The manuscripts were categorized according to broad themes like epidemiology, elaboration of risk factors for suicide, and management issues. The full-texts of the identified studies were obtained and assessed for their content. Only English language peer reviewed articles were included as a part of this review. Further studies were identified using cross-references from the identified text and by going through the related citations. Articles were evaluated and were classified according to the broad subject related to suicidality in DM. The initial search yielded 165 abstracts. The searches were carried out in December 2013. Additional searches were carried out using related keywords of ‘suicidal behaviors’ and ‘self harm’ along with DM. Searches were carried out using Medical Subject Headings (MeSH) terms ‘Diabetes mellitus’ and ‘suicide’. Pubmed (including Pubmed Central) and Google Scholar were used to identify published studies. Searches for relevant literatures were carried out using electronic databases.

We aimed at reviewing the literature on rates of occurrence of suicidal ideas and attempts in patients with diabetes, the risk factors for suicidality, the common and unique methods for suicidal attempts in such patients, and management of such patients.

This narrative review was conducted to understand the existing literatures on relationship between diabetes and suicide. However, fewer studies have focused upon understanding suicidality among individuals with DM. Many studies have focused on the relationship that DM shares with psychiatric disorders, especially depressive disorder. Suicidal ideas as well as suicide attempts are potentially life threatening psychiatric emergencies that occur more frequently in patients with DM than in the general population. It has been suggested that diabetes (both T1DM and T2DM) is associated with increased occurrence of certain psychiatric disorders. DM affects multiple organ systems and is associated with poor quality of life and even reduced life expectancy. The two commonest forms of the disorder, diabetes Type I (T1DM) and Type II (T2DM) have different pathophysiological mechanisms. Though it is prevalent globally, it poses a particular health challenge in resource constrained low and middle income countries.

Regular screening and prompt treatment of depression and suicidality is suggested for patients with DM.ĭiabetes mellitus (DM) is a medical disorder which affects an increasing large proportion of the population across different age groups. A common method of suicide attempt in patients with diabetes includes uses of high doses of insulin and its congeners or medications to treat the disease.

Psychological morbidity, including depression, precedes suicidal ideas and attempts though many other factors can be hypothesized to impact and modulate this association. Suicide accounts for a large proportion of deaths in patients with diabetes mellitus type I (T1DM), and their mortality rate is higher than that of age matched control population. Although, a few studies report evidence to the contrary. The available literature suggests that suicidal ideas and attempts are more frequent in patients with diabetes mellitus than healthy or medically ill controls. Additional references were identified using cross-references. As a part of the review, Pubmed and Google Scholar databases were searched for English language peer reviewed published studies with keywords relating to diabetes and suicide. The present narrative review aimed to assess the literature relating to diabetes mellitus and suicide. However, association of diabetes mellitus with suicidal tendencies has been evaluated less extensively. Relationship of diabetes mellitus (DM) with metal health disorders such as depression has been explored extensively in the published literatures.

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