Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies

Abstract In recent years, there has been a growing interest in understanding the relationship between sleep and suicide. Although sleep disturbances are commonly cited as critical risk factors for suicidal thoughts and behaviours, it is unclear to what degree sleep disturbances confer risk for suici...

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Autores principales:	Lauren M. Harris, Xieyining Huang, Kathryn P. Linthicum, Chloe P. Bryen, Jessica D. Ribeiro
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0c2be4affb6e47c08aad6f044416c8ba
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spelling	oai:doaj.org-article:0c2be4affb6e47c08aad6f044416c8ba2021-12-02T16:45:46ZSleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies10.1038/s41598-020-70866-62045-2322https://doaj.org/article/0c2be4affb6e47c08aad6f044416c8ba2020-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-70866-6https://doaj.org/toc/2045-2322Abstract In recent years, there has been a growing interest in understanding the relationship between sleep and suicide. Although sleep disturbances are commonly cited as critical risk factors for suicidal thoughts and behaviours, it is unclear to what degree sleep disturbances confer risk for suicide. The aim of this meta-analysis was to clarify the extent to which sleep disturbances serve as risk factors (i.e., longitudinal correlates) for suicidal thoughts and behaviours. Our analyses included 156 total effects drawn from 42 studies published between 1982 and 2019. We used a random effects model to analyse the overall effects of sleep disturbances on suicidal ideation, attempts, and death. We additionally explored potential moderators of these associations. Our results indicated that sleep disturbances are statistically significant, yet weak, risk factors for suicidal thoughts and behaviours. The strongest associations were found for insomnia, which significantly predicted suicide ideation (OR 2.10 [95% CI 1.83–2.41]), and nightmares, which significantly predicted suicide attempt (OR 1.81 [95% CI 1.12–2.92]). Given the low base rate of suicidal behaviours, our findings raise questions about the practicality of relying on sleep disturbances as warning signs for imminent suicide risk. Future research is necessary to uncover the causal mechanisms underlying the relationship between sleep disturbances and suicide.Lauren M. HarrisXieyining HuangKathryn P. LinthicumChloe P. BryenJessica D. RibeiroNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lauren M. Harris Xieyining Huang Kathryn P. Linthicum Chloe P. Bryen Jessica D. Ribeiro Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
description	Abstract In recent years, there has been a growing interest in understanding the relationship between sleep and suicide. Although sleep disturbances are commonly cited as critical risk factors for suicidal thoughts and behaviours, it is unclear to what degree sleep disturbances confer risk for suicide. The aim of this meta-analysis was to clarify the extent to which sleep disturbances serve as risk factors (i.e., longitudinal correlates) for suicidal thoughts and behaviours. Our analyses included 156 total effects drawn from 42 studies published between 1982 and 2019. We used a random effects model to analyse the overall effects of sleep disturbances on suicidal ideation, attempts, and death. We additionally explored potential moderators of these associations. Our results indicated that sleep disturbances are statistically significant, yet weak, risk factors for suicidal thoughts and behaviours. The strongest associations were found for insomnia, which significantly predicted suicide ideation (OR 2.10 [95% CI 1.83–2.41]), and nightmares, which significantly predicted suicide attempt (OR 1.81 [95% CI 1.12–2.92]). Given the low base rate of suicidal behaviours, our findings raise questions about the practicality of relying on sleep disturbances as warning signs for imminent suicide risk. Future research is necessary to uncover the causal mechanisms underlying the relationship between sleep disturbances and suicide.
format	article
author	Lauren M. Harris Xieyining Huang Kathryn P. Linthicum Chloe P. Bryen Jessica D. Ribeiro
author_facet	Lauren M. Harris Xieyining Huang Kathryn P. Linthicum Chloe P. Bryen Jessica D. Ribeiro
author_sort	Lauren M. Harris
title	Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
title_short	Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
title_full	Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
title_fullStr	Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
title_full_unstemmed	Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
title_sort	sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/0c2be4affb6e47c08aad6f044416c8ba
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Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies

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