title: Association among depressive disorder, adjustment disorder, sleep disturbance, and suicidal ideation in Taiwanese adolescent.
abstract: BACKGROUND
  The aim of this study is to investigate the association among depressive disorder, adjustment disorder, sleep disturbance, and suicidal ideation in Taiwanese adolescent.
  
  
  METHODS
  We recruited 607 students (grades 5-9) to fill out the investigation of basic data and sleep disturbance. Psychiatrists then used the Mini International Neuropsychiatric Interview-Kid to interview these students to assess their suicidal ideation and psychiatric diagnosis. Multiple logistic regression with forward conditionals was used to find the risk factors for multivariate analysis.
  
  
  RESULTS
  Female, age, depressive disorder, adjustment disorder, and poor sleep all contributed to adolescent suicidal ideation in univariate analysis. However, poor sleep became non-significant under the control of depressive disorder and adjustment disorder.
  
  
  CONCLUSIONS
  We found that both depressive disorder and adjustment disorder play important roles in sleep and adolescent suicidal ideation. After controlling both depressive disorder and adjustment disorder, sleep disturbance was no longer a risk of adolescent suicidal ideation. We also confirm the indirect influence of sleep on suicidal ideation in adolescent.
authors.affiliation: Jianan Mental Hospital, Tainan City, Taiwan; National Yang-Ming University, Taipei City, Taiwan.
authors.forename: Ming-Shun
authors.initials: MS
authors.lastname: Chung
authors.forename: Hsien-Jane
authors.initials: HJ
authors.lastname: Chiu
authors.forename: Wen-Jung
authors.initials: WJ
authors.lastname: Sun
authors.forename: Chieh-Nan
authors.initials: CN
authors.lastname: Lin
authors.forename: Chien-Cheng
authors.initials: CC
authors.lastname: Kuo
authors.forename: Wei-Che
authors.initials: WC
authors.lastname: Huang
authors.forename: Ying-Sheue
authors.initials: YS
authors.lastname: Chen
authors.forename: Hui-Ping
authors.initials: HP
authors.lastname: Cheng
authors.forename: Pesus
authors.initials: P
authors.lastname: Chou
mesh_terms: D000275:Adjustment Disorders / Q000453:epidemiology*; D000293:Adolescent; D002648:Child; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D059020:Suicidal Ideation; D013624:Taiwan / Q000453:epidemiology
keywords: adjustment; adolescent suicide; depression; risk factor; sleep