Sleep and suicide: A systematic review and meta-analysis of longitudinal studies

Liu, Richard T.; Steele, Stephanie Jarvi; Hamilton, Jessica L.; B.P., Quyen; Furbish, Kayla; Burke, Taylor A.; Martinez, Ashley P.; Gerlus, Nimesha

doi:10.1016/j.cpr.2020.101895

Cited by 124 publications

(88 citation statements)

References 96 publications

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“…Sleep problems (broad term used here to refer to a range of sleep difficulties, including insomnia symptoms, nightmares, and poor sleep quality) may be one promising short-term risk factor for STBs in youth. Converging research has demonstrated a link between a range of sleep problems and STBs in cross-sectional and long-term follow-up (longitudinal) research with adults (Bernert, Kim, Iwata, & Perlis, 2015; Harris, Huang, Linthicum, Bryen, & Ribeiro, 2020; Littlewood, Kyle, Pratt, Peters, & Gooding, 2017; Liu et al, 2020; Pigeon, Pinquart, & Conner, 2012b; Porras-Segovia et al, 2019; Russell et al, 2019) and youth (Chiu, Lee, Chen, Lai, & Tu, 2018; Fernandes, Zuckerman, Miranda, & Baroni, 2021; Goldstein & Franzen, 2020; Kearns et al, 2020; Liu et al, 2019a; Liu et al, 2020). The link between sleep problems and STBs is notable for three major reasons.…”

Section: Sleep Problems As a Short-term Risk Factor For Suicidal Thoughts And Behaviorsmentioning

confidence: 99%

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

et al. 2021

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Suicidal thoughts and behaviors (STBs) are major public health concerns among adolescents, and research is needed to identify how risk is conferred over the short term (hours and days). Sleep problems may be associated with elevated risk for STBs, but less is known about this link in youth over short time periods. The current study utilized a multimodal real-time monitoring approach to examine the association between sleep problems (via daily sleep diary and actigraphy) and next-day suicidal thinking in 48 adolescents with a history of STBs during the month following discharge from acute psychiatric care. Results indicated that specific indices of sleep problems assessed via sleep diary (i.e., greater sleep onset latency, nightmares, ruminative thoughts before sleep) predicted next-day suicidal thinking. These effects were significant even when daily sadness and baseline depression were included in the models. Moreover, several associations between daily-level sleep problems and next-day suicidal thinking were moderated by person-level measures of the construct. In contrast, sleep indices assessed objectively (via actigraphy) were either not related to suicidal thinking or were related in the opposite direction from hypothesized. Together, these findings provide some support for sleep problems as a short-term risk factor for suicidal thinking in high-risk adolescents.

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Section: Sleep Problems As a Short-term Risk Factor For Suicidal Thoughts And Behaviorsmentioning

confidence: 99%

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

et al. 2021

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“…In fact, a recent meta-analysis concluded that sleep disturbance prospectively predicts suicide outcomes, but more work is needed to examine sleep as a short term risk factor and to differentiate the associations of acute from chronic sleep disturbance (Liu et al, 2020).…”

Section: Sleep and Next-day Negative Affect And Suicidal Ideation In Borderline Personality Disordermentioning

confidence: 99%

Sleep and next-day negative affect and suicidal ideation in borderline personality disorder.

Kaurin¹,

Hisler²,

Dombrovski³

et al. 2022

Personality Disorders: Theory, Research, and Treatment

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Sleep disturbance is associated with elevated suicidal ideation and negative affect. To date, however, no study has investigated the temporal relationship between sleep and suicidality among those diagnosed with borderline personality disorder (BPD). This preregistered (https://osf.io/4vugk) study tested whether nightly sleep (self-reported sleep duration, sleep onset latency, and subjective sleep quality) represents a (within-person) short-term risk factor for affective dysregulation and increases in suicide risk from day-to-day, as well as whether between-person differences in sleep, negative affect, and suicidality were associated. We used a 21-day ecological momentary assessment protocol in a sample of 153 people diagnosed with BPD, 105 of which had a history of serious suicide attempts, and 52 healthy controls (N=4086 days). We found a within-person association between worse subjective sleep quality and greater next day negative affect. At the between-person level, we found positive relationships between sleep latency and suicidal ideation, and a negative association between subjective sleep quality and negative affect. BPD severity did not significantly moderate the strength of any withinperson associations, although BPD was positively associated with average levels of suicidal ideation, sleep latency, and negative affect, and negatively related to subjective sleep quality. These findings suggest that the association of sleep with suicidal ideation and BPD exists largely at the between-persons rather than the within-person level. Disturbed sleep, therefore, seems to largely coincide, rather than specifically contribute to the exacerbation of suicidal crises in BPD.

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“…Another meta-analytic study revealed that people with sleep problems have a twofold higher risk of developing depressive disorders compared to people without sleep problems (2). In addition, sleep problems in adolescence are associated with more severe symptoms of depression, longer depressive episodes and suicidal thinking, and have a negative influence on the course of treatment (3,(12)(13)(14).…”

Section: Sleep and Depressionmentioning

confidence: 99%

Deficits in Emotion Regulation Partly Mediate the Relation Between Seep Problems and Depressive Symptoms in Adolescent Inpatients With Depression

2021

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Sleep problems are a risk factor for the development of depressive disorders and influence the severity and treatment of depressive symptoms negatively. To enhance treatment for depression in young people, it is important to advance the understanding of the relationship between sleep problems and depressive symptoms. Since deficits in emotion regulation are discussed as possible underlying mechanisms, the present study investigated the mediating effect of maladaptive and adaptive strategies for emotion regulation on the association between sleep problems and depressive symptoms. Emotion regulation strategies, depression and sleep quality were assessed via self-report in a large clinical sample of 602 adolescents (age 13–18 years) who reported clinically relevant symptoms of depression. The questionnaires were assessed at admission for inpatient psychiatric treatment. Correlation and mediation analyses were performed. There was a significant partial mediation effect (β = 0.554, p < 0.001, R2 = 0.527), indicating that sleep problems influenced depressive symptoms via the decreased use of adaptive strategies and the increased use of maladaptive strategies. Additionally, a direct effect of sleep problems on depressive symptoms emerged (β = 0.251, p < 0.001, R2 = 0.364). This cross-sectional study provides first indications that additional treatment modules focusing on sleep and ER skills in prevention and treatment programs for adolescents would be important steps. Longitudinal studies are needed to substantiate these results.

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Sleep and suicide: A systematic review and meta-analysis of longitudinal studies

Cited by 124 publications

References 96 publications

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

Sleep problems predict next-day suicidal thinking among adolescents: A multimodal real-time monitoring study following discharge from acute psychiatric care

Sleep and next-day negative affect and suicidal ideation in borderline personality disorder.

Deficits in Emotion Regulation Partly Mediate the Relation Between Seep Problems and Depressive Symptoms in Adolescent Inpatients With Depression

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