scholarly journals Sleep Duration Is Closely Associated with Suicidal Ideation and Suicide Attempt in Korean Adults: A Nationwide Cross-Sectional Study

2021 ◽  
Vol 18 (11) ◽  
pp. 5594
Author(s):  
Yujin Ko ◽  
Jieun Moon ◽  
Sangsoo Han
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Sleep Duration ◽  
Suicide Attempts ◽  
Sleep Problems ◽  
Survey Methods ◽  
Self Report ◽  
Short Sleep Duration ◽  
Sampling Weights ◽  
Increased Risk

Introduction: Suicidal ideation and suicide attempts are major risk factors for suicidal death, and sleep problems are associated with an increased risk for mental disorders. We investigated the relationship between sleep duration and suicidal ideation and suicide attempts in a representative sample of the Korean general population from a nationwide survey. Methods: We analyzed data collected from the Korea National Health and Nutrition Examination Survey VI and VII (2013–2018). Suicidal ideation was identified via self-report, and we accessed suicide attempt history. Sleep duration was divided into three categories: short sleep duration (SSD) (≤5 h), normal sleep duration (NSD) (>5 and <9 h), and long sleep duration (LSD) (≥9 h). Sampling weights were applied to obtain estimates for the general Korean population. Results: Overall, 4015 (12.0%), 25,609 (76.5%), and 3857 (11.5%) participants were in the SSD, NSD, and LSD groups, respectively. Among these groups, 7.2%, 2.8%, and 3.3% reported suicidal ideation; while 1.2%, 0.4%, and 0.7% reported a history of suicide attempts. Multiple regression analyses revealed that SSD was significantly more strongly associated with suicidal ideation (adjusted odds ratio (AOR) 1.46, p < 0.001) and attempts (AOR 2.05, p = 0.003) than NSD. No association was found between LSD and suicidal ideation/attempts. Conclusion: Sleep duration is significantly associated with suicidal behavior, and SSD was particularly closely related with an increased risk for suicidal ideation and suicide attempt. Clinicians should carefully consider sleep duration in suicidal patients.

scholarly journals Sleep Duration is Closely Associated with Suicidal Ideation and Suicide Attempt in Korean Adults: A Nationwide Cross-sectional Study

2021 ◽  
Author(s):  
Yujin Ko ◽  
Ji Eun Moon ◽  
Sangsoo Han
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Sleep Duration ◽  
Suicide Attempts ◽  
Sleep Problems ◽  
Self Report ◽  
Short Sleep Duration ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Increased Risk

Abstract Introduction: Suicidal ideation and suicide attempts are major risk factors for suicidal death, and sleep problems are associated with an increased risk for mental disorders. We investigated the relationship between sleep duration and suicidal ideation and suicide attempts in a representative sample of the Korean general population from a nationwide survey.Methods: We analyzed data collected from the Korea National Health and Nutrition Examination Survey VI and VII (2013–2018). Suicidal ideation was identified via self-report and we accessed suicide attempt history. Sleep duration was divided into three categories: short sleep duration (SSD) (≤5 h), normal sleep duration (NSD) (>5 and <9 h), and long sleep duration (LSD) (≥9 h). Sampling weights were applied to obtain estimates for the general Korean population.Results: Overall, 4015 (12.0%), 25,609 (76.5%), and 3857 (11.5%) participants were in the SSD, NSD, and LSD groups, respectively. Among these groups, 7.2%, 2.8%, and 3.3% reported suicidal ideation, 1.2%, 0.4%, and 0.7% reported a history of suicide attempts. Multiple regression analyses revealed that SSD was significantly more strongly associated with suicidal ideation (adjusted odds ratio [AOR] 1.46, p < 0.001) and attempts (AOR 2.05, p = 0.003) than NSD. No association was found between LSD and suicidal ideation/attempts. Conclusion: Sleep duration is significantly associated with suicidal behavior, and SSD was particularly closely related with an increased risk for suicidal ideation and suicide attempt. Clinicians should carefully consider sleep duration in suicidal patients.

Suicidal ideation and suicide attempts: associations with sleep duration, insomnia, and inflammation

2020 ◽  
pp. 1-10 ◽  
Author(s):  
Michael R. Dolsen ◽  
Aric A. Prather ◽  
Femke Lamers ◽  
Brenda W. J. H. Penninx
Keyword(s):  
Suicidal Ideation ◽  
Sleep Disturbance ◽  
Sleep Duration ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Self Report ◽  
Short Sleep Duration ◽  
Long Sleep ◽  
Normal Sleep ◽  
Insomnia Symptoms

Abstract Background Sleep disturbance has been consistently identified as an independent contributor to suicide risk. Inflammation has emerged as a potential mechanism linked to both sleep disturbance and suicide risk. This study tested associations between sleep duration, insomnia, and inflammation on suicidal ideation (SI) and history of a suicide attempt (SA). Methods Participants included 2329 adults with current or remitted depression and/or anxiety enrolled in the Netherlands Study of Depression and Anxiety. Sleep duration, insomnia, past week SI, and SA were assessed with self-report measures. Plasma levels of C-reactive protein, interleukin-6, and tumor necrosis factor-α were obtained. Results Short sleep duration (⩽6 h) compared to normal sleep duration (7–9 h) was associated with reporting a prior SA, adjusting for covariates [adjusted odds ratio (AOR) 1.68, 95% CI 1.13–2.51]. A higher likelihood of SI during the past week was observed for participants with long sleep duration (⩾10 h) compared to normal sleep duration (AOR 2.22, 95% CI 1.02–4.82), more insomnia symptoms (AOR 1.44, 95% CI 1.14–1.83), and higher IL-6 (AOR 1.31, 95% CI 1.02–1.68). Mediation analyses indicated that the association between long sleep duration and SI was partially explained by IL-6 (AOR 1.02, 95% CI 1.00–1.05). Conclusions These findings from a large sample of adults with depression and/or anxiety provide evidence that both short and long sleep duration, insomnia symptoms, and IL-6 are associated with the indicators of suicide risk. Furthermore, the association between long sleep duration and SI may operate through IL-6.

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

Increased risk of attempted suicide in Australian veterans is associated with total and permanent incapacitation, unemployment and posttraumatic stress disorder severity

2017 ◽  
Vol 52 (6) ◽  
pp. 552-560 ◽  
Author(s):  
Katelyn Kerr ◽  
Madeline Romaniuk ◽  
Sarah McLeay ◽  
Andrew Khoo ◽  
Michael T Dent ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Suicide Attempt ◽  
Posttraumatic Stress ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Stress Disorder ◽  
Self Report ◽  
Depression Symptoms ◽  
Increased Risk ◽  
History Of

Background: Military veterans have higher rates of suicidality and completed suicides compared to the general population. Previous research has demonstrated suicidal behaviour is higher in US combat veterans who are younger, suffer from posttraumatic stress disorder, depression and anxiety and score lower on measures of health. However, research on predictors of suicide for Australian veterans is limited. The aim of this study was to identify significant demographic and psychological differences between veterans with posttraumatic stress disorder who had attempted suicide and those with posttraumatic stress disorder who had not, as well as determine predictors of suicide attempts within an Australian cohort. Methods: A retrospective analysis was conducted on 229 ex-service personnel diagnosed with posttraumatic stress disorder who had attended a Military Service Trauma Recovery Day Program as outpatients at Toowong Private Hospital from 2007 to 2014. Patients completed a battery of mental health self-report questionnaires assessing symptoms of posttraumatic stress disorder, alcohol use, anger, depression, anxiety and quality of life. Demographic information and self-reported history of suicide attempts were also recorded. Results: Results indicated the average age was significantly lower, and the rates of posttraumatic stress disorder, anger, anxiety and depression symptoms were significantly higher in those veterans with history of a suicide attempt. Multivariate logistic regression analyses indicated posttraumatic stress disorder symptom severity, unemployment or total and permanent incapacity pension status significantly predicted suicide attempt history. Conclusion: Among a cohort of Australian veterans with posttraumatic stress disorder, psychopathology severity, unemployment and total and permanent incapacity status are significantly associated with suicidality. This study highlights the importance of early identification of posttraumatic stress disorder and psychopathology, therapeutic and social engagement, and prioritisation of tangible employment options or meaningful and goal-directed activities for veterans deemed unable to work.

The association of bullying with suicide ideation and attempt among adolescents with different dimensions of sexual orientation

2016 ◽  
Vol 33 (S1) ◽  
pp. S71-S71 ◽  
Author(s):  
R. Montoro ◽  
K. Igartua ◽  
B.D. Thombs
Keyword(s):  
Sexual Orientation ◽  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Reference Group ◽  
Two Dimensions ◽  
Self Report ◽  
Same Sex ◽  
Sex Attraction ◽  
Increased Risk

