The Effect of Brief Mindfulness Meditation on Suicidal Ideation, Stress and Sleep Quality

Abstract Introduction COVID-19 epidemic led to great psychological and social stress, related to anxiety, depression, sleep disorders, suicidal risk and behavior, and changes in daily routine. The aim of this study was to assess the psychological impact of COVID-19 lockdown in Italian students. We focused on perceived sleep quality, anxiety and depression symptoms, and mostly on risk of suicide. Methods A total of 307 students (mean age 22.84±2.68) completed Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II (BDI-II). In our study, we focused on item 9 of BDI-II, that is related to suicide. We divided our sample on presence or absence of suicidal ideation based on this item. Results We found that 30.1% showed depressive, while 38.2% anxious symptoms. Concerning item 9 of BDI-II (suicidal thoughts or wishes), 84.7% answered that they do not have any thoughts of killing themselves, while 15.3% answered that they have some suicidal ideation. Concerning sleep variables, we found that 58% of our sample showed a PSQI total score higher than 5 (poor quality of sleep), and a global worsening in sleep quality and increase of insomnia both in student with and without suicidal ideation. Conclusion Our results on risk of suicide are in line with literature. Recent reviews focused on suicidal ideation in medical students found that depressive symptoms and suicidal ideation are common among medical students, finding a prevalence of suicidal ideation of 11%. Several studies suggest that sleep disorders are a risk factor for suicidal thoughts and behaviours. Our findings show that sleep cannot considered a predictive factor of risk of suicide during health emergency, because the risk is polyfactorial. Support (if any) None

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Unsound sleep, wound-up mind: a longitudinal examination of acute suicidal affective disturbance features among an eating disorder sample

Psychological Medicine ◽

10.1017/s003329172100310x ◽

2021 ◽

pp. 1-9

Author(s):

Shruti S. Kinkel-Ram ◽

William Grunewald ◽

Lindsay P. Bodell ◽

April R. Smith

Keyword(s):

Eating Disorders ◽

Eating Disorder ◽

Suicidal Ideation ◽

Sleep Quality ◽

Treatment Center ◽

Poor Sleep ◽

Suicidal Thoughts ◽

And Behaviors ◽

Ongoing Assessment ◽

Suicidal Thoughts And Behaviors

Abstract Background Suicide is one of the most commonly reported causes of death in individuals with eating disorders. However, the mechanisms underlying the suicide and disordered eating link are largely unknown, and current assessments are still unable to accurately predict future suicidal thoughts and behaviors. The purpose of this study is to test the utility of two promising proximal risk factors, sleep quality and agitation, in predicting suicidal ideation in a sample of individuals with elevated suicidal thoughts and behaviors, namely those with eating disorders. Methods Women (N = 97) receiving treatment at an eating disorder treatment center completed weekly questionnaires assessing suicidal ideation, agitation, and sleep. General linear mixed models examined whether agitation and/or sleep quality were concurrently or prospectively associated with suicidal ideation across 12 weeks of treatment. Results There was a significant interaction between within-person agitation and sleep quality on suicidal ideation [B(s.e.) = −0.02(0.01), p < 0.05], such that on weeks when an individual experienced both higher than their average agitation and lower than their average sleep quality, they also experienced their highest levels of suicidal ideation. However, neither agitation nor sleep quality prospectively predicted suicidal ideation. Conclusions This study was the first to examine dynamic associations between interpersonal constructs and suicidal ideation in individuals with eating disorders. Results suggest that ongoing assessment for overarousal symptoms, such as agitation and poor sleep quality, in individuals with eating disorders may be warranted in order to manage suicidal ideation among this vulnerable population.

