title: Sleep Problems, Suicidality and Depression among American Indian Youth.
abstract: BACKGROUND
  Mental health and sleep problems are important public health concerns among adolescents yet little is known about the relationship between sleep, depressive symptoms, and suicidality among American Indian youth.
  
  
  METHODS
  This study examined the impact of sleep and other factors on depressive symptoms and suicidality among Lumbee American Indian adolescents (N=80) ages 11-18.
  
  
  RESULTS
  At the bivariate level, sleepiness, was associated with depression but not with suicidality. Time in bed (TIB) was not associated with depression, but more TIB decreased the likelihood of suicidality. Higher levels of depressive symptoms were associated with increased likelihood of suicidality. At the multivariate level, sleepiness, suicidality, and self-esteem were associated with depression. TIB and depressive symptoms were the only variables associated with suicidality.
  
  
  CONCLUSIONS
  In working with American Indian youth, it may be helpful to consider sleep patterns as part of a comprehensive assessment process for youth who have or are at risk for depression and suicide.
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Elizabeth Mayfield
authors.initials: EM
authors.lastname: Arnold
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Vaughn W
authors.initials: VW
authors.lastname: McCall
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Anderson
authors.affiliation: Georgia Health Sciences University, Augusta, GA, USA.
authors.forename: Alfred
authors.initials: A
authors.lastname: Bryant
authors.affiliation: University of North Carolina at Pembroke, NC, USA.
authors.forename: Ronny
authors.initials: R
authors.lastname: Bell
keywords: Adolescents; American indians; Depression; Sleep problems; Suicide