IntroductionSexual minority youth are at increased risk for bullying and suicide, but they are heterogeneous in their sexual orientation dimensions (attraction, behavior and identity).ObjectiveTo compare the association of bullying and suicide parameters between (1) heterosexually identified students without same-sex attractions or behaviors (2) heterosexually identified students with same-sex attractions or behaviors and (3) non-heterosexually identified students.MethodsThe Quebec Youth Risk Behavior Survey was a self-report questionnaire given to 1852 students 14–18 years old.ResultsThe heterosexually identified students without same-sex attraction or behavior, and no bullying, was our reference group. When these students had bullying, the likelihood of suicidal ideation was double, but their likelihood of suicide attempts was the same. For non-heterosexually identified students, those with no bullying were twice as likely, and those with bullying were four times as likely to have suicidal ideation. When these students had no bullying, they were not more likely to have suicide attempts, but they were almost three times as likely when they had bullying. Heterosexually identified students with same-sex attraction or behavior were never more likely on any of the suicide measures.ConclusionThis study was the first to show that adolescents with a non-heterosexual identity will have a disproportionately greater likelihood in their suicide parameters when subject to bullying, than heterosexually identified students with or without same-sex attraction or behavior, suggesting that these latter two dimensions were non-contributory to suicide risk. The significance of identity as a predictor of suicidal ideation and behavior will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Allergic Disease, Short Sleep Duration, and Suicidal Ideation and Plans Among Korean Adolescents

2020 ◽  
pp. 105984052092192
Author(s):  
Ji-Su Kim ◽  
Yeji Seo
Keyword(s):  
Suicidal Ideation ◽  
Sleep Duration ◽  
Allergic Disease ◽  
Sleep Problems ◽  
Significant Risk ◽  
Warning Signs ◽  
Poor Sleep ◽  
Short Sleep Duration ◽  
Korean Adolescents ◽  
Short Sleep

The purpose of the study is to identify the relationships between allergic disease, suicidal ideation, and plans among Korean adolescents. Additionally, we examined the mediating role of short sleep duration. We analyzed nationally representative cross-sectional data from the 12th to 14th Korea Youth Risk Behavior Web-Based Survey; the final sample included 164,725 middle school–aged and high school–aged adolescents (mean age = 15.17 years, standard deviation = .13; 51.1% male). Allergic disease was a statistically significant risk factor for suicidal ideation (crude odds ratio [COR] = 1.284, 95% confidence interval [CI] = [1.246, 1.323]) and suicide plans (COR = 1.165, 95% CI = [1.108, 1.224]). Short sleep duration was a statistically significant mediator ( p < .001). We advised school nurses to assess warning signs of poor sleep—including irritability, depression, sleep problems, poor concentration, and poor academic achievement—and that programs be created to improve sleep and mental health in adolescents with allergic disease.

scholarly journals Associations between adolescents’ sleep duration, sleep satisfaction, and suicidal ideation

Salud Mental ◽  
2016 ◽  
Vol 39 (4) ◽  
pp. 213-219 ◽  
Author(s):  
Yoonjung Kim ◽  
◽  
Kyunghee Kim ◽  
Hye-Jin Kwon ◽  
Ji-su Kim
Keyword(s):  
Suicidal Ideation ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Adolescent Suicide ◽  
Cross Sectional Study ◽  
Extensive Literature ◽  
Short Sleep Duration ◽  
Sampling Weights ◽  
Cross Sectional ◽  
Sleep Satisfaction

Abstract Introduction. Both sleep and suicide are important issues among adolescents. Despite the extensive literature explaining short sleep duration as an important suicide risk factor, most previous studies did not consider sleep quality. Objective. This study identified associations between sleep duration, sleep satisfaction, and suicidal ideation in adolescents. Method. This cross-sectional study analyzed 58 848 adolescents using raw data from the tenth Korea Youth Risk Behavior Web-based Survey conducted by Korea’s Center for Disease Control and Prevention. Analyses incorporated sampling weights to account for the complex sampling design. Results. In multivariate analysis, suicidal ideation of participants sleeping less than four hours was 1.36 times higher than that of participants sleeping more than nine hours. Sleep satisfaction was 1.20 times higher when moderate, 1.38 times higher when dissatisfied, and 1.64 times higher when very dissatisfied than when very satisfied. Discussion and conclusion. It is necessary not only to improve sleep quality, but also to extend sleep duration in order to prevent adolescent suicide. If it is actually difficult to extend sleep duration due to school, a plan to increase subjective sleep satisfaction by improving sleep quality is required. This study showed the association between sleep duration and sleep satisfaction in adolescents. Therefore, in order to prevent adolescent suicide, it is necessary not only to extend their sleep duration, but also to improve their sleep quality.

A Bayesian multilevel analysis of the longitudinal associations between relationship quality and suicidal ideation and attempts among youth with bipolar disorder

2020 ◽  
Author(s):  
Craig Sewall ◽  
Jeffrey M. Girard
Keyword(s):  
Bipolar Disorder ◽  
Risk Factor ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Relationship Quality ◽  
Suicide Attempts ◽  
Suicidal Thoughts ◽  
Increased Risk ◽  
Longitudinal Associations ◽  
Suicidal Thoughts And Behaviors

