Persistent suicidal ideation in a large intensive outpatient adolescent population sample: A preliminary report on the role of sleep disturbance

Afsoon Gazor, William David Brown, S. Kamal Naqvi, Beth Kennard, Sunita M Stewart

Research output: Contribution to journalArticlepeer-review

Abstract

Sleep disturbance is a unique, yet understudied, risk factor for suicidal thoughts and behaviors (STBs). The present study sought to explore the relationship between suicidal ideation (SI) and self-reported sleep disturbance in a sample of adolescents in an intensive outpatient program targeting suicidality (N = 691). Analyses conducted include paired samples t tests, multiple linear regression, and analysis of variance to examine group differences in sleep disturbance over time. Sleep disturbance and SI were associated at each timepoint, and sleep disturbance at admission predicted SI at discharge. Those with the most severe SI at discharge indicated increased sleep disturbance relative to admission, whereas those reporting no SI at discharge nearly resolved all sleep difficulties. Future studies should utilize objective sleep measures, longitudinal assessments, and include a more diverse sample to better inform the relationship of sleep and SI. These findings suggest that directly managing sleep disturbance during treatment could decrease the risk of STBs.

Original languageEnglish (US)
Pages (from-to)113-123
Number of pages11
JournalBulletin of the Menninger Clinic
Volume86
Issue number2
DOIs
StatePublished - Mar 1 2022

Keywords

  • adolescents
  • intensive outpatient treatment
  • sleep
  • suicidal ideation

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Clinical Psychology
  • Psychiatry and Mental health

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