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Factors Influencing Suicidal Ideation Among Adolescents: The Serial Mediating Effect of Depression and Sleep Quality on Attitude Toward Mental Health Services

Journal of Psychosocial Nursing and Mental Health Services ◽

10.3928/02793695-20201013-05 ◽

2020 ◽

Vol 58 (11) ◽

pp. 29-36

Author(s):

Su Jeong Yi ◽

Yoo Mi Jeong

Keyword(s):

Mental Health ◽

Suicidal Ideation ◽

Mental Health Services ◽

Health Services ◽

Sleep Quality ◽

Mediating Effect ◽

Factors Influencing

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Traumatic Brain Injury, Sleep Quality, and Suicidal Ideation in Iraq/Afghanistan Era Veterans

The Journal of Nervous and Mental Disease ◽

10.1097/nmd.0000000000000695 ◽

2017 ◽

Vol 205 (7) ◽

pp. 512-516 ◽

Cited By ~ 1

Author(s):

Bryann B. DeBeer ◽

Nathan A. Kimbrel ◽

Corina Mendoza ◽

Dena Davidson ◽

Eric C. Meyer ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Suicidal Ideation ◽

Sleep Quality

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Poor sleep quality, antepartum depression and suicidal ideation among pregnant women

Journal of Affective Disorders ◽

10.1016/j.jad.2016.11.020 ◽

2017 ◽

Vol 209 ◽

pp. 195-200 ◽

Cited By ~ 26

Author(s):

Bizu Gelaye ◽

Gifty Addae ◽

Beemnet Neway ◽

Gloria T. Larrabure-Torrealva ◽

Chunfang Qiu ◽

...

Keyword(s):

Suicidal Ideation ◽

Sleep Quality ◽

Pregnant Women ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Antepartum Depression

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Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women

General Hospital Psychiatry ◽

10.1016/j.genhosppsych.2015.04.014 ◽

2015 ◽

Vol 37 (5) ◽

pp. 441-447 ◽

Cited By ~ 23

Author(s):

Bizu Gelaye ◽

Yasmin V. Barrios ◽

Qiu-Yue Zhong ◽

Marta B. Rondon ◽

Christina P.C. Borba ◽

...

Keyword(s):

Suicidal Ideation ◽

Sleep Quality ◽

Subjective Sleep Quality ◽

Subjective Sleep

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Poor Sleep and Decision-Making Disturbance Are Associated With Suicidal Ideation in Pre-natal Depression

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.680890 ◽

2021 ◽

Vol 12 ◽

Author(s):

Ciqing Bao ◽

Ling Xu ◽

Weina Tang ◽

Shiyu Sun ◽

Wenmiao Zhang ◽

...

Keyword(s):

Risk Factors ◽

Decision Making ◽

Suicidal Ideation ◽

Sleep Quality ◽

Sleep Disturbance ◽

Poor Sleep ◽

Healthy Controls ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Post Natal Depression

Although many risk factors for suicidal ideation have been identified, few studies have focused on suicidal ideation and pre-natal depression. The purpose was to investigate the relationship between decision-making (DM) dysfunction and sleep disturbance on suicidal ideation in pre-natal depression. Participants included 100 women in the third trimester of pregnancy, including pregnant women with pre-natal depression who had recent suicidal ideation (n = 30), pre-natal depression without SI (n = 35) and healthy controls (n = 35). The Iowa Gambling Task (IGT) was used to evaluate the DM function and the Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep index. The Edinburgh Post-natal Depression Scale (EPDS) was used to assess suicidal ideation and the seriousness of depression. Overall, the two groups with pre-natal depression showed worse sleep quality and decreased DM function compared with healthy controls. The pre-natal depression with suicidal ideation group showed a significantly higher score in subjective sleep quality and a lower score in block 5 of IGT than the pre-natal depression without suicidal ideation group. Further correlation analysis showed that suicidal ideation positively correlated with subjective sleep quality, sleep duration, and daytime function, and negatively correlated with IGT scores. Sleep disturbance and impaired DM function may be risk factors for suicidal ideation in pre-natal depression.

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Online prenatal trial in mindfulness sleep management (OPTIMISM): protocol for a pilot randomized controlled trial

Pilot and Feasibility Studies ◽

10.1186/s40814-020-00675-1 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Ira Kantrowitz-Gordon ◽

Susan M. McCurry ◽

Carol A. Landis ◽

Rachel Lee ◽

Dahee Wi

Keyword(s):

