A Comprehensive Review of the Literature on Sleep Difficulties and Suicidality in Youth to Inform an Integrative Developmental Model and Future Directions.
A Comprehensive Review of the Literature on Sleep Difficulties and Suicidality in Youth to Inform an Integrative Developmental Model and Future Directions.
复制标题
DOI：
10.1007/s40675-022-00222-9
复制
发表时间：
2022-03
影响因子：
1.8
通讯作者：
Franzen, Peter L
中科院分区：
文献类型：
--
作者：
Goldstein, Tina R;Franzen, Peter L
自杀目前是青年死亡的第二大原因。识别可改变的近期风险因素可以为自杀预防策略提供信息。一个有希望的，容易评估的因素是睡眠。我们批判性地回顾了关于青少年睡眠和自杀想法和行为的文献。大多数研究青年睡眠自杀关系的流行病学样本中，睡眠问题和自杀行为进行了评估，在可变的时间范围内使用有限的项目，从规模不设计来衡量这些结构。尽管如此，这些数据压倒性地支持自杀倾向和一系列睡眠困难之间的关联（例如，失眠、短/长睡眠、周末睡过头），以及抑郁症状。有限的研究包括临床样本或前瞻性设计。我们回顾了潜在的机制，并提出了一个发展知情的综合模型。文献支持睡眠困难和青年自杀之间的明确关联。未来的方向包括前瞻性纵向研究和有针对性的预防工作。
Suicide is currently the second leading cause of death among youth. Identification of modifiable near-term risk factors can inform suicide prevention strategies. One promising, readily assessed factor is sleep. We critically review the literature on sleep and suicidal thoughts and behaviors among youth. Most studies examining the youth sleep-suicidality relationship are from epidemiological samples in which both sleep problems and suicidality were assessed over variable timeframes using limited items from scales not designed to measure these constructs. Nonetheless, these data overwhelmingly support an association between suicidality and a range of sleep difficulties (e.g., insomnia, short/long sleep, weekend oversleep), above and beyond depressive symptoms. Limited studies include clinical samples or prospective designs. We review potential mechanisms and present a developmentally-informed integrative model. Literature supports a clear association between sleep difficulties and youth suicidality. Future directions include prospective longitudinal studies and targeted prevention efforts.