There's a third concern: while teens without diabetes don't have the risk of hypoglycemia from insulin that diabetic teenagers do, and obviously have no risk of adverse events relating to pump malfunctioning, they do share other risks: suicidality again being a worrisome one. If we had some idea of what happened in a matched control group (say, for example, urban teens with and without diabetes, in 2005, with matching for factors such as single parents, socioeconomic status, smoking status, and other factors), the authors could have concluded that teens with pumps are more, or less, or equally likely to be suicidal than a matched peer group. But again we simply aren't given any comparison data, and hence we have nearly-useless raw data.

I wonder why did the authors write a report containing data that can't be placed in perspective? Were they trying for some nefarious reason to discourage diabetic teenagers from using pumps, or simply to scare their parents witless? Or, maybe they had time on their hands, and their boss wanted them to publish another paper?

In any case, shame on the editors of Pediatrics for publishing this very raw and very unhelpful report. IMHO, it's not worth a pile of beans.