HealthDay News — Pediatric patients diagnosed with type 1 diabetes have an increased risk of psychiatric disorders, especially six month after diagnosis, results of a study published in Diabetes Care indicate.

To assess the risk of psychiatric disorders and suicide attempts in children with type 1 diabetes and their healthy siblings, Agnieszka Butwicka, MD, PhD, of the Karolinska Institutet in Stockholm, and colleagues preformed a population-based case-cohort study. Children with diabetes (n=17,122) and their healthy siblings (n=18,847) were identified and followed until they were aged 18 years.

Within six months after the onset of diabetes, the risk of psychiatric morbidity increased three-fold in children with type 1 diabetes compared with the general population; within the total observation period, the risk was doubled. There was an increased risk in suicide attempts (hazard ratio [HR], 1.7) and in most categories of psychiatric disorders.

In probands, there was a decrease in the risk of psychiatric disorders from a HR of 2.7 in the cohort born in 1973 to 1986 to a HR of 1.9 in the cohort born from 1997 to 2009. Among siblings of patients with type 1 diabetes, the risk for any psychiatric disorder had an estimated HR of 1.1 (95% CI: 1.0 to 1.1), with no increased risk see in any specific category of disorders.

“The results support recommendations on comprehensive mental health surveillance in children with type 1 diabetes, especially in recently diagnosed children,” wrote the researchers.


  1. Butwicka A et al. Diabetes Care. 2015; doi: 10.2337/dc14-0262