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This descriptive and analytical study aims to determine the prevalence of suicidal behavior and analyze associated factors in Mexican adults with DM using data from the National Health and Nutrition Survey 2023 (ENSANUT). A multivariate logistic regression model was developed to identify variables associated with the presence of suicidal behavior. Of the 4,760,777 adults with hyperglycemia, 11.15% reported suicidal behavior. Having a prescription for medication or insulin and feeling sad from 3 to 7\u2009days a week showed associations with suicidal behavior. Results highlight the importance of early detection of risk factors associated with suicidal behavior in individuals with diabetes.<\/jats:p>","DOI":"10.1177\/13591053261468438","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:45:41Z","timestamp":1785505541000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An observational study of the prevalence of suicidal behavior and associated factors in mexican adults with diabetes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2066-7722","authenticated-orcid":false,"given":"Juli\u00e1n Emilio","family":"Grostieta-Dominguez","sequence":"first","affiliation":[{"name":"National Autonomous University of Mexico (UNAM), Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1651-0379","authenticated-orcid":false,"given":"Carolina","family":"Palacios Burguete","sequence":"additional","affiliation":[{"name":"IMSS Bienestar, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1633-8164","authenticated-orcid":false,"given":"Liliana","family":"P\u00e9rez-Peralta","sequence":"additional","affiliation":[{"name":"National Institute of Medical Sciences and Nutrition Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7660-9336","authenticated-orcid":false,"given":"H\u00e9ctor","family":"Vel\u00e1zquez-Jurado","sequence":"additional","affiliation":[{"name":"National Institute of Medical Sciences and Nutrition Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0653-4938","authenticated-orcid":false,"given":"Ana Cristina","family":"Garcia Ulloa","sequence":"additional","affiliation":[{"name":"National Institute of Medical Sciences and Nutrition Salvador Zubir\u00e1n, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"AbdElmageed RM Mohammed Hussein SM (2022) Risk of depression and suicide in diabetic patients. 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