Sleep, psychiatric disorders and suicide.
Sleep, psychiatric disorders and suicide.
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睡眠、精神疾病和自杀。
DOI：
10.1016/j.jpsychires.2012.09.011
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发表时间：
2013
影响因子：
4.8
通讯作者：
Oquendo,MariaA
中科院分区：
文献类型：
--
作者：
Sher,Leo;Mann,JJohn;Oquendo,MariaA
最近对军事人员的大样本进行的前瞻性研究表明，失眠症状是自杀企图的预测因子（Ribeiro等人，2012年）。这项研究的结果与先前的多项观察结果一致，这些观察结果表明失眠、睡眠质量差和噩梦与自杀行为风险增加有关（Singareddy和Balon，2001; Agargun和Cartwright，2003; Blasco-Fontecilla等人，2011年）。睡眠研究报告了各种多导睡眠图结果，包括抑郁症、情感障碍和精神分裂症自杀患者的快速眼动（REM）时间和REM活动增加（Singareddy和Balon，2001）。例如，已经发现，与非自杀受试者相比，自杀受试者具有显著更短的平均快速眼动睡眠（REM）潜伏期和更高的平均REM百分比（Agargun和Cartwright，2003）。在前半夜和后半夜之间，REM内容的梦境质量的减少与自杀有关（Agargun和Cartwright，2003）。还已经观察到，短睡眠与男性的自杀企图有关，但与女性无关，这表明在睡眠异常和自杀行为之间的关系方面可能存在性别差异（Blasco-Fontecilla et al.，2011年）。
A recent prospective study of a large sample of military personnel has demonstrated that insomnia symptoms were predictors of suicide attempt (Ribeiro et al., 2012). The results of this study are consistent with multiple previous observations suggesting that insomnia, poor sleep quality, and nightmares are associated with increased risk for suicidal behavior (Singareddy and Balon, 2001; Agargun and Cartwright, 2003; Blasco-Fontecilla et al., 2011). Sleep studies have reported various polysomnographic findings including increased rapid eye movement (REM) time and REM activity in suicidal patients with depression, schizoaffective disorder, and schizophrenia (Singareddy and Balon, 2001). For example, it has been found that suicidal subjects have a significantly shorter mean rapid eye movement sleep (REM) latency and a higher mean REM percentage compared to the non-suicidal subjects (Agargun and Cartwright, 2003). A reduction in dream-like quality of the REM content between the first and second halves of the night has been observed to be associated with suicidality (Agargun and Cartwright, 2003). It has also been observed that short sleep is associated with suicide attempts in males but not in females which suggests that there may be gender differences with regard to the relation between sleep abnormalities and suicidal behavior (Blasco-Fontecilla et al., 2011).