Diabetes, prediabetes, and suicide deaths in a Japanese working population.

Abstract:

OBJECTIVE:To examine the association of diabetes and prediabetes with suicide deaths in a Japanese working population. METHODS:A nested case-control study was conducted using data from the Japan Epidemiology Collaboration on Occupational Health Study. During 8 years of follow-up, we identified 56 registered cases of suicide death that had information on fasting plasma glucose or glycated hemoglobin A1c at any health check-up during the past 3 years prior to suicide. For each case, we randomly selected five controls matched for age, sex, and worksite. We used the latest health check-up data for analysis. We defined diabetes status based on the American Diabetes Association criteria and used a conditional logistic regression model to investigate the association. RESULTS:Adjusted odds ratios and 95% confidence intervals for suicide death were 0.67 (0.32-1.41) and 3.53 (1.05-11.91) for prediabetes and diabetes, respectively, compared to normoglycemia. Similar results were obtained when diabetes status was exclusively defined by the fasting plasma glucose or glycated hemoglobin A1c level. CONCLUSION:Diabetes, but not prediabetes, was associated with a higher risk of suicide death, compared with normoglycemia, among a Japanese working population.

journal_name

J Psychosom Res

authors

Fukunaga A,Hu H,Inoue Y,Nakagawa T,Honda T,Yamamoto S,Miyamoto T,Okazaki H,Shimizu M,Eguchi M,Kochi T,Yamamoto M,Ogasawara T,Sasaki N,Uehara A,Imai T,Nishihara A,Hori A,Nagahama S,Tomita K,Konishi M,Kabe I,Miz

doi

10.1016/j.jpsychores.2020.110246

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

110246

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(20)30808-4

journal_volume

138

pub_type

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