Shared correlates of prescription drug misuse and severe suicide ideation among clinical patients at risk for suicide.

Objective: Unintentional drug overdose and suicide have emerged as public health problems. Prescription drug misuse can elevate risk of overdose. Severe suicidal ideation increases risk of suicide. We identified shared correlates of both risk factors to inform cross-cutting prevention efforts. Methods: We conducted a cross-sectional study using the Military Suicide Research Consortium’s Common Data Elements […]

Association of poor subjective sleep quality with risk for death by suicide during a 10-year period: A longitudinal, population-based study of late life

OBJECTIVE: To examine the relative independent risk for suicide associated with poor subjective sleep quality in a population-based study of older adults during a 10-year observation period. DESIGN, SETTING, AND PARTICIPANTS: A longitudinal case-control cohort study of late-life suicide among a multisite, population-based community sample of older adults participating in the Established Populations for Epidemiologic […]

Nocturnal wakefulness: A previously unrecognized risk factor for suicide

OBJECTIVE: Suicide is a major public health problem and the 10thleading cause of death in the United States. The identification of modifiable risk factors is essential for reducing the prevalence of suicide. Recently, it has been shown that insomnia and nightmares significantly increase the risk for suicidal ideation, attempted suicide, and death by suicide. While […]

Borderline personality disorder traits and suicide risk: The mediating role of insomnia and nightmares

Background : Borderline personality disorder (BPD) is associated with high rates of suicide risk and problems related to sleep, including insomnia and nightmares. The purpose of the current study was to assess the potential indirect effect of BPD traits on suicide risk through both/either insomnia and nightmares. Methods : Participants (N = 281) were recruited via Amazon’s Mechanical Turk to […]

The relationship between suicidal responses and traumatic brain injury and severe insomnia in active duty, veteran, and civilian populations

This study examined how a positive traumatic brain injury (TBI) screening and insomnia severity relate to suicidal outcomes across active duty, veteran, and civilian samples. Data were used from 3,993 participants from 19 studies. We conducted a series of analyses by group to identify which significantly differed on the variables of interest. TBI and insomnia […]

Insomnia symptoms predict emotional dysregulation, impulsivity and suicidality in depressive bipolar II patients with mixed features

Introduction Insomnia symptoms are very common in Bipolar Disorder. Our aim was to assess the potential association between insomnia, emotion dysregulation and suicidality in subjects with Bipolar Disorder. Methods Seventy-seven subjects with Bipolar Disorder type II with a depressive episode with mixed features were recruited. Patients were assessed with SCID-DSM-5, the Insomnia Severity Index (ISI), the Difficulties in Emotion Regulation Scale (DERS), the Scale […]

Adolescent insomnia, suicide risk, and the interpersonal theory of suicide

Although insomnia has been repeatedly linked with suicide ideation, the reason for the linkage is not clear. The Interpersonal Psychological Theory of Suicide (IPTS) proposes that three core variables (thwarted belongingness, perceived burdensomeness, and acquired capability) are the final common pathway for all risk factors for suicide ideation and behavior. Recent research has suggested that insomnia may be associated with […]

Insomnia symptoms, nightmares, and suicidal ideation in a college student sample

Study Objectives: The purpose of this study was to investigate whether insomnia symptoms and nightmares are related to suicidal ideation independent of one another and independent of the symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD). Design: The study consisted of questionnaires examining insomnia symptoms and nightmares, and symptoms of depression, anxiety, and PTSD. […]

Explaining alcohol use and suicide risk: A moderated mediation model involving insomnia symptoms and gender

Study Objectives The purpose of the study was to examine whether insomnia symptoms and nightmares mediated the relation between alcohol use and suicide risk. Further, we examined whether this mediation was moderated by gender. Design The study consisted of questionnaires administered online examining insomnia symptoms, nightmares, alcohol use, and suicide risk. Setting University. Patients or […]

Insomnia and suicidal ideation in nonaffective psychosis

Study Objectives Insomnia is a common symptom in the clinical course of schizophrenia. There is a robust association between insomnia and suicidality in other psychiatric disorders. Two previous studies found associations between insomnia and suicide attempt or completed suicide in patients with schizophrenia. We hypothesized that greater insomnia would be associated with greater levels of […]

Pre-deployment insomnia is associated with post-deployment post-traumatic stress disorder and suicidal ideation in US army soldiers

Study Objectives Insomnia is prevalent among military personnel and may increase risk of mental disorders and suicidal ideation. This study examined associations of pre-deployment insomnia with post-deployment post-traumatic stress disorder (PTSD) and suicidal ideation among US Army soldiers. Methods Soldiers from three Brigade Combat Teams completed surveys 1–2 months before deploying to Afghanistan in 2012 […]

Agitation as a moderator of the relationship between insomnia and current suicidal ideation in the military.

