Suicide Risks and Type 1 Diabetes

Editor’s Note: If you are having suicidal thoughts and need immediate help, text the National Alliance on Mental Illness (NAMI) helpline by texting “NAMI” to 741741. If you need ongoing mental health support from providers who understand diabetes, the American Diabetes Association has created a list of accredited mental health providers who can help.

Living with type 1 diabetes means nonstop monitoring, dosing and problem-solving.

The mental toll—frustration, exhaustion and burnout—can escalate if ignored.

Prioritizing mental health is essential.

Are you (or is someone you know) at risk?

• People with type 1 diabetes are nearly twice as likely to develop major depressive disorder, with suicidal ideation as a possible symptom. Prioritizing mental health support is vital.
• If you’re experiencing symptoms of depression or thoughts of self-harm, contact your health care team immediately.
• If you don’t have a trusted provider, mental health professionals with diabetes expertise can help.

Symptoms of depression include:

• Depressed mood
• Loss of energy
• Loss of interest or pleasure in activities
• Difficulty sleeping or sleeping too much
• Difficulty focusing and making decisions
• Loss of appetite or overeating
• Feelings of hopelessness

What are the warning signs of suicide?

Warning signs of suicide, according to the U.S. Department of Health and Human Services, may include:

• Talking about wanting to die or kill oneself
• Looking for a way to kill oneself
• Expressing feelings of hopelessness or having no reason to live
• Talking about feeling trapped or in unbearable pain
• Saying they are a burden to others
• Increasing use of alcohol or drugs
• Acting anxious, agitated or reckless
• Sleeping too little or too much
• Withdrawing or feeling isolated
• Showing rage or talking about seeking revenge
• Experiencing extreme mood swings

If you or someone you know shows any of these warning signs, do not ignore them. Seek help immediately.

How to find help

• If you think you or someone you know might be contemplating suicide, help is available.
• Talk to your healthcare team or contact the following help lines in your area.

United States

• Reach out to the Suicide Prevention Lifeline or call 1 (800) 273-8255.
•  In a crisis, you can also text the National Alliance on Mental Illness (NAMI) helpline by texting “NAMI” to 741741.
• For longer term support, consult the American Diabetes Association’s Mental Health Provider directory.

Canada