Sleep problems and suicide risk in youth: A systematic review, developmental framework, and implications for hospital treatment

Kearns, James; Coppersmith, Daniel D L; Santee, Angela C.; Insel, Catherine; Pigeon, Wilfred R.; Glenn, Catherine R.

doi:10.1016/j.genhosppsych.2018.09.011

Cited by 65 publications

(51 citation statements)

References 141 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several studies have examined the effect of ketamine on suicidal ideation, mostly in people with mood disorders [309][310][311] and have demonstrated that ketamine decreases suicidal ideation independent of improvement in other mood symptoms, 174,[309][310][311] although one small study did not find this to be the case 312 . Of interest, the effects of ketamine on suicidal ideation may be linked to improvements in insomnia 313 , a clinical variable that has been linked to suicidal behaviour 314 . Several additional studies are underway to examine the effects of intranasal ketamine (esketamine, the S-enantiomer of ketamine) on suicidal ideation in various populations, with some encouraging results 315 .…”

Section: [H3] Safety Planning Intervention or Crisis Response Planninmentioning

confidence: 99%

Suicide and suicide risk

Turecki

Brent²,

Gunnell

et al. 2019

Nat Rev Dis Primers

538

473

View full text Add to dashboard Cite

Although recent years have seen large decreases in the overall global rate of suicide fatalities, this trend is not reflected everywhere. Suicide and suicidal behaviour continue to present key challenges for public policy and health services, with increasing suicide deaths in some countries, such as the USA. The development of suicide risk is complex, involving contributions from biological (including genetics), psychological (such as certain personality traits), clinical (comorbid psychiatric illness), social and environmental factors. The involvement of multiple risk factors in conveying risk of suicide means that determining an individual's risk of suicide is challenging. Improving risk assessment, for example using computer testing and genetic screening, is an area of ongoing research. Prevention is key to reduce the number of suicide deaths, and current efforts include universal, selective and indicated interventions, although these interventions are often delivered in combination. These interventions, combined with psychological (such as cognitive behavioural therapy, caring contacts and safety planning) and pharmacological treatments (for example, clozapine and ketamine) and coordinated social and public health initiatives, should continue to improve the management of suicidal patients and decrease suicide-associated morbidity. [H1] Epidemiology Based on self-report survey data, the WHO has estimated that for every death by suicide ~20 people make suicide attempts 1. This ratio varies from country to country depending on the lethality of commonly used suicide methods. In all countries, the incidence of suicide attempts is highest in individuals 15-24 years of age. By comparison, the lowest rates of suicide is observed amongst young people <15 years of age, with the highest generally observed in people >75 years of age 1. However, the age-groups with the highest incidence at other ages vary from region to region; for example, in a 25

show abstract

Section: [H3] Safety Planning Intervention or Crisis Response Planninmentioning

confidence: 99%

Suicide and suicide risk

Turecki

Brent²,

Gunnell

et al. 2019

Nat Rev Dis Primers

538

473

View full text Add to dashboard Cite

show abstract

“…A recent review systematically highlighted several psychological factors implicated in the association between sleep problems and suicidality, such as negative cognitive appraisals and psychosocial factors [19]. As with other reviews [7,9,[20][21][22], it focused more broadly on sleep disturbances and their relationship to suicide. Although many of the studies included within these reviews suggest differences between the nightmare-suicide and insomnia-suicide relationship, the conclusions drawn often summarise the overall sleep-suicide relationship, limiting the discussion of factors specific to the nightmare-suicide relationship.…”

Section: Rationale For Reviewmentioning

confidence: 99%

Investigating the psychological mechanisms underlying the relationship between nightmares, suicide and self-harm

Andrews

Hanna

2020

Sleep Medicine Reviews

View full text Add to dashboard Cite

“…Sleep problems are common among adolescents (Wheaton, Jones, Cooper, & Croft, 2018), increase during the adolescent age period, and have been identified as potential warning signs of acute risk of suicide deaths in adolescents (Goldstein, Bridget, & Brent, 2008; Kearns et al, 2018). Results from psychological autopsy indicate that, when compared to depressed adolescent suicide attempters and controlling for depression severity, adolescents who died by suicide were 5 times more likely to have had insomnia during the week before death, 4 times more likely to have had sleep problems of any kind, and 10 times more likely to have had sleep problems as part of their mood disturbance during the year before death (Goldstein et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Sleep in youth with repeated self‐harm and high suicidality: Does sleep predict self‐harm risk?

Asarnow

Bai

Babeva

et al. 2020

Suicide & Life Threat Behav

View full text Add to dashboard Cite

Objective To elucidate processes contributing to continuing self‐harm in youth at very high risk for suicide, focusing on sleep disturbance, a putative warning sign of imminent suicide risk. Method 101 youth (ages 12–18) selected for high risk of suicide/suicide attempts based on suicidal episodes plus repeated self‐harm (suicide attempts and/or nonsuicidal self‐injury [NSSI]). Youth were assessed at baseline, 6‐, and 12‐month follow‐ups on measures of self‐harm, suicidality, sleep, and depression. Results Youth showed high rates of baseline sleep disturbance: 81.2% scored in the clinical range on the Pittsburgh Sleep Quality Index (PSQI); 81.2% reported an evening (night owl) circadian preference. PSQI score was associated with elevated levels of self‐harm (suicide attempts and NSSI) contemporaneously and predicted future self‐harm within 30 days. Rates of self‐harm were high during follow‐up: 45.0% and 33.7% at 6 and 12 months, respectively. Conclusions Results underscore the need to move beyond an acute treatment model to prevent recurrent and potentially deadly self‐harm, the importance of clarifying mechanisms contributing to elevated suicide/self‐harm risk, and the potential promise of engaging sleep as a therapeutic target for optimizing treatment and elucidating mechanistic processes.

show abstract

Sleep problems and suicide risk in youth: A systematic review, developmental framework, and implications for hospital treatment

Cited by 65 publications

References 141 publications

Suicide and suicide risk

Suicide and suicide risk

Investigating the psychological mechanisms underlying the relationship between nightmares, suicide and self-harm

Sleep in youth with repeated self‐harm and high suicidality: Does sleep predict self‐harm risk?

Contact Info

Product

Resources

About