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Associations between sleep disturbances and suicidal ideation, plans, and attempts in adolescents: a systematic review and meta-analysis
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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“and a higher risk of adolescent suicidal ideation (OR: 2.35)”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Liu et al., 2019
In the citing paper
“found that sleep disturbances were associated with a higher risk of adolescent suicide attempts (OR: 1.92)”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Liu et al., 2019
In the citing paper
“as well as suicidal ideation with a plan (OR: 1.58).”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Liu et al., 2019
In the citing paper
“The female percentage in studies was a significant positive moderator on the association for suicide attempts.”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Liu et al., 2019
In the citing paper
“The significant moderators on the association between sleep disturbances and suicide ideation were using insomnia symptoms in measurement, age, and reliable sleep measures.”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Liu et al., 2019
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Metadata
- 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
- ORCID
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- 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
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- 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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