Associations between sleep duration and suicidality in adolescents: A systematic review and dose–response meta-analysis

Chiu, Hsin–Hui; Lee, Hsin Chien; Chen, Pin Yuan; Lai, Ying Fan; Tu, Yu–Kang

doi:10.1016/j.smrv.2018.07.003

Cited by 121 publications

(54 citation statements)

References 45 publications

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“…We observed a similar U-shaped association between weekday sleep duration and suicide attempts that has been demonstrated in previous studies within adolescent populations (7,8,22,23). In general, existing studies have indicated that short sleep durations increase the risk of suicidal behaviors, although there is currently no consensus on the definition of "short sleep" across published literature (24,25).…”

Section: Sleep Durationsupporting

confidence: 87%

“…Individuals who endorsed a minimum of 1 type with a frequency of 1-2 events/week were categorized as having insomnia symptoms 'Sometimes'. Those with no symptoms were defined as 'None' (7). Nightmare occurrences was similarly denoted as "Often" (≥3/week), "Sometimes" (1-2/week), and "None."…”

Section: Sleep Disturbancesmentioning

confidence: 99%

“…A study in Scottish secondary schools found that both insomnia symptoms and nightmares were associated with an increased likelihood of reporting suicidal ideation (6). Nevertheless, there remains enduring inconsistencies surrounding the relationship between other aspects of sleep (e.g., sleep duration) and youth suicidality (7). For example, using a student sample, Guo et al concluded that there was a U-shaped association between sleep duration, suicidal ideation, and suicide attempt (SA).…”

Section: Introductionmentioning

confidence: 99%

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Gender Differences in the Relationship Between Sleep Problems and Suicide Attempt in Adolescents

Wan

Wang

et al. 2020

Front. Psychiatry

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There are few studies examining which types of sleep problems are independently associated with suicide attempt (SA) and gender difference in adolescents. The aim of the present study was to examine whether specific sleep problems were uniquely associated with suicide attempt in adolescents and explore gender differences in the association. A school-based health survey was conducted in four provinces within China from November 2014 to January 2015. A total of 15,132 students aged 10-21 years completed standard questionnaires assessing past 12 month suicide attempt in addition to measures of sleep quality, quantity and sleep beliefs. 5.4% of participants reported a suicide attempt within the last 12 months. After adjustment for sociodemographic variables and psychological symptoms, almost all sleep problems remained significantly associated with a greater endorsement of suicide attempt. Further adjustment for co-occurring sleep problems revealed that weekday sleep duration (<6, 8-10, and ≥10 h), insomnia (often), and nightmares (sometimes and often) remained independently associated with suicide attempt in boys (p < 0.05). However in girls, weekday sleep duration (<6 and ≥10 h), weekend sleep duration (<6 h), midday nap (0 or 1-2 d/week), insomnia (sometimes and often), nightmare (often) and sleep beliefs (high) were independently associated with suicide attempt (p < 0.05). Multiple sleep problems are associated with suicide attempt in adolescents, however the relationship varies by gender.

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Section: Sleep Durationsupporting

confidence: 87%

Section: Sleep Disturbancesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gender Differences in the Relationship Between Sleep Problems and Suicide Attempt in Adolescents

Wan

Wang

et al. 2020

Front. Psychiatry

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“…Associations between poor sleep quantity and quality and EBPs have been confirmed by several studies. Adolescents with insufficient sleep duration (less than 8 h) and difficulties in getting to or maintaining sleep are at the higher risk of having symptoms of depression and anxiety [37][38][39], suicidal ideation [11,[40][41][42], hyperactivity-inattention problems [43] and engaging in risky [25], violent and aggressive behaviour [44,45].…”

Section: Discussionmentioning

confidence: 99%

Difficulties in Getting to Sleep and their Association with Emotional and Behavioural Problems in Adolescents: Does the Sleeping Duration Influence this Association?

