Poor self-reported sleep quality associated with suicide risk in a community sample of American Indian adults.
Poor self-reported sleep quality associated with suicide risk in a community sample of American Indian adults.
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DOI：
10.1093/sleepadvances/zpad024
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Bernert, Rebecca
中科院分区：
文献类型：
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作者：
Ehlers, Cindy L;Karriker-Jaffe, Katherine J;Bernert, Rebecca
尽管美洲印第安人/阿拉斯加原住民 (AI/AN) 的自杀率很高，但很少有研究系统调查睡眠质量及其与 AI/AN 自杀行为的关系。这项研究是对成人人工智能人群自我报告的睡眠质量和自杀行为的横断面调查。采用半结构化访谈收集有关自杀意念、自杀计划和自杀企图的数据，并收集匹兹堡睡眠质量指数 (PSQI) 以评估美洲印第安成年人的睡眠质量。在这个样本中 (n = 477)，91 名 (19%) 的参与者赞同自杀意念（想法和计划），66 名 (14%) 的参与者报告了自杀企图，其中 4 名随后自杀身亡。报告有自杀念头或自杀行为的女性多于男性。与那些没有自杀想法或行为的人相比，那些支持自杀想法的人夜间睡眠时间更少，夜间醒来的次数更多，并且根据 PSQI 总分显示主观睡眠质量较差。与那些没有自杀想法或行为的参与者相比，有自杀行为的参与者 (n = 66) 报告了更多的噩梦和更高的 PSQI 总分。当那些有自杀念头或行为的人（n = 157，33%）与没有自杀念头或行为的人进行比较时，他们更有可能认可夜间觉醒和噩梦，并且表现出显着更高的 PSQI 总分。尽管需要进行更多研究来评估睡眠障碍作为人工智能自杀行为的近端因果风险因素，但研究结果强调需要进一步研究睡眠作为美洲印第安成年人自杀预防的警告信号和干预工具。
Although American Indian/Alaska Native (AI/AN) have high suicide rates few studies have systematically investigated sleep quality and its association with suicidal behaviors in AI/AN. This study is a cross-sectional investigation of self-reported sleep quality and suicidal behaviors in an adult AI population. A semi-structured interview was used to collect data on suicidal ideation, suicidal plans, and suicidal attempts and the Pittsburgh Sleep Quality Index (PSQI) was collected to assess sleep quality in American Indian adults. In this sample (n = 477), 91 (19%) of the participants endorsed suicidal ideation (thoughts and plans), and 66 (14%) reported suicidal attempts, including four who subsequently died by suicide. More women reported suicidal thoughts or acts than men. Those endorsing suicidal thoughts slept fewer hours during the night, reported more nocturnal awakenings, and showed poorer subjective sleep quality according to PSQI total scores compared to those with no suicidal thoughts or acts. Participants with suicidal acts (n = 66) reported more bad dreams and higher PSQI total scores compared to those with no suicidal thoughts or acts. When those with any suicidal thoughts or acts (n = 157, 33%) were compared to those without, they were more likely to endorse nocturnal awakenings and bad dreams and demonstrated significantly higher PSQI total scores. Although additional research is needed to evaluate sleep disturbances as a proximal, causal risk factor for suicidal behaviors in AI, findings highlight need for further study of sleep as a warning sign and intervention tool for suicide prevention among American Indian adults.