---
title: "Diabetes and Suicide Risk in Black Males, Including Sexual Minority Males: Clinical Review and Pri"
id: "pubmed-42803858"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42803858"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42803858/"
doi: "10.1007/s11892-026-01647-0"
published_at: "2026-09-28T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Diabetes and Suicide Risk in Black Males, Including Sexual Minority Males: Clinical Review and Pri
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42803858
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42803858/)
- **DOI:** [10.1007/s11892-026-01647-0](https://doi.org/10.1007%2Fs11892-026-01647-0)
- **Published At:** 2026-09-28T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This narrative review examines the intersection of **diabetes** and **suicide** risk with emphasis on **Black males** and **Black sexual minority males (SMM)**, highlighting scarce population-specific evidence and relevant clinical pathways. - The literature identifies depression, diabetes distress, treatment burden, diabetes complications, and medication/insulin access as clinically relevant mechanisms linking diabetes to suicidal thoughts and behaviors. - Structural factors—structural racism, economic inequity, health care discrimination, and limited access to high-quality diabetes and mental health care—may intensify diabetes-related psychosocial burdens for Black males. - The most directly relevant primary study reported more lifetime suicide attempts among African American adults with type 1 diabetes compared with controls, but that study did not report male-specific estimates. - No studies were identified that estimate diabetes-related suicidal thoughts or behaviors specifically among Black SMM; this is a key evidence gap noted by the authors. - Common screening instruments (Patient Health Questionnaire-9, Diabetes Distress Scale, Columbia-Suicide Severity Rating Scale) have broad clinical support but have not been shown in the reviewed literature to have population-specific validity for Black males with diabetes or Black SMM. - The central conclusion is an absence of disaggregated, prospective evidence—not proof that risk is multiplicatively higher in these subgroups. - Primary care recommendations from the review include culturally responsive psychosocial inquiry, targeted suicide assessment when indicated, collaborative safety planning, integrated behavioral health, and caution about assuming equivalent screening tool performance across populations. - The authors call for prospective, disaggregated research and validation studies of measures in Black males with diabetes, including Black SMM, to inform clinical practice and health equity efforts. - Keywords emphasized in the review include Black males, Black sexual minority males, diabetes mellitus, health disparities, primary care, and suicide.
## Clinical Analysis & Structured Key Points
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College Road, 325K, Columbus, OH, USA. boyd.465@osu.edu."), [Jaclynn Hawkins](https://pubmed.ncbi.nlm.nih.gov/?term=Hawkins+J&cauthor_id=42803858)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#full-view-affiliation-2 "Department of Learning Health Sciences, Medical School, University of Michigan, Ann Arbor, MI, USA.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#full-view-affiliation-3 "School of Social Work, University of Michigan, Ann Arbor, MI, USA."), [Jamie Mitchell](https://pubmed.ncbi.nlm.nih.gov/?term=Mitchell+J&cauthor_id=42803858)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#full-view-affiliation-3 "School of Social Work, University of Michigan, Ann Arbor, MI, USA.") Affiliations Expand ### Affiliations * 1 College of Social Work, The Ohio State University, 1947 N. College Road, 325K, Columbus, OH, USA. boyd.465@osu.edu. * 2 Department of Learning Health Sciences, Medical School, University of Michigan, Ann Arbor, MI, USA. * 3 School of Social Work, University of Michigan, Ann Arbor, MI, USA. * PMID: **42803858** * DOI: [ 10.1007/s11892-026-01647-0 ](https://doi.org/10.1007/s11892-026-01647-0) Item in Clipboard Review # Diabetes and Suicide Risk Among Black Males, Including Sexual Minority Males: A Narrative Review With Primary Care Implications Donte T Boyd et al. Curr Diab Rep. 2026. Show details Display options Display options Format Abstract PubMed PMID Curr Diab Rep Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Curr+Diab+Rep%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Curr+Diab+Rep%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) . 2026 Sep 28;26(1):32. doi: 10.1007/s11892-026-01647-0. ### Authors [Donte T Boyd](https://pubmed.ncbi.nlm.nih.gov/?term=Boyd+DT&cauthor_id=42803858)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#short-view-affiliation-1 "College of Social Work, The Ohio State University, 1947 N. College Road, 325K, Columbus, OH, USA. boyd.465@osu.edu."), [Jaclynn Hawkins](https://pubmed.ncbi.nlm.nih.gov/?term=Hawkins+J&cauthor_id=42803858)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#short-view-affiliation-2 "Department of Learning Health Sciences, Medical School, University of Michigan, Ann Arbor, MI, USA.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#short-view-affiliation-3 "School of Social Work, University of Michigan, Ann Arbor, MI, USA."), [Jamie Mitchell](https://pubmed.ncbi.nlm.nih.gov/?term=Mitchell+J&cauthor_id=42803858)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42803858/#short-view-affiliation-3 "School of Social Work, University of Michigan, Ann Arbor, MI, USA.") ### Affiliations * 1 College of Social Work, The Ohio State University, 1947 N. College Road, 325K, Columbus, OH, USA. boyd.465@osu.edu. * 2 Department of Learning Health Sciences, Medical School, University of Michigan, Ann Arbor, MI, USA. * 3 School of Social Work, University of Michigan, Ann Arbor, MI, USA. * PMID: **42803858** * DOI: [ 10.1007/s11892-026-01647-0 ](https://doi.org/10.1007/s11892-026-01647-0) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID Linked Discoveries ## Abstract **Purpose of review:** Diabetes and suicide are intersecting public health concerns, yet evidence at this intersection remains sparse for Black males and especially Black sexual minority males (SMM). This focused narrative review synthesizes direct and adjacent evidence, with emphasis on diabetes-specific disparities, intersectional stress processes, and primary care implications. **Recent findings:** The diabetes-suicide literature is heterogeneous, but consistently identifies depression, diabetes distress, treatment burden, complications, and access to insulin or other medications as clinically relevant pathways. For