The Effect of Sleep Problems on Suicidal Risk among Young Adults in the Presence of Depressive Symptoms and Cognitive Processes

Weis, Dafna; Rothenberg, Lee; Moshe, Lital; Brent, David A.; Hamdan, Sami

doi:10.1080/13811118.2014.986697

Cited by 25 publications

(25 citation statements)

References 82 publications

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“…Two specific types of negative thinking dominated participants' narratives: (1) rumination and (2) negative self-appraisals, both of which were associated with suicidal thoughts and behaviours, which is in accord with the broader suicide literature 2047 Furthermore, this is consistent with findings from a recent cross-sectional questionnaire study in which rumination partially mediated the relationship between sleep problems and suicidal behaviour 22…”

Section: Discussionsupporting

confidence: 86%

“…Although research in this area is in its infancy, preliminary studies suggest that cognitive–emotional appraisals,14 15 21 and coping and emotional regulation strategies,22 may partially mediate the relationship between sleep problems and suicidal thoughts and behaviours. However, findings in this area have relied solely on cross-sectional questionnaire designs, which are unlikely to capture the complexity and variance associated with the experience of sleep problems and the pathways underlying suicidal thoughts and behaviours.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the role of sleep in suicide risk: qualitative interview study

et al. 2016

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ObjectiveSleep problems are associated with increased risk of suicide, independent of depression. This analysis explores narrative accounts of the role of sleep in relation to suicidal thoughts and behaviours.DesignQualitative study, based on in-depth semistructured interviews which were analysed with an inductive, latent thematic analysis.ParticipantsA maximum variation sample of 18 people with experience of a major depressive episode, and suicidal thoughts and behaviours.SettingPrimary care, North West England.ResultsRespondents emphasised the importance of sleep for recovery and management of their mental well-being. Moreover, three inter-related pathways were identified, whereby beliefs about sleep contributed to suicidal thoughts and behaviours. First, being awake during the biological night heightened risk of suicidal behaviours, as this was perceived to be an opportune time for a suicide attempt due to the decreased chances that a friend of family member would intervene during a suicide attempt. Additionally, the reduction in available support at night added to suicide risk. Second, failure to achieve good sleep was perceived to make life harder through contributing to core features of depression, such as negative thinking, attention difficulties and inactivity. Third, sleep acted as an alternative to suicide, by providing an escape from problems, including mental health problems, in waking life. However, this desire to sleep to escape was associated with excessive daytime sleeping, which subsequently may reinforce disturbed sleeping patterns.ConclusionsSleep problems should be an important treatment target when working with suicidal clients. More broadly, night-time service provision should be considered when developing suicide prevention initiatives.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Understanding the role of sleep in suicide risk: qualitative interview study

et al. 2016

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“…Nightmares were significantly related to suicidality after controlling for acquired capability, perceived burdensomeness and thwarted belongingness.8Nadorff et al (2014) - Study 2604 healthy undergraduate students. M age = 20.72 (4.15), 79.5% femaleCross-sectionalInsomnia (ISI); Nightmares (DDNSI)Suicidal behaviour (series of questions adapted from the L-SASI)Acquired capability (ACSS-FAD); Perceived burdensomeness and thwarted belongingness (INQ)Multiple linear regressionBoth insomnia and nightmares were related to suicidal behaviour, after controlling for acquired capability for suicide, perceived burdensomeness and thwarted belongingness.8Weis et al (2015)460 healthy community-dwelling young adults. M age = 25.6 (3.1), 74.1% femaleCross-sectionalSleep quality (PSQI)Suicidality (SBQ-R)Emotion regulation (ERQ); rumination (subscale from the RSQ)Structural equational modellingSleep problems were indirectly related to suicidality through depression severity, emotion regulation, and rumination.5Woosley et al (2014)766 healthy community-dwelling.…”

Section: Methodsmentioning

confidence: 99%

Examining the role of psychological factors in the relationship between sleep problems and suicide

