Subhajit Chakravorty1, H Y Katy Siu2, Linden Lalley-Chareczko3, Gregory K Brown1, James C Findley1, Michael L Perlis2, Michael A Grandner4. 1. Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia. 2. Perelman School of Medicine, University of Pennsylvania, Philadelphia. 3. Philadelphia FIGHT Community Health Centers, Philadelphia, Pennsylvania. 4. Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania; Perelman School of Medicine, University of Pennsylvania, Philadelphia; University of Arizona College of Medicine, Tuscon.
Abstract
OBJECTIVE: Suicidal behavior (suicidal ideation, suicide attempts, and suicide completion) has been increasingly linked with difficulty initiating sleep, maintaining sleep, and early morning awakenings. However, the relationship between suicidal behavior and sleep duration abnormalities is unclear, especially at the population level. The present study used a nationally representative sample to examine the association of suicidal ideation with extreme sleep durations and insomnia symptoms. METHOD: Cross-sectional data from adult respondents (≥ 18 years of age, N = 6,228) were extracted from the 2007-2008 wave of the National Health and Nutritional Examination Survey. Ordinal logistic regression analyses were used to evaluate the relationship of suicidal ideation with sleep duration, global insomnia, and individual insomnia symptoms in models adjusted for sociodemographic, socioeconomic, and health-related covariates. RESULTS: Suicidal ideation was associated with abnormalities of sleep duration. This relationship ceased to exist once the model was adjusted for depressive symptoms. As expected, an increased level of suicidal ideation was consistently associated with insomnia. Of the insomnia symptoms, difficulty maintaining sleep was found to be the most predictive of suicidal ideation, followed by difficulty initiating sleep (P< .05). CONCLUSIONS: Abnormalities of sleep duration and continuity should prompt a clinical assessment for suicide risk.
OBJECTIVE: Suicidal behavior (suicidal ideation, suicide attempts, and suicide completion) has been increasingly linked with difficulty initiating sleep, maintaining sleep, and early morning awakenings. However, the relationship between suicidal behavior and sleep duration abnormalities is unclear, especially at the population level. The present study used a nationally representative sample to examine the association of suicidal ideation with extreme sleep durations and insomnia symptoms. METHOD: Cross-sectional data from adult respondents (≥ 18 years of age, N = 6,228) were extracted from the 2007-2008 wave of the National Health and Nutritional Examination Survey. Ordinal logistic regression analyses were used to evaluate the relationship of suicidal ideation with sleep duration, global insomnia, and individual insomnia symptoms in models adjusted for sociodemographic, socioeconomic, and health-related covariates. RESULTS: Suicidal ideation was associated with abnormalities of sleep duration. This relationship ceased to exist once the model was adjusted for depressive symptoms. As expected, an increased level of suicidal ideation was consistently associated with insomnia. Of the insomnia symptoms, difficulty maintaining sleep was found to be the most predictive of suicidal ideation, followed by difficulty initiating sleep (P< .05). CONCLUSIONS:Abnormalities of sleep duration and continuity should prompt a clinical assessment for suicide risk.
Authors: Josine G van Mill; Witte J G Hoogendijk; Nicole Vogelzangs; Richard van Dyck; Brenda W J H Penninx Journal: J Clin Psychiatry Date: 2010-03 Impact factor: 4.384
Authors: Carolyn L Turvey; Yeates Conwell; Michael P Jones; Caroline Phillips; Eleanor Simonsick; Jane L Pearson; Robert Wallace Journal: Am J Geriatr Psychiatry Date: 2002 Jul-Aug Impact factor: 4.105
Authors: S R Patel; T Blackwell; S Redline; S Ancoli-Israel; J A Cauley; T A Hillier; C E Lewis; E S Orwoll; M L Stefanick; B C Taylor; K Yaffe; K L Stone Journal: Int J Obes (Lond) Date: 2008-10-21 Impact factor: 5.095
Authors: Luenda E Charles; Anna Mnatsakanova; Desta Fekedulegn; John M Violanti; Ja Kook Gu; Michael E Andrew Journal: Sleep Med Date: 2021-12-23 Impact factor: 3.492
Authors: Michael A Grandner; Christina Hall; Anjelica Jaszewski; Pamela Alfonso-Miller; Jo-Ann Gehrels; William D S Killgore Journal: Athl Train Sports Health Care Date: 2020-08-28
Authors: Emily A Dolsen; Amy L Byers; Annesa Flentje; Joseph L Goulet; Guneet K Jasuja; Kristine E Lynch; Shira Maguen; Thomas C Neylan Journal: Neurobiol Stress Date: 2022-09-15
Authors: Megan Guardiano; Paul Boy; Grigoriy Shapirshteyn; Lisa Dobrozdravic; Liwei Chen; Haiou Yang; Wendie Robbins; Jian Li Journal: Int J Environ Res Public Health Date: 2022-09-02 Impact factor: 4.614