ABSTRACTBackground: Youth with bipolar disorder (BD) are at high risk for suicidal thoughts and behaviors and frequently experience interpersonal impairment, which is a risk factor for suicide. Yet, no study to date has examined the longitudinal associations between relationship quality in family/peer domains and suicidal thoughts and behaviors among youth with BD. Thus, we investigated how between-person differences--reflecting the average relationship quality across time--and within-person changes, reflecting recent fluctuations in relationship quality, act as distal and/or proximal risk factors for suicidal ideation (SI) and suicide attempts. Methods: We used longitudinal data from the Course and Outcome of Bipolar Youth Study (N=413). Relationship quality variables were decomposed into stable (i.e. average) and varying (i.e. recent) components and entered, along with major clinical covariates, into separate Bayesian multilevel models predicting SI and suicide attempt. We also examined how the relationship quality effects interacted with age and sex. Results: Poorer average relationship quality with parents (β= -0.33, 95% Bayesian Highest Density Interval (HDI) [-0.54, -0.11]) or friends (β= -0.33, 95% HDI [-0.55, -0.11]) were longitudinally associated with increased risk of SI but not suicide attempt. Worsening recent relationship quality with parents (β= -0.10, 95% HDI [-0.19, -0.03]) and, to a lesser extent, friends (β= -0.06, 95% HDI [-0.15, 0.03]), were also longitudinally associated with increased risk of SI. Worsening recent relationship quality with parents may also be associated with increased risk of suicide attempt (β= -0.13, 95% HDI [-0.29, 0.03]). The effects of certain relationship quality variables were moderated by gender but not age. Conclusions: Among youth with BD, having poorer average relationship quality with peers and/or parents represents a distal risk factor for SI but not suicide attempts. Additionally, worsening recent relationship quality with parents that is may be a time-sensitive indicator of increased risk for SI or suicide attempt.

Onset of panic disorder and suicide attempts

1990 ◽  
Vol 5 (6) ◽  
pp. 339-342
Author(s):  
JP Lepine ◽  
JM Chignon ◽  
M Teherani
Keyword(s):  
Suicidal Ideation ◽  
General Population ◽  
Panic Disorder ◽  
Suicide Attempt ◽  
Panic Attack ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Skewed Distribution ◽  
Lifetime Prevalence ◽  
Increased Risk

SummaryIn a study of the general population, Weissman et al (1989), found that panic disorder is associated with an increased risk of suicide attempt. We estimated the lifetime prevalence of suicidal ideations or suicide attempts in 100 consecutive referrals for treatment of panic disorder. Sixty per cent of these patients had had suicidal ideation and 42% had attempted suicide during their lifetime. With regard to the season of onset of panic attack, we found a very skewed distribution of first panic in late spring or summer. Furthermore, patients who had their first attack in spring or summer had a higher rate of suicidal ideation and an increased risk of suicide attempt.

scholarly journals Cognitive Dysfunction in Insomnia Phenotypes: Further Evidence for Different Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Michelle Olaithe ◽  
Melissa Ree ◽  
Nigel McArdle ◽  
Sara Donaldson ◽  
Maria Pushpanathan ◽  
...  
Keyword(s):  
Working Memory ◽  
Executive Function ◽  
Sleep Duration ◽  
Sleep Problems ◽  
Disease Process ◽  
Self Report ◽  
Sleep Stages ◽  
Attention And Memory ◽  
Short Sleep Duration ◽  
Normal Sleep

Study Objectives: To determine cognitive profiles in individuals with short sleep duration insomnia (SSDI) and normal sleep duration insomnia (NSDI; also, paradoxical insomnia), compared to healthy sleepers.Method: Polysomnographic (PSG) and neuropsychological data were analysed from 902 community-based Raine Study participants aged 22 ± 0.6 years of whom 124 met criteria for insomnia (53 with NSDI and 71 with or SSDI) and 246 were classified as healthy with normal sleep (i.e., without insomnia or other sleep disorders). Measurements of self- report (attention and memory) and laboratory-assessed (attention, episodic memory, working memory, learning, and psychomotor function) cognition and mood, and PSG-based sleep stages (% total sleep time; %TST) were compared between these 3 groups.Results: In comparison to the healthy sleeper group, both insomnia groups had poorer self-reported attention, memory, mood, and sleep, and poorer laboratory-assessed attention (inconsistency). The NSDI group had less consistent working memory reaction time than healthy-sleepers or those with SSDI. The SSDI group had more inconsistency in executive function (shifting), and showed greater %TST in stage N1 and N3, and less REM sleep than either healthy-sleepers or those with NSDI.Conclusions: Individuals with NSDI demonstrated greater working memory inconsistency, despite no laboratory assessed sleep problems, implicating early signs of pathophysiology other than disturbed sleep. Those with SSDI demonstrated different sleep architecture, poorer attention (inconsistency), and greater executive function (inconsistency) compared to healthy-sleepers and those with NSDI, implicating sleep disturbance in the disease process of this phenotype.

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