Rural realities: Exploring suicidal ideation and coping mechanisms among people with type 1 and type 2 diabetes in underserved areas

This qualitative study explored the psychosocial experiences of individuals with type 1 and type 2 diabetes in underserved settings, focusing on suicidal ideation and coping mechanisms. Semi-structured interviews were conducted with 30 participants and analyzed using thematic analysis. Findings revealed substantial emotional distress, with some participants reporting suicidal ideation. Five core themes emerged: emotional burden, social support and resilience, spirituality, stigma and guilt, and financial strain with limited healthcare access. Participants with both type 1 and type 2 diabetes experienced psychosocial challenges; however, individuals with type 2 diabetes more frequently described hopelessness, stigma, and suicidal ideation related to disease progression and financial burden, whereas participants with type 1 diabetes emphasized lifelong disease management and misunderstanding of their condition. Social support and spirituality served as important coping resources. These findings highlight the need for culturally sensitive and integrated diabetes care that addresses both physical and mental health needs in underserved communities.