Randomized Controlled Trial ◽

Sleep Quality ◽

Pregnant Women ◽

Outcome Measures ◽

Mindfulness Meditation ◽

Controlled Trial ◽

Self Management ◽

Secondary Outcome ◽

Post Intervention ◽

Randomized Controlled

Abstract Background Sleep deficiency affects a majority of pregnant women with significant impact on daily function, mood, and pregnancy and birth outcomes. This ongoing study combines two evidence-based strategies for improving sleep and mood, mindfulness meditation and cognitive-behavioral therapy for insomnia (CBT-I), in a unique online format to address the particular needs of pregnant women. The purpose of this study is to test the feasibility and estimate the efficacy of this novel 6-week online mindfulness meditation intervention to help pregnant women in remission from depression self-manage insomnia. Methods This is a two-arm, parallel group randomized controlled trial. A total of 50 pregnant women between 12 and 28 weeks gestation will be recruited from the community and randomly assigned to a mindfulness or education-only control group in a 1:1 ratio. During the study, all participants will complete six weekly online modules, daily sleep diaries, and optional participation in a treatment-specific online discussion forum. Feasibility outcome measures will include study recruitment, retention, intervention adherence (number of online modules completed, number of meditation days per week), and intervention acceptability (8-item questionnaire). The primary clinical outcome measure will be sleep quality measured with the Pittsburgh Sleep Quality Index. Secondary outcome measures will include sleep measured with actigraphy and diaries (sleep efficiency, total sleep time, total wake time), Patient-Reported Outcomes Measurement Information System (PROMIS) measures (fatigue, sleep-related impairment, sleep disturbance); mood (depression, anxiety, positive affect, quality of life); and self-management and behavior change (potential self-efficacy, self-regulation, sleep problem acceptance, and trait mindfulness). Assessments will occur at baseline and post-intervention; an additional acceptability survey will be completed 4 weeks postpartum. Analyses will examine within-group differences in outcome change scores from baseline to post-intervention. Open-ended feedback will be analyzed using qualitative content analysis. Discussion This research is innovative in addressing sleep in pregnancy using a self-management research design and methods that can be accessible and cost-effective for large numbers of pregnant women. The results from this study will inform intervention refinement and efficacy testing of the intervention in a larger randomized controlled trial. Trial registration ClinicalTrials.gov, NCT04016428. Registered on 11 July 2019. Updated version registered on 26 July 2019.

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The Impact of Sleep Timing, Sleep Duration, and Sleep Quality on Depressive Symptoms and Suicidal Ideation amongst Japanese Freshmen: The EQUSITE Study

Sleep Disorders ◽

10.1155/2016/8737654 ◽

2016 ◽

Vol 2016 ◽

pp. 1-10 ◽

Cited By ~ 17

Author(s):

Atin Supartini ◽

Takanori Honda ◽

Nadzirah A. Basri ◽

Yuka Haeuchi ◽

Sanmei Chen ◽

...

Keyword(s):

Depressive Symptoms ◽

Suicidal Ideation ◽

Sleep Quality ◽

Sleep Duration ◽

Sleep Onset ◽

Poor Sleep ◽

Sleep Onset Latency ◽

Onset Latency ◽

Poor Sleep Quality ◽

The Impact

Aim. The aim of this study was to identify the impact of bedtime, wake time, sleep duration, sleep-onset latency, and sleep quality on depressive symptoms and suicidal ideation amongst Japanese freshmen.Methods. This cross-sectional data was derived from the baseline survey of the Enhancement of Q-University Students Intelligence (EQUSITE) study conducted from May to June, 2010. A total of 2,631 participants were recruited and completed the following self-reported questionnaires: the Pittsburgh Sleep Quality Index (PSQI), the Center for Epidemiologic Studies Depression Scale (CES-D), and the original Health Support Questionnaires developed by the EQUSITE study research team.Results. Of 1,992 participants eligible for analysis, 25.5% (n=507) reported depressive symptoms (CES-D total score ≥ 16), and 5.8% (n=115) reported suicidal ideation. The present study showed that late bedtime (later than 01:30), sleep-onset latency (≥30 minutes), and poor sleep quality showed a marginally significant association with depressive symptoms. Poor sleep quality was seen to predict suicidal ideation even after adjusting for depressive symptoms.Conclusion. The current study has important implications for the role of bedtime in the prevention of depressive symptoms. Improving sleep quality may prevent the development of depressive symptoms and reduce the likelihood of suicidal ideation.

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