Insomnia symptoms and suicidality in the national comorbidity survey–adolescent supplement
Open accessAbstract
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 of 13-18 from the National Comorbidity Survey - Adolescent Supplement (NCS-A).Results In bivariate analyses, all insomnia symptoms (i.e., difficulty falling asleep, difficulty staying asleep, and early morning awakening) were associated with suicide ideation, plan and attempts. In multivariate analyses, controlling for substance use, mood and anxiety disorders, as well as important covariates, difficulties falling and staying asleep had a significant relationship with 12-month and lifetime suicide variables while early morning awakening did not.Conclusions Two of the three insomnia symptoms had a significant association with suicide thoughts and plan even after controlling for psychiatric disorders that were known to affect suicidality. Having trouble falling sleeping or staying asleep had both direct and indirect relationships (via substance use, mood and anxiety disorders) on suicidal behavior. Assessment and treatment of sleep disturbances may reduce the risk for suicidality in adolescents.
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This study is the first to explore prospectively the role of sleep difficulties and personality traits in the transition to suicide attempts over time.
“Both of these factors have been associated with suicidal behaviour in previous research;36, 37, 38, 39 however, our study is the first to explore prospectively the role of sleep difficulties and personality traits in the transition to suicide attempts over time.”
From Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: a population-based birth cohort study (2019) · cites this paper as [38]
The citation attaches to the statement that sleep difficulties and personality traits have been associated with suicidal behaviour in previous research, not to the citing authors’ claim about their own prospective study. The source’s Results (section 3.2; page unavailable) associate sleep problems with suicidal thoughts, plans and attempts, but the passages do not establish an association for personality traits. (LLM, conf=0.86)
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Climate Change and Global Mental Health
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- Authors
- Wong, M. M., Brower, K. J., & Craun, E. A.
- Affiliations
- Idaho State University (US)
- University of Michigan (US)
- Corresponding author
- Wong, Maria M.
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 81
- Pages
- 1-8
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC5021568
- OpenAlex
- W2415335682
- Cited by
- 71
- References
- 48
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 11 · 2020: 7 · 2019: 7 · 2018: 9 · 2017: 5 · 2016: 1
- FWCI
- 10.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (U01-MH60220)
- National Institute on Drug Abuse
- Substance Abuse and Mental Health Services Administration
- Robert Wood Johnson Foundation (044780)
- National Institute on Alcohol Abuse and Alcoholism and National Institute of General Medical Sciences (R01 AA020364)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- insomnia symptoms, suicidality, adolescents, suicidal ideation, suicide planning, suicide attempts, difficulty falling asleep, early morning awakening, sleep disorders, substance use, mood disorders, anxiety disorders, psychiatric comorbidity
- MeSH terms
- Adolescent, Age Factors, Health Surveys, Humans, Sleep Initiation and Maintenance Disorders, Risk Factors, Suicide, United States, Logistic Models
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