Sleep and adolescent suicidal behavior
Sleep and adolescent suicidal behavior
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DOI：
10.1093/sleep/27.7.1351
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发表时间：
2004-11-01
期刊：
影响因子：
5.6
通讯作者：
Liu, XC
中科院分区：
文献类型：
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作者：
Liu, XC
研究目的：自杀风险在青春期开始增加。青少年睡眠不足，也面临许多睡眠障碍的风险。这项研究调查了睡眠模式、睡眠问题和青少年自杀行为之间的关系。设计与情境：对中国山东省某州的在校青少年进行问卷调查。参与者：共有1362名在校青少年（平均年龄14.6岁，男性占60%）参与了调查。测量方法：受访者完成一份自我管理的问卷，询问睡眠模式、睡眠问题、自杀行为、抑郁症状以及家庭和青少年的人口统计学特征。结果：总体而言，19.3%的样本报告有自杀意念，10.5%的人在过去6个月内有自杀企图，16.9%的人有失眠症状，2.3%的人服用过催眠药物，48.9%的人在过去一个月有做噩梦的经历。平均夜间睡眠时间为7.6小时（SD = 0.8）。Logistic回归分析显示，在调整年龄、性别、父亲职业和抑郁症状后，夜间睡眠不足8小时（OR = 2.89, 95%可信区间[CI] = 1.97 -7.81）和频繁做噩梦（OR = 2.43, 95% CI = 1.76-3.35）与自杀企图风险增加显著相关，做噩梦（OR = 1.69, 95% CI = 1.20-2.38）与自杀意念也显著相关。结论：这些发现证明了短睡眠时间与噩梦和自杀行为之间的联系，并强调了睡眠干预在预防青少年自杀中的潜在作用。
Study Objectives: Suicide risk begins to increase during adolescence. Adolescents do not get enough sleep and are also at risk for many sleep disturbances. This study examined the association between sleep patterns and sleep problems and adolescent suicidal behavior.Design and Setting: A questionnaire survey of adolescents attending school was conducted in one prefecture of Shandong Province, People's Republic of China.Participants: A total of 1,362 adolescents attending school (mean age 14.6 years, 60% males) participated in the survey.Measurements: Respondents completed a self-administered questionnaire that asked about sleep patterns, sleep problems, suicidal behavior, depressive symptoms, and demographic characteristics of the family and adolescent.Results: Overall, 19.3% of the sample reported having suicidal ideation, 10.5% having suicide attempts in the past 6 months, 16.9% having insomnia symptoms, 2.3% having taken hypnotic medication, and 48.9% having experience of nightmares in the past month. Mean night sleep duration was 7.6 hours (SD = 0.8). Logistic regression analyses showed that sleeping less than 8 hours at night (OR = 2.89, 95% confidence interval [CI] = 1.07-7.81) and frequent nightmares (OR = 2.43, 95% CI = 1.76-3.35) were significantly associated with increased risk for suicide attempts after adjustment for age, sex, father's occupation, and depressive symptoms and that nightmares (OR = 1.69, 95% CI = 1.20-2.38) were also significantly related to suicidal ideation.Conclusion: These findings demonstrate the association between short sleep duration and nightmares and suicidal behavior and highlight the potential role of sleep intervention in the prevention of adolescent suicide.