Follow-Up Mental Health Care in Youth and Young Adults With Type 1 Diabetes After Positive Depression Screen and/or Suicidal Ideation

Author:

Wigglesworth Kelly R.S.1ORCID,Vigers Timothy1,Pyle Laura1,Youngkin Erin M.1,Fay-Itzkowitz Ellen1,Tilden Jennifer1,Raymond Jennifer K.2,Snell-Bergeon Janet1ORCID,Sass Amy3,Majidi Shideh14ORCID

Affiliation:

1. 1Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO

2. 2Center for Endocrinology, Diabetes, and Metabolism, Children’s Hospital Los Angeles, Los Angeles, CA

3. 3Children’s Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO

4. 4Division of Endocrinology, Children’s National Hospital, Department of Pediatrics, George Washington School of Medicine and Health Sciences, Washington, DC

Abstract

Individuals with type 1 diabetes have higher rates of depression and suicidal ideation than the general population, and symptoms of depression are often associated with higher A1C levels and complications. This study evaluated mental health follow-up rates in youth and young adults with type 1 diabetes who screened positive for depressive symptoms or suicidal ideation and identified differences between those who obtained follow-up mental health care and those who did not. Specifically, males were less likely to obtain follow-up, and those who had mental health follow-up had decreasing A1C over the following year. These findings suggest increased assistance and monitoring are needed to ensure follow-up mental health care is obtained.

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

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