The effect of the Yara smartphone application on anxiety, sleep quality, and suicidal thoughts in patients with major depressive disorder in Iran: A randomized controlled trial

Background Depression is one of the most common mental disorders that leads to anxiety, sleep disturbances, and suicidal thoughts. Due to the high cost of treatment and the reluctance of many patients to seek medical help, major depressive disorder (MDD) is becoming more prevalent. Therefore, alternative methods like smartphone applications can help prevent and improve […]

Sleep and mood disorders among youth

Research suggests that sleep plays an important role in the development, progression, and maintenance of mood disorder symptoms among children and adolescents.1-4 While most of the extant research focuses on the relationship between insomnia and mood disorders, other sleep disorders such as delayed sleep phase, inadequate total sleep duration and bedtime resistance in younger children may […]

How to survive the long night? Longitudinal relationship between sleep problems and suicidal behavior among adolescents: The serial mediating roles of negative emotion, self-control, and nonsuicidal self-injury

Objective Sleep problems are a significant risk factor for identifying and preventing suicidal involvement among adolescents. However, there is limited evidence to assess the underlying mechanisms between them. This study investigated the longitudinal relationship between sleep problems and suicidal behavior and examined whether this relationship was moderated by negative emotions, low self-control, and nonsuicidal self-injury […]

Unveiling adolescent suicidality: Holistic analysis of protective and risk factors using multiple machine learning algorithms

Adolescent suicide attempts are on the rise, presenting a significant public health concern. Recent research aimed at improving risk assessment for adolescent suicide attempts has turned to machine learning. But no studies to date have examined the performance of stacked ensemble algorithms, which are more suitable for low-prevalence conditions. The existing machine learning-based research also […]

Mobile phone addiction and suicide behaviors among Chinese adolescents: The mediation of poor sleep quality

Background and aims: Mobile phone addiction (MPA) is emerging among adolescents, especially during the COVID-19 pandemic. Nevertheless, there is a dearth of knowledge regarding the correlation between MPA and suicide behaviors and its mechanism. The objective of the current study is exploring the direct effect of MPA on suicide behaviors and the indirect effect through poor […]

Sleep disorders and suicide attempts following discharge from residential treatment

Introduction: Suicide is a significant public health concern and its prevention remains a top clinical priority of the Veterans Health Administration. Periods of transition in care (e.g., moving from inpatient to outpatient care) represent a period of increased risk. Sleep disorders are prevalent amongst Veterans and are modifiable risk factor for suicide. The present study examined […]

The contribution of sleep deprivation to suicidal behavior

Objective: This study has the objective correlate sleep disturbances and mood disorders with suicide behavior, showing that the quality of sleep, when altered, interferes negatively in the individual’s daily life, compromising social and labor aspects significantly, leading to a higher incidence of psychiatric disorders, which can incite suicidal behaviors. Methods: This article presents a narrative […]

Assessing internalizing disorders and sleep in school-age children: A new parent report Behavioral Health Screen

Depression, anxiety, and sleep disturbance are common among school-age children and can impair functioning. Schools are in a unique position to assess and refer these children for intervention services, but standardized screening is underutilized. One challenge with screening is the lack of psychometrically strong mental health screening tools that can be efficiently and effectively administered […]

Effects of sleep and impulsivity on suicidality in shift and non-shift workers

Introduction: Shift workers are known to have a higher suicide risk than non-shift workers. Sleep disturbance and impulsivity are also risk factors for suicidality. This study investigated the effects of poor sleep and impulsivity on suicidality in shift and non-shift workers. Methods: In total, 4572 shift workers (37.0 ± 9.84 years, 2150 males) and 2093 […]

Poor self-reported sleep quality associated with suicide risk in a community sample of American Indian adults

Study Objectives Although American Indian/Alaska Native (AI/AN) have high suicide rates few studies have systematically investigated sleep quality and its association with suicidal behaviors in AI/AN. This study is a cross-sectional investigation of self-reported sleep quality and suicidal behaviors in an adult AI population. Methods A semi-structured interview was used to collect data on suicidal […]

Longitudinal assessment of the sleep suicide link in Veterans: Methods and study protocol

Although sleep disruption has emerged as a theoretically consistent and empirically supported suicide risk factor, the mechanistic pathways underlying the sleep–suicide link are less understood. This paper describes the methodology of a study intended to examine longitudinal mechanisms driving the link between sleep and suicide in Veterans at elevated suicide risk. Participants will be 140 […]

Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms

Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. This study explored whether anxiety and depressive symptoms are used as mediators to participate in the impact of sleep quality on suicide risk. Methods: This is a cross-sectional study. […]

Melatonin use and the risk of self-harm and unintentional injuries in youths with and without psychiatric disorders

Background: Sleep disorders in youth have been associated with increased risks of injury, including suicidal behavior. This study investigated whether melatonin, which is the most common medication for sleep disturbances in youth in Sweden, is associated with a decreased risk of injury. Methods: This population-based cohort study included 25,575 youths who initiated melatonin treatment between ages 6 […]

Presence and persistence of sleep-related symptoms and suicidal ideation in psychiatric inpatients

Background: Although sleep is an important risk factor for suicidal behavior, research has yet to examine the association between sleep problems and suicidality across the course of inpatient treatment. This study examined the relationship among sleep-related symptoms and suicidal ideation across inpatient treatment. Aims: To examine whether poor sleep at admission longitudinally predicts less improvement in suicidal ideation […]

The association between victimization experiences and suicidality: The mediating roles of sleep and depression

Background Prior work suggests that multiple forms of victimization were associated with higher suicide risk among adolescents. However, the mechanisms underlying this association remain unclear. The present study aimed to understand the relationships between the multiple forms of victimization and suicidality by examining the potential mediators of sleep duration and depression. Methods Data for this […]

Sleep continuity, timing, quality, and disorder are associated with suicidal ideation and suicide attempts among college students

Objective: To evaluate sleep continuity, timing, quality, and disorder in relation to suicidal ideation and attempts among college students. Participants: Eight hundred eighty-five undergraduates aged 18-25 in the southwestern United States. Methods: Participants completed questionnaires on sleep, suicide risk, mental health, and substance use. Differences in sleep variables were compared by lifetime and recent suicidal ideation and suicide attempts using […]

Suicidal ideation, depression, and insomnia in parent survivors of suicide: Based on Korean psychological autopsy of adolescent suicides

Background: This study aims to evaluate suicidal ideation, depression, and insomnia among parent survivors of adolescents who died by suicide and their relevant risk factors using psychological autopsy results from South Korea. Methods: The participants were 42 parent survivors (10 fathers and 32 mothers) of 35 adolescents who died by suicide. We used the Patient […]

Objective sleep markers of suicidal behaviors in patients with psychiatric disorders: A systematic review and meta-analysis

Close relationships have been reported between sleep alterations and suicidal behaviors, nevertheless few studies used objective measures of sleep. Such objective markers would be interesting in clinical practice to better screen and prevent suicide. We conducted a systematic review and meta-analysis of published studies examining the relationship between sleep markers and suicidal behaviors using PubMed, Cochrane […]

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

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 […]

Sleep influences daily suicidal ideation through affective reactivity to interpersonal events among high-risk adolescents and young adults

Background: Identifying proximal risk factors for suicidal ideation that are modifiable and relevant for adolescents and young adults is critical for suicide prevention. This study used an intensive monitoring approach to examine whether objectively- and subjectively- measured sleep characteristics predict next-day suicidal ideation occurrence and intensity through affective reactivity to interpersonal events in young people at […]

Defeat and entrapment mediate the relationship between insomnia symptoms and suicidal ideation in young adults

Aim In recent years, there has been a growing interest in understanding the relationship between sleep disturbance and suicide. The current study aimed to advance understanding of the psychological processes driving these relationships by examining whether insomnia symptoms are related to suicidal ideation via perceptions of defeat and entrapment. Methods Young adults (n = 259; 202 students […]

The impact of homeostatic and circadian sleep processes on non-suicidal self-injury and suicide urges in borderline personality disorder

Objective Borderline personality disorder (BPD) involves high rates of non-suicidal self-injury (NSSI) and suicidal behaviors, which are often preceded by urges. Disrupted sleep processes have been linked to NSSI and suicidal behaviors. However, it is unclear which specific sleep processes influence NSSI and suicide urges at rest (i.e., baseline) or in response to distress (i.e., […]

The moderating role of stress response on the relationship between subjective sleep quality and suicide ideation in adolescence

Objective Problems sleeping and stress are known to contribute to the development of suicide ideation. However, it is unclear how these risk factors interact longitudinally. The purpose of this study was to determine the impact of problems sleeping on the development of suicide ideation in adolescence one year later and how the relationship changes with […]