Kostičová

Husárová

Veselská

2020

IJERPH

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Sleep problems are common in adolescence with a negative impact on the mental health and functioning of adolescents. However, the roles of different sleep problems in relation to emotional and behavioural problems (EBPs), classified according to the 10th version of the International Classification of Diseases as emotional, conduct, hyperactivity and social functioning disorders, are not clear. The first aim of the study was to investigate the association between difficulties in getting to sleep and EBPs in adolescents. The second aim was to explore the role of sleep duration in this association. We used data from the Health Behaviour in School-aged Children (HBSC) study conducted in 2018 in Slovakia. Presented are results for specific age groups of 13-year-old (N = 1909) and 15-year-old (N = 1293) adolescents. Subjective measures of sleep variables were used. Binary logistic regression models adjusted for age and gender were used to assess associations between difficulties in getting to sleep, sleep duration and EBPs measured using the Strengths and Difficulties Questionnaire. Modification of the association between difficulties in getting to sleep and EBPs by sleep duration was also explored. We found that difficulties in getting to sleep at least once a week as well as insufficient sleep (less than 8 h) increased the probability of EBPs. Interactions of sleep duration with difficulties in getting to sleep on EBPs were found to be non-significant. The results suggest that caregivers and clinicians should screen and intervene for both sleep quality and quantity problems in adolescents as they might indicate and promote EBPs.

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“…Insufficient sleep may exacerbate higher risks of suicidal behaviour among secondary school students (25). A recent meta-analysis conducted by Chiu et al (26) examined the effects of sleep duration on suicidal behaviour in adolescents. Results showed that suicidal plans were inversely associated with sleep duration for every hour of increase in sleep duration (OR = 0.89, CI: 0.88, 0.90).…”

Section: Nssi and Sleep Deprivationmentioning

confidence: 99%

Suicidality Among Young Adolescents in Secondary Schools in Hong Kong

Cheung

Fong

Fan

et al. 2020

Preprint

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Background:Despite concerted effort in suicide research and prevention across countries, youth suicide remains a significant public health concern in Hong Kong and nationwide. This study examined the prevalence and correlates of suicidality among secondary school students in Hong Kong. Methods:Data were derived from the 2016 Youth Sexuality Survey initiated by the Family Planning Association of Hong Kong using a stratified random sample of 3,672 secondary school students aged 12 to 18 years in Hong Kong. Suicidality was measured in four progressive levels (suicidal ideation, suicidal plan, suicidal attempts and suicidal attempts requiring medical attention). Multivariable cumulative logit model analysis was used to identify significant risk factors of suicidality.Results:Female students reported more suicidality than their male counterparts (28.0% versus 17.0%, respectively). Multivariable cumulative logit model analysis showed that female gender, age, unhappy school life, disharmony with classmates, unhappy family life, living with mother, acceptance of mothers’ discipline, not sleeping for more than 9 hours on weekdays, alcohol consumption, non-suicidal self-injury, and dissatisfaction with life were significantly associated with suicidality. Limitations:Due to cross-sectional design, causality between suicidality, individual psychosocial and psychological characteristics cannot be established.Conclusions:Suicidal behaviour among Chinese young adolescents remains prevalent in Hong Kong. Family disintegration, school-related problems, and life satisfaction are significant predictors of suicidal behaviour in this study. There is a pressing need to restore optimal mental health among youth adolescents via interdisciplinary collaboration among schools, healthcare providers, stakeholders and mental health experts. The involvement of stakeholders in the community in suicide research and prevention is pivotal in mental health promotion for young adolescents.

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Associations between sleep duration and suicidality in adolescents: A systematic review and dose–response meta-analysis

Cited by 121 publications

References 45 publications

Gender Differences in the Relationship Between Sleep Problems and Suicide Attempt in Adolescents

Gender Differences in the Relationship Between Sleep Problems and Suicide Attempt in Adolescents

Difficulties in Getting to Sleep and their Association with Emotional and Behavioural Problems in Adolescents: Does the Sleeping Duration Influence this Association?

Suicidality Among Young Adolescents in Secondary Schools in Hong Kong

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