Suicidal ideation in patients with diabetes and childhood abuse – The mediating role of personality functioning: Results of a German representative population-based study
Authors' conclusion
Diabetes patients experience increased SID prevalences, especially those with emotional or sexual abuse. In individuals with a history of emotional abuse, impaired personality functioning partly explained SID and should therefore be considered and addressed in this patient group.
Study context
- Population
- German representative population sample; patients with diabetes
- Participants
- 2,515 participants
- Outcome
- SID prevalence in patients with diabetes
Methodological detailsrepresentative population-based, self-report
- Representative population-based
- Self-report
Main finding
As reported in the abstract
SID prevalence in diabetes
- Suicidal ideation (SID) prevalence in patients with diabetes
- 21.8 %
- SID prevalence vs general population
- three fold higher
Observational data: associations, not effects.
Further findings
SID by number of abuse experiences (dose-response)
| OR (95 % CI) | P value | ||
|---|---|---|---|
| One abuse experience | 1.138 (0.433–2.990) | P = 0.793 | |
| >2 abuse experiences | 2.693 (1.278–5.675) | P = 0.009 | |
| 0.20.5125Odds ratio (log scale) |
| Outcome | χ2(1) | P value |
|---|---|---|
| SID with vs without sexual abuse in diabetesAbuse increased the likelihood to report SID | 12.233 | P < 0.001 |
| SID with vs without emotional abuse in diabetesAbuse increased the likelihood to report SID | 10.892 | P < 0.001 |
Indirect effect of impaired personality functioning on emotional abuse–SID association
- Indirect effect, b
- 0.25 (95% CI 0.037, 0.551)
- Mediation analysis
Original publication
Suicidal ideation in patients with diabetes and childhood abuse – The mediating role of personality functioning: Results of a German representative population-based study. Diabetes Res Clin Pract. Published 21 March 2024. doi:10.
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