Diabetes type 1 øker risiko for selvmord: Hva kan psykologen gjøre?

Ane Wilhelmsen-Langeland, Nina Handelsby, Line Wisting, Eirin Winje
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Abstract

People with type 1 diabetes (T1D) have an elevated risk of suicidal ideation and death by suicide compared with the general population. The aim of the present article is to provide updated and evidence-based knowledge about the association between T1D and suicide. A further aim is to discuss how specific psychological aspects of T1D may contribute to a heightened risk of suicide. We emphasize the importance of closeness to death, responsibility, stigmatisation, loneliness, shame, burnout, unpredictability and lack of control. Daily self-management is highly demanding. The illness is associated with a risk of severe somatic complications such as visual impairment, dementia, cardiovascular disease, impaired renal function and premature death. Type 1 diabetes also increases the risk of neuropathy, other types of painful conditions and fatigue. Finally, we suggest approaches that may help psychologists address these issues. Key words: type 1 Diabetes Mellitus, suicide, mental health issues, health psychology
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1 型糖尿病会增加自杀风险:心理学家能做些什么?
与普通人群相比,1 型糖尿病(T1D)患者有自杀倾向和自杀死亡的风险较高。本文旨在提供有关 T1D 与自杀之间关系的最新循证知识。另一个目的是讨论 T1D 的特定心理方面如何导致自杀风险升高。我们强调接近死亡、责任感、耻辱感、孤独感、羞耻感、职业倦怠、不可预测性和缺乏控制的重要性。日常自我管理要求很高。这种疾病与严重躯体并发症的风险相关,如视力损伤、痴呆、心血管疾病、肾功能受损和过早死亡。1 型糖尿病还会增加神经病变、其他类型疼痛和疲劳的风险。最后,我们提出了可以帮助心理学家解决这些问题的方法。关键词:1 型糖尿病、自杀、心理健康问题、健康心理学
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