Suicidality in Autistic Adolescents and Adults: Sleep the Unexplored Connection?

Autism Research, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 3, 2025

Despite substantial evidence linking insomnia with increased suicidality in non-autistic populations, its role autism remains under-explored. Poor sleep, most commonly symptoms (hereafter insomnia), is a significant issue autism, affecting up to 80% of autistic children and adults, compared 30%-50% about 45% adults the general population. Sleep, along quality life, anxiety, depression, social well-being, top mental health research priority for adults. These factors are all significantly associated both individuals. Current findings highlight association between psychosocial factors, Key people include traits, loneliness, lack support, experiences such as camouflaging burnout. What under-explored sleep autism. Effective psychological interventions individuals lacking, there limited understanding whether treating can reduce suicidality. Only two pilot studies have investigated treatments In this commentary, we argue that, given high rate potential insomnia, it crucial investigate contributes if addressing through prevention strategies, supports, improves outcomes. Collaboration community essential knowledge gap developing effective interventions.

Language: Английский

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“I'd Rather Be Alone.” Examining the Interactive Effects of Social Proximity and Social Preference on Suicidal Thinking

Suicide and Life-Threatening Behavior, Journal Year: 2025, Volume and Issue: 55(1)

Published: Feb. 1, 2025

ABSTRACT Introduction Emerging and young adulthood is associated with heightened risk for suicide, interpersonal factors potentially exerting disproportionate effects during this critical life stage. Research examining the interplay of subjective objective suicide ideation (SI) in daily limited. Methods Dynamic structural equation models were used to analyze ecological momentary assessment data (21 days; 7 semi‐random surveys) a sample at‐risk adults ( N = 140) test within‐person main interactive social proximity (alone vs. not alone) preference (desire be alone or others) on SI severity concurrently prospectively over 2‐h intervals life. Results Preferring (while was intraindividual near‐term increases severity, whereas preferring others decreases severity. Conclusions Being can either protective factor depending whether present company desired. Considering multiple combined may necessary understand treat as these buffer confer greater other factors.

Language: Английский

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Dynamic learning of individual-level suicidal ideation trajectories to enhance mental health care

npj Mental Health Research, Journal Year: 2024, Volume and Issue: 3(1)

Published: June 7, 2024

There has recently been an increase in ongoing patient-report routine outcome monitoring for individuals within clinical care, which corresponded to increased longitudinal information about individual. However, many models that are aimed at practice have difficulty fully incorporating this information. This is part due the dealing with irregularly time-spaced observations common data. Consequently, we built individual-level continuous-time trajectory of suicidal ideation a population (N = 585) data collected via digital platform. We demonstrate how such predict individual's level and variability future suicide ideation, implications frequency may need be observed. These predictions provide more personalised understanding than other predictive methods enhanced measurement-based care.

Language: Английский

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Bad dream, nightmares and psychopathology: a systematic review

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: Oct. 8, 2024

Objective Bad dreams and nightmares can have a strong psychological impact. However, although the scientific literature points in direction of an established association between psychopathology, many studies investigating these links been carried out on general population. This systematic review aimed to identify that used sample from population with diagnosis psychopathological disorders or nightmare disorder, highlight state knowledge concerning link bad dreams, nightmares, psychopathology. Method The included all cross-sectional longitudinal conducted psychiatric which variables related and/or were examined published since 2014. search was May 2024 PsychINFO PubMed databases. Results A total 34 over last decade met inclusion criteria. Conclusions Psychiatric populations are significantly more affected by than Furthermore, presence tends maximize clinical symptomatology patients. there still too few available understand basis this relationship.

