title: Sleep problems and suicide attempts among adolescents: a case-control study.
abstract: This study used a case-control design to compare sleep disturbances in 40 adolescents who attempted suicide with 40 never-suicidal adolescents. Using hierarchical logistic regression analyses, we found that self-reported nighttime awakenings were significantly associated with attempted suicide, after controlling for antidepressant use, antipsychotic use, affective problems, and being bullied. In a separate regression analysis, the parent-reported total sleep problems score also predicted suicide attempt status, controlling for key covariates. No associations were found between suicide attempts and other distinct sleep problems, including falling asleep at bedtime, sleeping a lot during the day, trouble waking up in the morning, sleep duration, and parent-reported nightmares. Clinicians should be aware of sleep problems as potential risk factors for suicide attempts for adolescents.
authors.affiliation: a University of Pennsylvania.
authors.forename: Neel
authors.initials: N
authors.lastname: Koyawala
authors.forename: Jack
authors.initials: J
authors.lastname: Stevens
authors.forename: Sandra M
authors.initials: SM
authors.lastname: McBee-Strayer
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Cannon
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Bridge
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D004325:Dreams; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D010290:Parents; D012307:Risk Factors; D057566:Self Report; D012890:Sleep; D012893:Sleep Wake Disorders / Q000523:psychology*; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires