Self‐rated sleep quality predicts incident suicide ideation in US military veterans: Results from a 7‐year, nationally representative, prospective cohort study

Journal of Sleep Research, Journal Year: 2021, Volume and Issue: 31(1)

Published: July 30, 2021

Summary Sleep disturbance is a risk factor for future suicidal behaviours (e.g. ideation, suicide attempt, death by suicide), and military veterans are at increased both poor sleep relative to civilians. The purpose of this study was evaluate whether self‐reported quality associated with new‐onset ideation in 7‐year prospective nationally representative cohort US veterans. Multivariable logistic regression analyses were conducted identify the relation between self‐rated incident 2,059 without current or lifetime attempt history baseline. Relative importance then variance explained other significant determinants ideation. A total 169 (weighted 8.9%, 95% confidence interval =7.7%–10.3%) developed over period. Poor more than 60% greater likelihood developing (relative ratio = 1.62, 1.11–2.36), even after adjustment well‐known factors such as major depressive disorder. analysis revealed that accounted 44.0% predicting These results underscore assessing, monitoring treating difficulties part prevention efforts

Language: Английский

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Obstructive sleep apnea and risk of suicide and self-harm: a Danish Nationwide Cohort Study

SLEEP, Journal Year: 2021, Volume and Issue: 45(2)

Published: Dec. 9, 2021

Abstract Study Objectives In this nationwide study, we used the unique Danish registries to estimate risk of suicide and deliberate self-harm in patients with obstructive sleep apnea (OSA). Methods We identified all citizens receiving a diagnosis OSA between 1995 2015. As reference cohort, randomly selected 10 for each patient, matched by sex birth year. Using Fine Gray competing regression, estimated cumulative incidences suicide, Cox proportional regression analysis was compare cohort. Results 48 168 OSA. A total 135 had died compared 999 suicides Patients an increased dying when cohort (hazard ratio, 1.29; 95% CI = 1.07% 1.55%; subhazard 1.23; 1.10% 1.45%). 1004 events among OSA, 5270 group. The overall group 1.28; 1.19% 1.37%). Conclusions This is first study found that have both large thereby highlighting importance mental health screening these patients.

Language: Английский

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Prescription medications for insomnia are associated with suicidal thoughts and behaviors in two nationally representative samples

Journal of Clinical Sleep Medicine, Journal Year: 2021, Volume and Issue: 17(5), P. 1025 - 1030

Published: Feb. 9, 2021

Z-drugs (eszopiclone, zolpidem, and zaleplon) are commonly used for insomnia but also associated with suicide risk. However, it is unclear if this association unique to Z-drugs. Therefore, the present study estimated associations between multiple prescription medications suicidal thoughts behaviors.Data were acquired from National Survey on Drug Use Health 2015-2018 Nutrition Examination 2005-2018. Samples balanced sociodemographic mental health covariates using inverse probability of treatment weighting. Associations Z-drugs, trazodone, sedative benzodiazepines (temazepam, triazolam, flurazepam) ideation, planning, attempts binomial logistic regression.In Health, ideation (odds ratio [OR], 1.32; 95% confidence interval [CI], 1.14-1.54]), planning (OR, 1.44; CI, 1.19-1.75), 1.45; 1.13-1.86) after adjusting age, sex, race/ethnicity, income, depression, illicit substance use, 6-item Kessler Psychological Distress Scale World Organization Disability Assessment Schedule II scores. When analyses accounted same factors, 1.76; 1.06-2.87) not 1.37; 0.99-1.88) or 1.39; 0.97-2.00). In Survey, 2.44; 1.41-4.22), as was trazodone 2.33; 1.45-3.75), adjusted exposure various psychotropic medications.Multiple classes thinking behaviors, even measures health.

Language: Английский

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COVID-19 pandemic: demographic and clinical correlates of disturbed sleep among 6,041 Canadians

International Journal of Psychiatry in Clinical Practice, Journal Year: 2021, Volume and Issue: 25(2), P. 164 - 171

Published: Feb. 19, 2021

Psychological burdens of the COVID-19 pandemic are likely to impact sleep negatively. We investigate prevalence and correlates disturbed among subscribers Text4Hope a daily supportive text message program launched in Alberta support residents deal with stress, anxiety, depression.A survey link was sent assess demographic clinical variables, including sleep, depression using third question on Patient Health Questionnaire-9 (PHQ-9), Perceived Stress Scale, Generalised Anxiety Disorder 7-item scale, PHQ-9, respectively. Data were analysed univariate logistic regression analyses.Overall, 6041 out 32,805 completed (18.4% response rate). Prevalence 77.8%. Subscribers aged 41-60 years twice as present disturbance compared individuals ≤25 (OR 1.89, 95% CI: 1.27-2.81). Individuals moderate/high anxiety stress symptoms those passive death wish/suicidal ideation had higher probability for [(OR 4.05, 3.33-4.93), 2.42, 1.99-2.94), 2.39, 1.69-3.38)], respectively.As continues, more Canadians develop problems, an important consideration planning mental health services.KEY POINTSThis is first study examine rates large sample (n = 6041) during pandemic.Prevalence high at 77.8%.Individuals 1.27-2.81).Individuals symptoms, suicidal ideation/thoughts self-harm likelihood developing disturbance, lacking these 3.33-4.93) 1.98-2.94)], fear multiple waves, provision services.

Language: Английский

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Sleep quality, antepartum depression and self-harm thoughts in pregnant Chinese women

Journal of Affective Disorders, Journal Year: 2023, Volume and Issue: 327, P. 292 - 298

Published: Feb. 7, 2023

Previous literature has shown a significant association between sleep and depression, whereas limited studies have examined the of quality with self-harm ideation in pregnant Chinese women.A total 898 women (first to third trimester) from Young Investigation Study were enrolled this study. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used assess quality. Antepartum depression evaluated using Edinburgh Postnatal Depression Scale (EPDS). Multivariable logistic regression models calculate odds ratios (ORs) 95 % confidence intervals (CIs).In sample, prevalence poor antepartum 44.3 24.4 %, respectively. Furthermore, 12.8 considered as having ideation. Individuals different trimesters reported similar thoughts. Women more likely report thoughts if they categorized or depression. And moderate severe had higher risk sleep, compared those mild Although indirectly influenced through mediation effect depressive symptoms, still associated 2.62-fold increased among second trimester (OR = 2.62; CI: 1.11-6.21), after adjustment for depression.Causality cannot be inferred. Results should generalized carefully. by screening tool rather than clinical interviews.The quality, symptoms noteworthy high. Besides, direct also found trimester. Our findings suggest need identify intervene when disturbances are observed during pregnancy.

Language: Английский

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