Black males, structural racism, economic inequity, health care discrimination, and constrained access to high-quality diabetes and mental health care may intensify these burdens. The most directly relevant study identified found more lifetime suicide attempts among African American adults with type 1 diabetes than controls, but did not report male-specific estimates. We identified no study estimating diabetes-related suicidal thoughts or behaviors specifically among Black SMM. Common tools such as the Patient Health Questionnaire-9, Diabetes Distress Scale, and Columbia-Suicide Severity Rating Scale have broad clinical support but have not been specifically validated in Black males with diabetes or Black SMM. Common tools such as the Patient Health Questionnaire-9, Diabetes Distress Scale, and Columbia-Suicide Severity Rating Scale have broad clinical support, but the literature identified in this review did not establish their population-specific validity among Black males with diabetes, including Black SMM. The central finding is an evidence gap, not proof of a multiplicative risk effect. Primary care clinicians should use culturally responsive psychosocial inquiry, direct suicide assessment when indicated, collaborative safety planning, and integrated behavioral health care while avoiding assumptions that screening tools perform equivalently across populations. Prospective, disaggregated research and population-specific measurement studies are urgently needed. **Keywords:** Black males; Black sexual minority males; Diabetes mellitus; Health disparities; Primary care; Suicide. © 2026. The Author(s). [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Conflict of interest statement Declarations. Ethics Approval and Consent to Participate: This article reviews previously published literature and did not involve new human participants or identifiable data. Institutional Review Board approval was not required. Consent for Publication: Not applicable. Disclosures: The authors have no financial disclosures. Competing interests: The authors declare no competing interests. ## References 1. 1. Centers for Disease Control and Prevention. National Diabetes Statistics Report. . Updated January 21, 2026. Accessed August 30, 2026. 2. 1. Haw JS, Shah M, Turbow S, Egeolu M, Umpierrez G. Diabetes complications in racial and ethnic minority populations in the USA. Curr Diab Rep. 2021;21(1):2. . - [DOI](https://doi.org/10.1007/s11892-020-01369-x) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/33420878/) - [PMC](https://pmc.ncbi.nlm.nih.gov/articles/7935471/) 3. 1. Curtin SC. QuickStats: age-adjusted suicide rates for males and females, by race and ethnicity—National Vital Statistics System, United States, 2000–2020. MMWR Morb Mortal Wkly Rep. 2022;71:326. - [DOI](https://doi.org/10.15585/mmwr.mm7108a7) 4. 1. Stone DM, Cammack AL, Carbone EG. Notes from the field: differences in suicide rates, by race and ethnicity and age group—United States, 2018–2023. MMWR Morb Mortal Wkly Rep. 2018;74:550–3. . - [DOI](https://doi.org/10.15585/mmwr.mm7435a2) 5. 1. Kogan SM, Reck AJ, Curtis MG, Oshri A. Childhood adversity and racial discrimination forecast suicidal and death ideation among emerging adult Black men: a longitudinal analysis. Cult Divers Ethnic Minor Psychol. 2025;31(2):347–55. . - [DOI](https://doi.org/10.1037/cdp0000641) Show all 52 references ## Publication types * Review Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Review%22%5Bpt%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Review) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) ## MeSH terms * Black or African American* / psychology Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Black+or+African+American%2Fpsychology%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Black+or+African+American) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Black or African American* / statistics & numerical data Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Black+or+African+American%2Fstatistics+and+numerical+data%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Black+or+African+American) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Diabetes Mellitus, Type 1* / psychology Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Diabetes+Mellitus%2C+Type+1%2Fpsychology%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Diabetes+Mellitus%2C+Type+1) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Healthcare Disparities Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Healthcare+Disparities%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Healthcare+Disparities) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Humans Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Humans%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Humans) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Male Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Male%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Male) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Primary Health Care Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Primary+Health+Care%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Primary+Health+Care) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Risk Factors Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Risk+Factors%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Risk+Factors) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Sexual and Gender Minorities* / psychology Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Sexual+and+Gender+Minorities%2Fpsychology%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Sexual+and+Gender+Minorities) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Sexual and Gender Minorities* / statistics & numerical data Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Sexual+and+Gender+Minorities%2Fstatistics+and+numerical+data%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Sexual+and+Gender+Minorities) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Suicide* / ethnology Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Suicide%2Fethnology%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Suicide) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Suicide* / psychology Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Suicide%2Fpsychology%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Suicide) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) * Suicide* / statistics & numerical data Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Suicide%2Fstatistics+and+numerical+data%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Suicide) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42803858/) ## 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