Research has established a link between agitation and insomnia, both of which are considered to be risk factors for suicide. The present study aimed to investigate the moderating role of agitation within the relationship between insomnia and current suicidal ideation in a sample of U.S. military personnel. Consistent with hypotheses, the relationship between insomnia and […]

Sleep disturbances and suicidality: A common association to look for in clinical practise and preventive care.

Suicidality and suicide has been associated with many risk factors, while recent clinical and epidemiological studies increasingly point to a potential link between sleep loss or sleep disturbances and suicidality. This review on studies of sleep disturbances associated with suicidality, i.e., suicidal ideation, suicide attempt and completed suicide suggests a frequent association especially with insomnia […]

The relationship between sleep disturbance, suicidal ideation, suicide attempts, and suicide among adults: A systematic review.

Suicide is a significant global health concern; identification of modifiable risk factors can guide future research and prevention efforts. A systematic literature review was undertaken to summarize whether disrupted sleep, which has garnered increased attention as a risk factor for suicidal thoughts and behaviors, has continued to be associated with suicide in recent years. The […]

Total sleep time as a predictor of suicidal behavior.

Insomnia symptoms are a known predictor of suicide; however, less is known about the relationship between hypersomnia and suicide, and how total sleep time may better account for suicidal ideation compared with subjective reports of insomnia symptoms. In the present secondary data analysis, a squared term confirmed the importance of both short and long total […]

Insomnia symptoms drive changes in suicide ideation: A latent difference score model of community adults over a brief interval.

Insomnia is robustly associated with suicidal behavior, but methodological limitations in existing studies hinder nuanced understanding of this relationship. The current study addressed these limitations by utilizing a longitudinal design and advanced statistical modeling. Participants who endorsed lifetime experience of suicidal behavior were recruited through Amazon’s Mechanical Turk (N = 589) and completed self-report online […]

Thwarted belongingness as an explanatory link between insomnia symptoms and suicidal ideation: Findings from three samples of military service members and veterans.

Highlights •Thwarted belongingness may explain the insomnia and suicidal ideation relationship. •Insomnia symptoms may be associated with increased loneliness and social isolation. •Loneliness and social isolation, in turn, may be related to suicidal thoughts. •These relationships appear relevant to military service members and veterans.

Insomnia is associated with suicide attempt in middle-aged and older adults with depression.

BACKGROUND: Insomnia increases in prevalence with age, is strongly associated with depression, and has been identified as a risk factor for suicide in several studies. The aim of this study was to determine whether insomnia severity varies between those who have attempted suicide (n = 72), those who only contemplate suicide (n = 28), and […]

Linking insomnia and suicide ideation in college females: The role of socio-cognitive variables and depressive symptoms in suicide risk.

Although insomnia symptoms are associated with risk of suicide ideation, the means by which insomnia influences ideation, as well as the role depression plays in these relationships, require further study. In this study, we examined whether certain socio-cognitive variables (fatigue, social problem-solving, and hopelessness) in conjunction with depression explained this relationship among female college students. […]

Insomnia symptoms and suicidality in the National Comorbidity Survey — Adolescent Supplement.

Objective In this paper, we examined the relationship between insomnia symptoms and suicidality in a national sample of US adolescents, while controlling for several psychiatric disorders that are known to be associated with suicidality. Additionally, we examined whether insomnia symptoms interact to affect any suicidality variables. Methods Study participants were 10,123 adolescents between the ages […]

Insomnia complaint versus sleep diary parameters: Predictions of suicidal ideation.

The purpose of this study was to determine which aspects of insomnia best predict suicidal ideation (SI). Participants were grouped according to whether they complained of insomnia and whether their sleep would be characterized as poor or good by applying quantitative criteria for insomnia to their sleep diary data. Analyses revealed that insomnia complaint was […]

Effects of cognitive behavioral therapy for insomnia on suicidal ideation in veterans.

This evaluation of the largest dissemination of cognitive behavioral therapy for insomnia (CBT-I) in the United States found a clinically meaningful reduction in suicidal ideation among Veterans receiving CBT-I. The mechanisms by which effective treatment of insomnia with CBT-I reduces suicide risk are unknown and warrant investigation. The current results may have significant public health […]

Anxiety sensitivity cognitive concerns predict suicide risk.

Results revealed that anxiety sensitivity (AS) cognitive concerns were a robust predictor of elevated suicide risk after covarying for negative affect, whereas AS social and physical concerns were not. Those with high, relative to low, AS cognitive scores were 3.67 times more likely to be in the high suicide risk group. Moreover, AS cognitive concerns […]