Language: Английский

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Anhedonia Links Sleep Problems and Suicidal Thoughts: An Intensive Longitudinal Study in High-Risk Adolescents

Research on Child and Adolescent Psychopathology, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 16, 2024

Abstract Growing research indicates that sleep problems are a robust independent risk factor for suicidal thoughts and behaviors among youth. However, relatively little is known about how this conferred. This study used an intensive longitudinal design to investigate anhedonia as mechanism linking next-day in clinically high-risk sample of adolescents. Adolescents ( N = 48; M age =14.96; 77.1% white, 64.6% female) completed ecological momentary assessment (EMA) 28 days following discharge from acute psychiatric care suicide risk. Daily diaries were assess prior night total time onset latency. Ecological was up six times per day. A series multi-level structural equation models examine facets parallel mediators the association between thoughts. Significant direct effects found consummatory anhedonia, thoughts, anticipatory There significant indirect (mediated) through but not anhedonia. Findings provide initial evidence may confer thoughts– by increasing Future needed replicate these findings larger samples modifying mitigate

Language: Английский

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Dynamic learning of individual-level suicidal ideation trajectories to enhance mental health care

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 16, 2023

There has recently been an increase in ongoing patient-report routine outcome monitoring for individuals within clinical care, which corresponded to increased longitudinal information about individual. However, many models that are aimed at practice often have difficulty fully incorporating this information. This is part due the dealing with irregularly time-spaced observations common data. Consequently, we built individual-level continuous-time trajectory of suicidal ideation a population (N=585) data provided by digital platform. We demonstrate how such predict individual’s level and variability future suicide ideation, implications as individual may need be observed. These predictions provide more personalised understanding than other predictive methods enhanced measurement-based care.

Language: Английский

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Depression severity and neuropsychiatric symptoms among late-life depression patients in nursing homes: A moderated mediation model of sleep quality and resilience

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 9, 2024

Background Depression severity significantly influences neuropsychiatric symptoms (NPS), yet the underlying mediating and moderating mechanisms of this relationship remain insufficiently explored. Methods We employed cluster sampling to select 414 LLD patients from 42 nursing homes across nine cities in Fujian Province, China. Mediation moderation analyses were conducted using PROCESS macro model determine interactions between depression severity, sleep quality, resilience, NPS. Results The findings indicate that NPS prevalence among is substantial. Sleep quality partially mediated Additionally, resilience moderated both direct indirect effects within mediation model, highlighting its significant role mitigating impact on Conclusion results underscore importance targeting clinical interventions for homes. Enhancing could potentially disrupt link NPS, thereby improving patient outcomes.

Language: Английский

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The Mediating Role of Insomnia Severity in the Relationship Between Anxiety Symptoms and Suicidal Ideation

The Journal of Nervous and Mental Disease, Journal Year: 2024, Volume and Issue: 212(9), P. 479 - 484

Published: Aug. 9, 2024

Insomnia and anxiety symptoms are independent clinical variables involved in suicidal ideation psychiatric inpatients. In this article, we investigated the relationship among insomnia severity, severity of symptoms, a sample inpatients with severe mental disorders. We used mediation model considering as possible mediator between ideation. administered Columbia Suicide Severity Rating Scale, Index, Hamilton Anxiety Scale to 116 consecutive unit Sant'Andrea Hospital Rome. The effect was mediated by severity; patients who perceive higher were more likely experience levels and, thus, intensity. Results showed importance assessing treating both practice.

Language: Английский

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Depression, Anxiety, and Stress Mediate the Relationship Between Poor Sleep Quality and Suicidal Ideation Among Young Chinese Men

Archives of Suicide Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 12

Published: Oct. 30, 2024

Objective Poor sleep quality exacerbates suicidal ideation. Depression, anxiety, and stress may play important roles in this relationship. However, the underlying mechanisms remain unknown.

Language: Английский

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Sleep Quality and Disruptive Nocturnal Behaviors as Short-Term Predictors of Suicidal Intent: An Ecological Momentary Assessment Study

Journal of Psychiatric Research, Journal Year: 2024, Volume and Issue: 181, P. 304 - 311

Published: Nov. 28, 2024

Language: Английский

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