Rapid resolution of intense suicidal ideation after treatment of severe obstructive sleep apnea
Open accessAbstract
Patients with insomnia may develop suicidal ideation; however, we know of no reports of suicidal ideation associated with obstructive sleep apnea. We report on a 74-year-old man who presented to his primary care physician with excessive daytime sleepiness, poor quality nocturnal sleep, depressed mood, and suicidal ideation with active suicide plans. An emergency outpatient psychiatry consultation was arranged. The patient declined psychiatric hospitalization. He agreed to a trial of continuous positive airway pressure, using a self-titrating machine, followed by an urgent sleep study. Polysomnography revealed an apnea hypopneaindex of 64, arousal index of 91 and minimum oxygen saturation of 65%. The patient's sleep and excessive daytime sleepiness responded to nCPAP. The patient declined antidepressant medication but had excellent adherence to nCPAP. Suicidal ideation and depression resolved promptly and at 4-month followup were in remission. Further studies examining the relationship among untreated obstructive sleep apnea, depression, and suicidal ideation are warranted.
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Treating sleep conditions is needed to improve the outcomes of other likely associated mental conditions.
“which demonstrates the need to treat sleep conditions to improve the outcomes of other likely associated mental conditions.”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [87]
The case study patient responded well to sleep apnea treatment (nCAP) and his suicidal ideation and depression resolved.
“He responded well to the sleep apnea treatment (nCAP) and his suicidal ideation and depression resolved”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [87]
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- Authors
- Krahn, L. E., Miller, B. W., & Bergstrom, L. R.
- Affiliations
- Mayo Clinic (US)
- Mayo Clinic in Arizona (US)
- Corresponding author
- Krahn, Lois E.
- ORCID
- Bergstrom, Larry R.
- Venue
- Journal of Clinical Sleep Medicine
- Published
- 2008-02-15
- Volume
- 4
- Issue
- 1
- Pages
- 64-65
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- PMC
- PMC2276837
- OpenAlex
- W2137262491
- Cited by
- 28
- References
- 7
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2015: 2 · 2013: 2 · 2012: 2
- FWCI
- 2.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Sleep Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- suicidal ideation, obstructive sleep apnea, continuous positive airway pressure, depression, excessive daytime sleepiness, apnea-hypopnea index, sleep apnea treatment
- MeSH terms
- Suicide Prevention, Aged, Major Depressive Disorder, Follow-Up Studies, Humans, Male, Suicide, Treatment Outcome, Polysomnography, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure
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