Suicide Risk Screening in a Diverse Cohort of Youth With Type 1 and Type 2 Diabetes
Authors' conclusion
Prevalence of suicide risk is higher in youth with T2D compared to T1D. PHQ-9 is less sensitive in identifying suicide risk in adolescents and young adults (AYA) compared to the ASQ.
Study context
- Population
- Youth aged 11–24 years with T1D or T2D at routine visits, pediatric diabetes center, January–December 2023; mean age 15.1 ± 2.6 years, 46.9% female, mean HbA1c 8.6% ± 2.3%
- Participants
- 309 participants
- Comparison
- PHQ-9 Item 9 vs ASQ for suicide risk screening
- T1Dn = 237
- T2Dn = 72
- Outcome
- Prevalence of suicide risk, and utility of PHQ-9 Item 9 vs ASQ
Methodological detailssingle-centre
- Single-centre
Performance
As reported in the abstract
Prevalence of suicide risk
| Outcome | T1D | T2D |
|---|---|---|
| By PHQ-9 Item 9 | 5.9% | 12.5% |
| By ASQ | 8.4% | 19.4% |
Further findings
| Outcome | PHQ-9 Item 9 |
|---|---|
| Diagnostic accuracy of PHQ-9 Item 9 vs ASQ as reference standard | |
| Sensitivity | 55.9% (95% CI: 37.9, 72.8%) |
| Specificity | 98.5% (95% CI: 96.3, 99.6%) |
| PPV | 82.6% (95% CI: 61.2, 95%) |
| NPV | 94.8% (95% CI: 91.5, 97%) |
Mental health follow-up completed after positive screen · 1 month
- Completed mental health follow-up after positive suicide risk screen
- 52.9%
Feasibility survey
- Providers could identify high risk patients without workflow impact
Original publication
Suicide Risk Screening in a Diverse Cohort of Youth With Type 1 and Type 2 Diabetes. Pediatr Diabetes. Published 2 June 2025. doi:10.
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