Health Care Professional Experiences and Opinions on Depression and Suicide in People With Diabetes-Reference-Cited by-同舟云学术

Health Care Professional Experiences and Opinions on Depression and Suicide in People With Diabetes

Published:2023-05-10 Issue: Volume: Page:193229682311716
ISSN:1932-2968
Container-title:Journal of Diabetes Science and Technology
language:en
Short-container-title:J Diabetes Sci Technol

Author:

Majidi Shideh¹²^ORCID,Cohen Lauren³,Holt Richard I. G.⁴,Clements Mark⁵^ORCID,O’Neill Simon⁶,Renard Eric⁷^ORCID,Tynan Doug⁸,Naranjo Diana⁹^ORCID,Messer Laurel H.²^ORCID,Klonoff David C.¹⁰^ORCID,Barnard-Kelly Katharine¹¹^ORCID

Affiliation:

1. Division of Endocrinology, Children’s National Hospital, Washington, DC, USA

2. Barbara Davis Center for Diabetes, Department of Pediatrics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA

3. Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA

4. Southampton National Institute for Health Research Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK

5. Pediatrics, Endocrinology, Children’s Mercy Hospitals and Clinics, Kansas City, MO, USA

6. Health Intelligence and Professional Liaison, Diabetes UK, London, UK

7. Department of Endocrinology and Diabetes, Montpellier University Hospital, and Institute of Functional Genomics, CNRS, INSERM, University of Montpellier, Montpellier, France

8. Jefferson Medical College, Philadelphia, PA, USA

9. Division of Endocrinology and Diabetes, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA

10. Diabetes Research Institute, Mills-Peninsula Medical Center, San Mateo, CA, USA

11. Barnard Health Research Limited, Fareham, UK

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.

Publisher

SAGE Publications

Subject

Biomedical Engineering,Bioengineering,Endocrinology, Diabetes and Metabolism,Internal Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/19322968231171616

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