Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

2021 ◽  
Vol 33 (5) ◽  
pp. 1701-1721
Author(s):  
Catherine R. Glenn ◽  
Evan M. Kleiman ◽  
Jaclyn C. Kearns ◽  
Anne E. Boatman ◽  
Yeates Conwell ◽  
...  

AbstractSuicidal thoughts and behaviors (STBs) are major public health concerns among adolescents, and research is needed to identify how risk is conferred over the short term (hours and days). Sleep problems may be associated with elevated risk for STBs, but less is known about this link in youth over short time periods. The current study utilized a multimodal real-time monitoring approach to examine the association between sleep problems (via daily sleep diary and actigraphy) and next-day suicidal thinking in 48 adolescents with a history of STBs during the month following discharge from acute psychiatric care. Results indicated that specific indices of sleep problems assessed via sleep diary (i.e., greater sleep onset latency, nightmares, ruminative thoughts before sleep) predicted next-day suicidal thinking. These effects were significant even when daily sadness and baseline depression were included in the models. Moreover, several associations between daily-level sleep problems and next-day suicidal thinking were moderated by person-level measures of the construct. In contrast, sleep indices assessed objectively (via actigraphy) were either not related to suicidal thinking or were related in the opposite direction from hypothesized. Together, these findings provide some support for sleep problems as a short-term risk factor for suicidal thinking in high-risk adolescents.

2020 ◽  
Author(s):  
Daniel D.L. Coppersmith ◽  
Rebecca Fortgang ◽  
Evan Kleiman ◽  
Alexander Millner ◽  
April Yeager ◽  
...  

Researchers, clinicians, and patients are increasingly using real-time monitoring methods to understand and predict suicidal thoughts and behaviors. These methods involve frequently assessing suicidal thoughts, but it is unknown if asking about suicide repeatedly is iatrogenic. We tested two questions about this approach: (1) does repeatedly assessing suicidal thinking over short periods of time increase suicidal thinking? (2) is more frequent assessment of suicidal thinking associated with more severe suicidal thinking? In a real-time monitoring study (N = 81, number of surveys = 9,819), we found no evidence to support the notion that repeated assessment of suicidal thoughts is iatrogenic.


2017 ◽  
Vol 122 (7) ◽  
pp. 5390-5403 ◽  
Author(s):  
Kui Wang ◽  
Jianfang Chen ◽  
Xiaobo Ni ◽  
Dingyong Zeng ◽  
Dewang Li ◽  
...  

Author(s):  
Sambarta Dasgupta ◽  
Magesh Paramasivam ◽  
Umesh Vaidya ◽  
Venkataramana Ajjarapu

2021 ◽  
pp. 1-3
Author(s):  
Daniel D. L. Coppersmith ◽  
Rebecca G. Fortgang ◽  
Evan M. Kleiman ◽  
Alexander J. Millner ◽  
April L. Yeager ◽  
...  

Summary Researchers, clinicians and patients are increasingly using real-time monitoring methods to understand and predict suicidal thoughts and behaviours. These methods involve frequently assessing suicidal thoughts, but it is not known whether asking about suicide repeatedly is iatrogenic. We tested two questions about this approach: (a) does repeatedly assessing suicidal thinking over short periods of time increase suicidal thinking, and (b) is more frequent assessment of suicidal thinking associated with more severe suicidal thinking? In a real-time monitoring study (n = 101 participants, n = 12 793 surveys), we found no evidence to support the notion that repeated assessment of suicidal thoughts is iatrogenic.


2018 ◽  
Vol 232 ◽  
pp. 122-126 ◽  
Author(s):  
Evan M. Kleiman ◽  
Daniel D.L. Coppersmith ◽  
Alexander J. Millner ◽  
Peter J. Franz ◽  
Kathryn R. Fox ◽  
...  

Sensors ◽  
2020 ◽  
Vol 20 (24) ◽  
pp. 7099
Author(s):  
Kyutae Kim ◽  
Jongpil Jeong

By monitoring a hydraulic system using artificial intelligence, we can detect anomalous data in a manufacturing workshop. In addition, by analyzing the anomalous data, we can diagnose faults and prevent failures. However, artificial intelligence, especially deep learning, needs to learn much data, and it is often difficult to get enough data at the real manufacturing site. In this paper, we apply augmentation to increase the amount of data. In addition, we propose real-time monitoring based on a deep-learning model that uses convergence of a convolutional neural network (CNN), a bidirectional long short-term memory network (BiLSTM), and an attention mechanism. CNN extracts features from input data, and BiLSTM learns feature information. The learned information is then fed to the sigmoid classifier to find out if it is normal or abnormal. Experimental results show that the proposed model works better than other deep-learning models, such as CNN or long short-term memory (LSTM).


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