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Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents.

Publication ,  Journal Article
Goldston, DB; Kelley, AE; Reboussin, DM; Daniel, SS; Smith, JA; Schwartz, RP; Lorentz, W; Hill, C
Published in: J Am Acad Child Adolesc Psychiatry
November 1997

OBJECTIVE: To examine (1) the 1-year and lifetime prevalence of suicidal thoughts and behavior among adolescents with insulin-dependent diabetes mellitus (IDDM), (2) the relationship between suicidal thoughts and serious noncompliance with the medical regimen, and (3) factors including psychiatric disorder, self-efficacy expectations, and hopelessness that might mediate the relationship between suicidal thoughts and noncompliance. METHOD: Semistructured and structured interview instruments and self-report questionnaires were used to determine history of suicidal thoughts and behavior, serious noncompliance with the medical regimen, current psychiatric disorder, hopelessness, and self-efficacy expectations among 91 adolescents attending outpatient clinic appointments. RESULTS: The rate of suicidal ideation among the diabetic adolescents was higher than expected, but the rate of suicide attempts was comparable with that reported for the general population. Suicidal thoughts were strongly associated with serious noncompliance with the medical regimen. Duration of IDDM and psychiatric diagnosis were related to both suicidal ideation within the previous year and lifetime suicidal ideation. Diagnosable psychiatric disorder and not living in a two-parent home were related to noncompliance with medical treatment. CONCLUSIONS: Suicidal thoughts and serious noncompliance with the medical regimen are strongly associated among diabetic teenagers, and psychiatric disorder is a common correlate of both.

Duke Scholars

Published In

J Am Acad Child Adolesc Psychiatry

DOI

ISSN

0890-8567

Publication Date

November 1997

Volume

36

Issue

11

Start / End Page

1528 / 1536

Location

United States

Related Subject Headings

  • Treatment Refusal
  • Suicide, Attempted
  • Self Concept
  • Risk Factors
  • Prevalence
  • Mental Disorders
  • Male
  • Humans
  • Female
  • Family Characteristics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Goldston, D. B., Kelley, A. E., Reboussin, D. M., Daniel, S. S., Smith, J. A., Schwartz, R. P., … Hill, C. (1997). Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents. J Am Acad Child Adolesc Psychiatry, 36(11), 1528–1536. https://doi.org/10.1016/S0890-8567(09)66561-8
Goldston, D. B., A. E. Kelley, D. M. Reboussin, S. S. Daniel, J. A. Smith, R. P. Schwartz, W. Lorentz, and C. Hill. “Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents.J Am Acad Child Adolesc Psychiatry 36, no. 11 (November 1997): 1528–36. https://doi.org/10.1016/S0890-8567(09)66561-8.
Goldston DB, Kelley AE, Reboussin DM, Daniel SS, Smith JA, Schwartz RP, et al. Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents. J Am Acad Child Adolesc Psychiatry. 1997 Nov;36(11):1528–36.
Goldston, D. B., et al. “Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents.J Am Acad Child Adolesc Psychiatry, vol. 36, no. 11, Nov. 1997, pp. 1528–36. Pubmed, doi:10.1016/S0890-8567(09)66561-8.
Goldston DB, Kelley AE, Reboussin DM, Daniel SS, Smith JA, Schwartz RP, Lorentz W, Hill C. Suicidal ideation and behavior and noncompliance with the medical regimen among diabetic adolescents. J Am Acad Child Adolesc Psychiatry. 1997 Nov;36(11):1528–1536.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

ISSN

0890-8567

Publication Date

November 1997

Volume

36

Issue

11

Start / End Page

1528 / 1536

Location

United States

Related Subject Headings

  • Treatment Refusal
  • Suicide, Attempted
  • Self Concept
  • Risk Factors
  • Prevalence
  • Mental Disorders
  • Male
  • Humans
  • Female
  • Family Characteristics