Sleep disturbance as a risk factor for non suicidal self injury and suicidal behaviour in youth

Research output: Contribution to journalMeeting abstract

91 Citations (Scopus)

Abstract

Introduction: Converging evidence identifies sleep disturbance as an evidence-based risk factor for suicidal behaviour. This relationship has not yet been systematically evaluated in association with a history of non-suicidal self-injury (NSSI). Research is warranted among adolescents given increased vulnerability to sleep disturbances and high risk of suicide attempts. The current investigation sought to examine sleep disturbances among youth with 1) no history of self-directed violence (SDV) (controls), 2) history of NSSI, or 3) history of a suicide attempt (SA).

Methods: N=1046 high school students (aged 15–17; 53% female) completed self-report surveys of SDV (with and without suicidal intent), depression, and a range of sleep parameters using: The Sleep Condition Indicator (SCI; Insomnia symptoms), Disturbing Dreams and Nightmare Severity Index (DDNSI), Munch Chronotype Questionnaire (MCQ; sleep efficiency (SE), total sleep time (TST), chronotype), and Hospital Anxiety and Depression Scale. Consistent with suicidal ideation findings, sleep disturbance were hypothesized to be greater among both SDV groups relative to those without such a history. ANCOVA analyses (including HADS as a planned covariate) were employed to examine differences between groups.

Results: Youth in groups endorsing past SDV (NSSI=12.2%, SA=5.6%) scored Significantly lower on the SCI (p<0.001), indicating greater insomnia severity than controls (82.2%). SE was poorer (school (p=0.005) and weekend nights (p=0.004)), with shorter school night TST (p=0.003) and greater eveningness observed among those reporting NSSI and SA history (p=0.020). DDNSI-assessed nightmare severity differed significantly between all three groups (p<0.001), with the highest scores observed among those with an SA history. All effects remained when controlling for depression, with the exception of chronotype.

Conclusion: Findings revealed significant differences in sleep disturbance between youth with no history of SDV and those reporting NSSI or SA histories. These findings may inform empirically-driven approaches to risk assessment and interventions to enhance prevention of suicide and NSSI.
LanguageEnglish
PagesA412-A413
Number of pages1
JournalSLEEP
Volume40
Issue numbersuppl_1
DOIs
Publication statusPublished - 28 Apr 2017
Event31st Anniversary Meeting of the Associated Professional Sleep Societies - Boston, United States
Duration: 3 Jun 20177 Jun 2017

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Sleep
Suicide
Wounds and Injuries
Violence
History
Sleep Initiation and Maintenance Disorders
Depression
Suicidal Ideation
Self Report
Anxiety
Students
Research

Keywords

  • sleep disturbance
  • self injury
  • self-harming
  • non-suicidal
  • youth
  • self-directed violence
  • suicide attempts

Cite this

@article{ced54178531f409cad4d07ac836381be,
title = "Sleep disturbance as a risk factor for non suicidal self injury and suicidal behaviour in youth",
abstract = "Introduction: Converging evidence identifies sleep disturbance as an evidence-based risk factor for suicidal behaviour. This relationship has not yet been systematically evaluated in association with a history of non-suicidal self-injury (NSSI). Research is warranted among adolescents given increased vulnerability to sleep disturbances and high risk of suicide attempts. The current investigation sought to examine sleep disturbances among youth with 1) no history of self-directed violence (SDV) (controls), 2) history of NSSI, or 3) history of a suicide attempt (SA).Methods: N=1046 high school students (aged 15–17; 53{\%} female) completed self-report surveys of SDV (with and without suicidal intent), depression, and a range of sleep parameters using: The Sleep Condition Indicator (SCI; Insomnia symptoms), Disturbing Dreams and Nightmare Severity Index (DDNSI), Munch Chronotype Questionnaire (MCQ; sleep efficiency (SE), total sleep time (TST), chronotype), and Hospital Anxiety and Depression Scale. Consistent with suicidal ideation findings, sleep disturbance were hypothesized to be greater among both SDV groups relative to those without such a history. ANCOVA analyses (including HADS as a planned covariate) were employed to examine differences between groups.Results: Youth in groups endorsing past SDV (NSSI=12.2{\%}, SA=5.6{\%}) scored Significantly lower on the SCI (p<0.001), indicating greater insomnia severity than controls (82.2{\%}). SE was poorer (school (p=0.005) and weekend nights (p=0.004)), with shorter school night TST (p=0.003) and greater eveningness observed among those reporting NSSI and SA history (p=0.020). DDNSI-assessed nightmare severity differed significantly between all three groups (p<0.001), with the highest scores observed among those with an SA history. All effects remained when controlling for depression, with the exception of chronotype.Conclusion: Findings revealed significant differences in sleep disturbance between youth with no history of SDV and those reporting NSSI or SA histories. These findings may inform empirically-driven approaches to risk assessment and interventions to enhance prevention of suicide and NSSI.",
keywords = "sleep disturbance, self injury, self-harming , non-suicidal, youth, self-directed violence, suicide attempts",
author = "K Russell and S Rasmussen and SC Hunter and RA Bernert and Leanne Fleming",
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day = "28",
doi = "10.1093/sleepj/zsx050.1106",
language = "English",
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Sleep disturbance as a risk factor for non suicidal self injury and suicidal behaviour in youth. / Russell, K; Rasmussen, S; Hunter, SC; Bernert, RA; Fleming, Leanne.

