Sleep problems, suicidal ideation, and self-harm behaviors in adolescence.
Sleep problems, suicidal ideation, and self-harm behaviors in adolescence.
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青春期的睡眠问题、自杀意念和自残行为。
DOI：
10.1016/j.jpsychires.2010.09.005
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发表时间：
2011-04
影响因子：
4.8
通讯作者：
Zucker, Robert A.
中科院分区：
文献类型：
--
作者：
Wong, Maria M.;Brower, Kirk J.;Zucker, Robert A.
以前的研究发现睡眠问题和自杀行为之间存在联系。然而，目前还不清楚这种联系是否可以在很大程度上用抑郁症来解释。在这项研究中，我们前瞻性地研究了参与者12-14岁时的睡眠问题与随后的自杀想法和自我伤害行为（包括自杀企图）之间的关系，同时控制基线时的抑郁症状。研究参与者是280名男孩和112名女孩，来自一个社区样本的高风险酗酒家庭和控制在一个正在进行的纵向研究。控制性别，父母酗酒和父母自杀想法，以及参与者在12 -14岁时的自杀想法或自我伤害行为，在12- 14岁时有睡眠困难，可以显著预测15-17岁时的自杀想法和自我伤害行为。当其他变量在模型中时，12-14岁的抑郁症状，噩梦，攻击行为和物质相关问题不是显着的预测因子。睡眠困难是青春期自杀念头和自残行为的一个强有力的预测因素。睡眠问题可能是青春期自杀行为的早期和重要标志。鼓励家长和初级保健医生警惕和筛查青少年的睡眠问题。未来的研究应该确定睡眠障碍的早期干预是否会降低青少年自杀的风险。
Previous research has found an association between sleep problems and suicidal behavior. However, it is still unclear whether the association can be largely explained by depression. In this study, we prospectively examined relationships between sleep problems when participants were 12–14 years old and subsequent suicidal thoughts and self-harm behaviors —including suicide attempts— at ages 15–17 while controlling for depressive symptoms at baseline. Study participants were 280 boys and 112 girls from a community sample of high-risk alcoholic families and controls in an ongoing longitudinal study. Controlling for gender, parental alcoholism and parental suicidal thoughts, and prior suicidal thoughts or self-harm behaviors when participants were 12–14 years old, having trouble sleeping at 12–14 significantly predicted suicidal thoughts and self-harm behaviors at ages 15–17. Depressive symptoms, nightmares, aggressive behavior, and substance-related problems at ages 12–14 were not significant predictors when other variables were in the model. Having trouble sleeping was a strong predictor of subsequent suicidal thoughts and self-harm behaviors in adolescence. Sleep problems may be an early and important marker for suicidal behavior in adolescence. Parents and primary care physicians are encouraged to be vigilant and screen for, sleep problems in young adolescents. Future research should determine if early intervention with sleep disturbances reduces the risk for suicidality in adolescents.
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影响因子：
6.4
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