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16-01-2024 | Death Wish | Original Contribution

Sleep measures as a predictor of suicidal ideation among high-risk adolescents

Authors: Roy Ratzon, Joel Reiter, Tanya Goltser-Dubner, Ronen Segman, Esti Galili Weisstub, Fortunato Benarroch, Shlomo Rahmani Zwi Ran, Ella Kianski, Ruth Giesser, Pnina Blum Weinberg, Amichai Ben-Ari, Yaron Sela, Moriah Bar Nitsan, Amit Lotan, Amit Shalev

Published in: European Child & Adolescent Psychiatry

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Abstract

Suicide is the second leading cause of death among youth aged 15–24 years. Identifying modifiable risk factors relevant to adolescents is crucial for suicide prevention. Sleep patterns have been linked to suicidality in adults, but lack sufficient study in youth. This ecological momentary assessment (EMA) study aimed to explore the relationship between objectively and subjectively measured sleep characteristics and next-day suicidal ideation in high-risk youth. We included 29 adolescents (12–18 years old) admitted to the inpatient psychiatric ward post-suicide attempt or due to suicidal intent within the previous month. We conducted objective (actigraphy) and subjective (sleep diary) sleep pattern assessments over ten consecutive days. Daily suicidal ideation was evaluated using a questionnaire based on the validated C-SSRS interview. A significant positive association was observed between sleep onset latency (SOL) and expressing a "death wish" the following day (OR = 1.06, 95% CI [1–1.11], p = .04), with each minute of longer SOL increased the risk for a death wish the following day by 6%. In addition, a marginally significant negative association was observed between total sleep time (TST) and expressing a "death wish" the following day (OR = 0.57, 95% CI [0.3–1.11], p = 0.1), with each one-hour decrease in objectively measured TST increasing the odds of a death wish by 43%. Our study highlights the interplay between sleep patterns and suicidal ideation, with SOL and TST playing a significant role that may function as proximal risk factors for suicidality and as a target for intervention while treating suicidal youth.
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Metadata
Title
Sleep measures as a predictor of suicidal ideation among high-risk adolescents
Authors
Roy Ratzon
Joel Reiter
Tanya Goltser-Dubner
Ronen Segman
Esti Galili Weisstub
Fortunato Benarroch
Shlomo Rahmani Zwi Ran
Ella Kianski
Ruth Giesser
Pnina Blum Weinberg
Amichai Ben-Ari
Yaron Sela
Moriah Bar Nitsan
Amit Lotan
Amit Shalev
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-023-02358-7