In: SLEEP, Vol. 40, No. suppl_1, 28.04.2017, p. A412-A413.

Research output: Contribution to journalMeeting abstract

TY - JOUR

T1 - Sleep disturbance as a risk factor for non suicidal self injury and suicidal behaviour in youth

AU - Russell, K

AU - Rasmussen, S

AU - Hunter, SC

AU - Bernert, RA

AU - Fleming, Leanne

PY - 2017/4/28

Y1 - 2017/4/28

N2 - Introduction: Converging evidence identifies sleep disturbance as an evidence-based risk factor for suicidal behaviour. This relationship has not yet been systematically evaluated in association with a history of non-suicidal self-injury (NSSI). Research is warranted among adolescents given increased vulnerability to sleep disturbances and high risk of suicide attempts. The current investigation sought to examine sleep disturbances among youth with 1) no history of self-directed violence (SDV) (controls), 2) history of NSSI, or 3) history of a suicide attempt (SA).Methods: N=1046 high school students (aged 15–17; 53% female) completed self-report surveys of SDV (with and without suicidal intent), depression, and a range of sleep parameters using: The Sleep Condition Indicator (SCI; Insomnia symptoms), Disturbing Dreams and Nightmare Severity Index (DDNSI), Munch Chronotype Questionnaire (MCQ; sleep efficiency (SE), total sleep time (TST), chronotype), and Hospital Anxiety and Depression Scale. Consistent with suicidal ideation findings, sleep disturbance were hypothesized to be greater among both SDV groups relative to those without such a history. ANCOVA analyses (including HADS as a planned covariate) were employed to examine differences between groups.Results: Youth in groups endorsing past SDV (NSSI=12.2%, SA=5.6%) scored Significantly lower on the SCI (p<0.001), indicating greater insomnia severity than controls (82.2%). SE was poorer (school (p=0.005) and weekend nights (p=0.004)), with shorter school night TST (p=0.003) and greater eveningness observed among those reporting NSSI and SA history (p=0.020). DDNSI-assessed nightmare severity differed significantly between all three groups (p<0.001), with the highest scores observed among those with an SA history. All effects remained when controlling for depression, with the exception of chronotype.Conclusion: Findings revealed significant differences in sleep disturbance between youth with no history of SDV and those reporting NSSI or SA histories. These findings may inform empirically-driven approaches to risk assessment and interventions to enhance prevention of suicide and NSSI.

AB - Introduction: Converging evidence identifies sleep disturbance as an evidence-based risk factor for suicidal behaviour. This relationship has not yet been systematically evaluated in association with a history of non-suicidal self-injury (NSSI). Research is warranted among adolescents given increased vulnerability to sleep disturbances and high risk of suicide attempts. The current investigation sought to examine sleep disturbances among youth with 1) no history of self-directed violence (SDV) (controls), 2) history of NSSI, or 3) history of a suicide attempt (SA).Methods: N=1046 high school students (aged 15–17; 53% female) completed self-report surveys of SDV (with and without suicidal intent), depression, and a range of sleep parameters using: The Sleep Condition Indicator (SCI; Insomnia symptoms), Disturbing Dreams and Nightmare Severity Index (DDNSI), Munch Chronotype Questionnaire (MCQ; sleep efficiency (SE), total sleep time (TST), chronotype), and Hospital Anxiety and Depression Scale. Consistent with suicidal ideation findings, sleep disturbance were hypothesized to be greater among both SDV groups relative to those without such a history. ANCOVA analyses (including HADS as a planned covariate) were employed to examine differences between groups.Results: Youth in groups endorsing past SDV (NSSI=12.2%, SA=5.6%) scored Significantly lower on the SCI (p<0.001), indicating greater insomnia severity than controls (82.2%). SE was poorer (school (p=0.005) and weekend nights (p=0.004)), with shorter school night TST (p=0.003) and greater eveningness observed among those reporting NSSI and SA history (p=0.020). DDNSI-assessed nightmare severity differed significantly between all three groups (p<0.001), with the highest scores observed among those with an SA history. All effects remained when controlling for depression, with the exception of chronotype.Conclusion: Findings revealed significant differences in sleep disturbance between youth with no history of SDV and those reporting NSSI or SA histories. These findings may inform empirically-driven approaches to risk assessment and interventions to enhance prevention of suicide and NSSI.

KW - sleep disturbance

KW - self injury

KW - self-harming

KW - non-suicidal

KW - youth

KW - self-directed violence

KW - suicide attempts

UR - http://www.sleepmeeting.org/abstract-supplements

UR - http://www.sleepmeeting.org/

U2 - 10.1093/sleepj/zsx050.1106

DO - 10.1093/sleepj/zsx050.1106

M3 - Meeting abstract

VL - 40

SP - A412-A413

JO - SLEEP

T2 - SLEEP

JF - SLEEP

SN - 0161-8105

IS - suppl_1

ER -