@article{ref1,
title="Depression and suicidal ideation among individuals with type-2 diabetes mellitus, a cross-sectional study from an urban slum area of Karachi, Pakistan",
journal="Frontiers in public health",
year="2023",
author="Sharif, Hina and Jan, Shah Sumaya and Sharif, Sana and Seemi, Tooba and Naeem, Hira and Jawed, Zahida",
volume="11",
number="",
pages="e1135964-e1135964",
abstract="BACKGROUND: Suicidal thoughts and depression are associated with patients with diabetes, especially patients with low socioeconomic backgrounds and prolonged illness. <br><br>OBJECTIVE: We aimed to estimate suicidal thoughts and depression among patients with type 2 diabetes (T2D) in the slums of Karachi. <br><br>METHODS: This cross-sectional study was conducted across 38 locations in the slums of Karachi to understand depression, suicidal thoughts, and other supporting factors of depression associated with T2D. The three-item Oslo Social Support Scale, the Patient Health Questionnaire-9 (PHQ-9) scale, and the Ask Suicide Screening Questions were used to screen the patients. <br><br>RESULTS: A total of 504 study participants were interviewed, with a response rate of 98%. The prevalence of depression among patients with diabetes was 30.83%, and suicidal ideation was 20.39%. In the final multivariate analysis, being socioeconomically poor, physically disabled, and having poor social support were independent predictors of depression. <br><br>CONCLUSION: Diabetes, low socioeconomic level, a lack of social support, and physical disability were all linked to depression. Therefore, trained health providers should conduct an early depression-focused routine screening for patients with diabetes.<p /> <p>Language: en</p>",
language="en",
issn="2296-2565",
doi="10.3389/fpubh.2023.1135964",
url="http://dx.doi.org/10.3389/fpubh.2023.1135964"
}