Littlewood

Kyle

Pratt

et al. 2017

Clinical Psychology Review

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We sought to conduct the first systematic review of empirical evidence investigating the role of psychological factors in the relationship between sleep problems and suicidal thoughts and behaviours. Twelve studies were identified which examined psychological factors grouped into four categories of cognitive appraisals, psychosocial factors, emotion regulation strategies, and risk behaviours. Although there was substantial heterogeneity across studies with respect to measurement, sampling, and analysis, preliminary evidence indicated that negative cognitive appraisals, perceived social isolation, and unhelpful emotion regulation strategies may contribute to the association between sleep problems and suicidal thoughts and behaviours. Given that findings in this area are currently restricted to studies with cross-sectional designs, the directionality of the interrelationships between these psychological factors, sleep problems and suicidality, remains unclear. We integrate the findings of our review with contemporary psychological models of suicidal behaviour to develop a clear research agenda. Identified pathways should now be tested with longitudinal and experimental designs. In addition, a more thorough investigation of the complexities of sleep, psychological factors, and suicidal thoughts and behaviours is crucial for the development of targeted psychological interventions.

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“…Short sleep seems to have deleterious effects on cognition and behaviour. Namely, it causes an impairment on the individual's problem-solving and decision-making abilities, judgement, concentration, emotional regulation, and impulse control, thereby promoting states of anxiety, hostility/aggressiveness, frustration, catastrophic thinking, hopelessness, depressed mood and rumination [9,15,17,21,26,33,34,38]. These factors are all considered to influence the development of suicidal behaviours.…”

Section: Short Sleep Duration and Suicidal Behaviourmentioning

confidence: 99%

“…Sleep disturbances are common symptoms of psychiatric disorders [38], so it becomes difficult to determine if short sleep is the cause or the consequence of those disorders. However, the association found between behaviourally-induced sleep deprivation and suicidal behaviours [14,20] points to the first option, as that type of sleep deprivation seems to depend on the individuals' lifestyle and not on a subjacent psychiatric disorder.…”

Section: Final Considerationsmentioning

confidence: 99%

Short Sleep Duration and Circadian Rhythms: Association with Suicidal Behaviour

Pereira¹

2017

IJPBS

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Abstract:The current lifestyles in modern societies promote a behaviourally-induced sleep deprivation and circadian rhythm alterations. Some sleep disorders influence the development of suicidal behaviours. This study aims to review the literature exploring the association of both short sleep duration and sleep circadian rhythms with suicidal behaviours. A review was conducted in the PubMed database, using the query ("circadian rhythms" OR "sleep" OR "sleep disorders") AND ("suicide" OR "suicidal behaviour" OR "suicidality"). The results were filtered for the last 10 years, with 522 results. Studies relating sleep disorders or circadian rhythms with suicidal behaviours, using a well-defined index for sleep disorders, and any measure of suicidal behaviour, were included. After the selection criteria, 48 studies were selected for qualitative analysis. An association between short sleep duration and an increased risk of suicidal behaviour was found in most of the studies with children/adolescents and adults. Particularly, studies measuring weekend vs. weekday sleep duration suggest a concrete role of behaviourally-induced sleep deprivation in this increased risk. Contrastingly, in studies with the elderly, that association was not significant. For sleep circadian rhythms, the studies point to an association between an evening-type chronotype and suicidal behaviours. The results suggest a significant association of short sleep duration and evening-type chronotype with suicidal behaviours, for youth and adults. Both sleep disorders could be connected through a behaviourally-induced sleep deprivation. These associations can provide possible fields of intervention to prevent suicide.

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The Effect of Sleep Problems on Suicidal Risk among Young Adults in the Presence of Depressive Symptoms and Cognitive Processes

Cited by 25 publications

References 82 publications

Understanding the role of sleep in suicide risk: qualitative interview study

Understanding the role of sleep in suicide risk: qualitative interview study

Examining the role of psychological factors in the relationship between sleep problems and suicide

Short Sleep Duration and Circadian Rhythms: Association with Suicidal Behaviour

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