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Sleep problems and self-harm in adolescence
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BACKGROUND: Although self-harm and sleep problems are major public health problems in adolescence, detailed epidemiological assessment is essential to understand the nature of this relationship. AIMS: To conduct a detailed assessment of the relationship between sleep and self-harm in adolescence. METHOD: A large population-based study in Norway surveyed 10 220 adolescents aged 16-19 years on mental health, including a comprehensive assessment of sleep and self-harm. RESULTS: Adolescents with sleep problems were significantly more likely to report self-harm than those without sleep problems. Insomnia, short sleep duration, long sleep onset latency, wake after sleep on set as well as large differences between weekdays versus weekends, yielded higher odds of self-harm consistent with a dose-response relationship. Depressive symptoms accounted for some, but not all, of this association. CONCLUSIONS: The findings highlight a strong relationship between sleep problems and self-harm. Interventions to reduce adolescent self-harm ought to incorporate sleep problems as a treatment target.
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“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 [37]
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Metadata
- Authors
- Hysing, M., Sivertsen, B., Stormark, K. M., & O'Connor, R. C.
- Affiliations
- Norwegian Institute of Public Health (NO)
- Corresponding author
- Hysing, Mari
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2015-10
- Volume
- 207
- Issue
- 4
- Pages
- 306-312
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2128279542
- Cited by
- 114
- References
- 44
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 7 · 2023: 11 · 2022: 9 · 2021: 10 · 2020: 15 · 2019: 11 · 2018: 10 · 2017: 9 · 2016: 9
- FWCI
- 14.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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
- sleep disorders, self-harm, adolescents, insomnia, short sleep duration, sleep latency, wake after sleep onset, depressive symptoms, dose-response relationship, adolescent mental health
- MeSH terms
- Adolescent, Depression, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Norway, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Sleep Wake Disorders, Logistic Models, Self-Injurious Behavior
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