Cellnovo, Dexcom Inc, Eli-Lilly, Hillo, Insulet Inc, Johnson & Johnson (Animas, LifeScan), Medtronic, Medirio, Nestlé Home Care, Novo-Nordisk, Orkyn, Roche, Sanofi-Aventis, and VitalAire, and received research support from Abbott, Dexcom Inc, Insulet Inc, Roche, and Tandem.
Publisher Copyright:
© 2023 Diabetes Technology Society.
Keywords:
depression, suicidal ideation, suicide, type 1 diabetes, type 2 diabetes
Identifiers
Local EPrints ID: 476730
URI: http://eprints.soton.ac.uk/id/eprint/476730
ISSN: 1932-2968
PURE UUID: b2673241-cd07-4f0e-aac3-bbc44d279b1f
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Date deposited: 12 May 2023 16:53
Last modified: 17 Mar 2024 02:52
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Contributors
Author:
Shideh Majidi
Author:
Lauren Cohen
Author:
Mark Clements
Author:
Simon O’Neill
Author:
Eric Renard
Author:
Doug Tynan
Author:
Diana Naranjo
Author:
Laurel H. Messer
Author:
David Klonoff
Author:
Katharine Barnard-Kelly
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