Cited by 138Suicide and Self-Harm StudiesSleep and related disordersChild and Adolescent Psychosocial and Emotional Development

Associations between sleep disturbances and suicidal ideation, plans, and attempts in adolescents: a systematic review and meta-analysis

Liu, Jen-Wei, Tu, Yu-Kang, Lai, Ying-Fan, Lee, Hsin-Chien, Tsai, Pei-Shan, Chen, Ting-Jhen, Huang, Hui-Chuan, Chen, Yu-Ting +1 more·2019·Sleep

Abstract

Study objectives To systematically review and meta-analyze the associations between sleep disturbances and suicidal ideation, plans, and attempts in adolescents and explore potential moderators of these associations. Methods Embase, PubMed, ProQuest, and the China Knowledge Resource Integrated Database were searched from their inception dates to October 19, 2018. We selected cross-sectional, prospective, or retrospective studies without time or language restrictions. Results Nine cross-sectional studies, four prospective studies, and one retrospective report that, respectively, involved 37 536, 9295, and 80 adolescents were included in the meta-analysis. Cross-sectional analyses revealed that adolescents with sleep disturbances were at higher risks of suicidal ideation, plans, and attempts (pooled odds ratios [ORs] = 2.35, 1.58, and 1.92) than those without sleep disturbances. Prospective reports indicated that sleep disturbances in adolescents significantly predicted the risk of suicidal ideation but not suicide attempts (pooled ORs = 1.79 and 1.98, 95% confidence intervals = 1.36-2.36 and 0.62-6.29, respectively). The retrospective study did not support the association between sleep disturbances and suicide attempts. Depression did not moderate the associations between sleep disturbances and suicidal ideation or attempts in adolescents. Adolescents with insomnia complaints had a higher risk of suicidal ideation than those with other sleep complaints. Age, the female percent…

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Crossref · 10.1093/sleep/zsz054

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Authors
Liu, J.-W., Tu, Y.-K., Lai, Y.-F., Lee, H.-C., Tsai, P.-S., Chen, T.-J., Huang, H.-C., Chen, Y.-T., & Chiu, H.-Y.
Affiliations
  • Fu Jen Catholic University (TW)
  • National Taiwan University (TW)
  • Taipei Medical University (TW)
  • Taipei Medical University-Shuang Ho Hospital (TW)
  • Chang Gung University (TW)
Corresponding author
Chiu, Hsiao-Yean
Venue
Sleep
Published
2019-03-07
Volume
42
Issue
6
ISSN
  • 0161-8105 (ISSN-L)
  • 1550-9109
OpenAlex
W2921563418
Cited by
137
References
55
Citations by year
2026: 13 · 2025: 17 · 2024: 35 · 2023: 23 · 2022: 9 · 2021: 18 · 2020: 14 · 2019: 8
FWCI
1.93
Type
journal article
Language
en
Open access
closed
Locations
  • SLEEP (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Shin Kong Wu Ho-Su Memorial Hospital – Taipei Medical University (SKH-TMU-106-03)
  • Ministry of Science and Technology, Taiwan (106-2314-B-038-058-MY3)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
sleep disorders, suicidal ideation, suicide planning, suicide attempts, adolescents, insomnia, depression, suicide prevention, sleep complaints
MeSH terms
Adolescent, Adolescent Behavior, China, Cross-Sectional Studies, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Prospective Studies, Retrospective Studies, Risk Factors, Sleep, Suicide, Attempted, Suicidal Ideation

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