Insomnia as a predictor of high-lethality suicide attempts
Open accessAbstract
INTRODUCTION: Research has demonstrated that patients with insomnia are at an increased risk of experiencing suicidal ideation and/or making a suicide attempt. OBJECTIVES: To evaluate the relation between insomnia and suicidal behaviour. AIMS: To examine factors associated with a diagnosis of insomnia in patients admitted to an Emergency Department (ED) and assessed by the psychiatrist in charge. METHODS: Participants were 843 patients consecutively admitted to the ED of Sant'Andrea Hospital in Rome, between January 2010 and December 2011. All patients admitted were referred to a psychiatrist. A clinical interview based on the Mini International Neuropsychiatric Interview (MINI) and a semi-structured interview was conducted. Patients were asked about 'ongoing' suicidal ideation or plans for suicide. RESULTS: Forty-eight percent of patients received a diagnosis of bipolar disorder (BD), major depressive disorder (MDD) or an anxiety disorder; whereas, 17.1% were diagnosed with Schizophrenia or other non-affective psychosis. Patients with insomnia (compared to patients without insomnia) more frequently had a diagnosis of BD (23.9% vs. 12.4%) or MDD (13.3% vs. 9.5%; p < 0.001). Moreover, patients with insomnia less frequently had attempted suicide in the past 24 h (5.3% vs. 9.5%; p < 0.05) as compared with other patients, but those patients with insomnia who attempted suicide more frequently used a violent method (64.3% vs. 23.6%; p < 0.01) compared to other suicide attempters. CONCLUSIONS: Our results do not support an association between insomnia and suicidal behaviour. However, suicide attempters with insomnia more frequently used violent methods, and this phenomenon should be taken into serious consideration by clinicians.
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Poor sleep is associated with symptoms of depression and anxiety.
“poor sleep is associated with symptoms of depression and anxiety (1–12)”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [10]
The Introduction and Discussion report a strong association between insomnia or sleep problems and depression, and the paper's patient comparison found major depressive disorder more often among patients with insomnia. The Introduction mentions anxiety only when describing a separate finding about nightmares and suicidal ideation; it does not establish an association between poor sleep and anxiety symptoms. (LLM, conf=0.88)
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Season, weather, and suicide–Further evidence for ecological complexity
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“…sleep is associated with symptoms of depression and anxiety (1–12), low impulse control (13, 14), non-suicidal self-injury and suicidal behavior (10, 12, 15–20), impaired cognitive and emotional processing (21–36), reckless or aggressive driving behavior (37–44), and impaired social behavior…”
BackgroundA high sense of coherence can mitigate suicidal ideation associated with insomnia
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Нарушения сна и суицидальное поведение. Сообщение I: Распространённость, влияния и взаимосвязи
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Personality Traits Interact With Sleep and Biological Rhythm in Patients With Bipolar Disorder
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Scope and Characteristics of Suicide Attempts Among Manic Patients With Bipolar Disorder
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Berardelli, I., Sarubbi, S., Trocchia, M. A., Longhini, L., Moschillo, A., Rogante, E., Cifrodelli, M., Erbuto, D., Innamorati, M., & Pompili, M. (2024) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001793 · Cited by 1 · see citing works
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Sleep Disturbance and Suicide Risk in the Elderly
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Research on the influence of physical exercise on insomnia and suicide of college students
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- Authors
- Pompili, M., Innamorati, M., Forte, A., Longo, L., Mazzetta, C., Erbuto, D., Ricci, F., Palermo, M., Stefani, H., Seretti, M. E., Lamis, D. A., Perna, G., Serafini, G., Amore, M., & Girardi, P.
- Affiliations
- Azienda Ospedaliera Sant'Andrea (IT)
- Emory University (US)
- University of Miami (US)
- University of Genoa (IT)
- Corresponding author
- Pompili, M.
- ORCID
- Venue
- International Journal of Clinical Practice
- Publisher
- Hindawi Limited
- Published
- 2013-11-19
- Volume
- 67
- Issue
- 12
- Pages
- 1311-1316
- ISSN
- 1368-5031 (ISSN-L)
- OpenAlex
- W2089886146
- Cited by
- 100
- References
- 26
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 8 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 13 · 2019: 8 · 2018: 23 · 2017: 9 · 2016: 8 · 2015: 3 · 2014: 3
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- insomnia, suicide attempts, suicidal ideation, suicide methods, violent suicide methods, bipolar disorder, major depressive disorder, anxiety disorders, suicide risk factors
- MeSH terms
- Bipolar Disorder, Major Depressive Disorder, Depressive Disorder, Major, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Rome, Schizophrenia, Suicide, Attempted, Suicidal Ideation
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