Suicide Risk Assessment in Children with Type 1 Diabetes Mellitus | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 30 October 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2025.419433.2092 | ||
| Authors | ||
| Dalia Salah Hussein* 1; Basma Ali2; Salwa Mohamed Rabie3; Rasha Nady Saleh4; Hussein Mahmoud Saeed5 | ||
| 1Minia Hospital for Mental Health and Addiction Treatment, Faculty of Medicine, Minia university | ||
| 2Department of Pediatrics, Faculty of Medicine, Minia university | ||
| 3Department of Psychiatry, Minia University, Egypt | ||
| 4neurology department , faculty of medicine , Minia university ,Minia city , Egypt | ||
| 5Neurology department, faculty of medicine, Minia univesrity | ||
| Abstract | ||
| Abstract Background: Suicide is a major public health concern and a leading cause of death among children and adolescents. Youth with Type 1 Diabetes Mellitus (T1DM) are at increased risk due to the chronic burden of disease management and its psychosocial impact. Objective: To assess suicide risk among children with T1DM and explore its relation to sociodemographic and clinical variables. Methods: A hospital-based case-control study was conducted at Minia University Children Hospital, including 200 participants (100 children with T1DM and 100 age- and sex-matched healthy controls). Sociodemographic, clinical, and laboratory data were collected. Suicide risk was assessed using the Ask Suicide-Screening Questions (ASQ) tool. Results: The mean age of participants was 12.2±2.09 years in the diabetic group and 12.1±2.1 years in controls, with no significant difference. Females constituted 65% of the diabetic group. Diabetic children had significantly higher rates of suicidal thoughts, feelings of being a burden, and suicide attempts compared to controls (p<0.05). Positive suicide risk was significantly associated with older age, higher school grade, rural residence, longer diabetes duration, poor glycemic control, diabetes complications, nocturnal enuresis, frequent hospital admissions, and higher glucose levels. ASQ score was positively correlated with age, school grade, duration of diabetes, and hospital admissions. Conclusion: Children with T1DM are at a significantly higher risk of suicidality compared to their healthy peers. Risk is closely related to both psychosocial and clinical factors, particularly poor diabetes control, complications, and increased healthcare burden. | ||
| Keywords | ||
| Keywords: Type 1 Diabetes Mellitus; Suicide Risk; Children; Adolescents; ASQ | ||
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