Associations between sleep disturbance and suicidal ideation in adolescents admitted to an inpatient psychiatric unit
Abstract
The goals of our study were to: 1) describe the incidence of disturbances in sleep quality, sleep hygiene, sleep-related cognitions and nightmares; and 2) investigate the association between these sleep-related disturbances and suicidal ideation (SI), in adolescents admitted to a psychiatric inpatient unit. Our sample consisted of 50 adolescents between the ages of 12 and 17 years (32 females and 18 males; 41 Caucasian and nine African American). Our cross-sectional design involved the administration of the Adolescent Sleep Wake Scale (ASWS), the Adolescent Sleep Hygiene Scale (ASHS), the Dysfunctional Beliefs and Attitudes about Sleep-Short version for use with children (DBAS-C10), the Disturbing Dreams and Nightmare Scale (DDNSI), and the Suicidal Ideation Questionnaire Jr (SIQ-JR). Analyses were conducted using Pearson correlations, as well as univariate and multivariate regression. Results indicated that our sample experienced sleep disturbances and SI to a greater degree than non-clinical samples. Sleep quality was correlated with nightmares, while sleep quality and nightmares were each correlated with SI. Sleep quality, dysfunctional beliefs, and nightmares each independently predicted SI. Our study was the first to use the four sleep measures with an adolescent psychiatric inpatient sample. It is important to develop sleep-related assessment tools in high-risk populations given the link between sleep disturbances and suicidality. Furthermore, a better understanding of the relationships between SI and sleep quality, sleep-related cognitions, and nightmares is needed to develop potential prevention and treatment options for suicidality in adolescents.
References
1. Pagel JF, Forister N, Kwiatkowki C. Adolescent sleep disturbance and school performance: the confounding variable of socioeconomics. J Clin Sleep Med 2007;3:19–23.Suche in Google Scholar
2. Johnson EO, Roth T, Schultz L, Breslau, N. Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics 2006;117:e247–56.10.1542/peds.2004-2629Suche in Google Scholar
3. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance-United States, 2011. Available at: http://www.cdc.gov/MMWR/PDF/SS/SS6104.PDF.Suche in Google Scholar
4. Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry 2013;70:300–10.10.1001/2013.jamapsychiatry.55Suche in Google Scholar
5. Hawton K, Saunders KEA, O’Connor RC. Self-harm and suicide in adolescents. The Lancet 2012;379:2373–82.10.1016/S0140-6736(12)60322-5Suche in Google Scholar
6. Wong MM, Brower KJ. The prospective relationship between sleep problems and suicidal behavior in the National Longitudinal Study of Adolescent Health. J Psychiatr Res 2012;46:953–59.10.1016/j.jpsychires.2012.04.008Suche in Google Scholar PubMed PubMed Central
7. Liu X. Sleep and adolescent suicidal behavior. Sleep 2004;27:1351–8.10.1093/sleep/27.7.1351Suche in Google Scholar PubMed
8. Goldstein TR, Bridge JA, Brent DA. Sleep disturbance preceding completed suicide in adolescents. J Consult Clin Psychol 2008;76:84–91.10.1037/0022-006X.76.1.84Suche in Google Scholar PubMed PubMed Central
9. Lewondowski AS, Toliver-Sokol M, Palermo TM. Evidence-based review of subjective pediatric sleep measures. J Pediatr Psychol 2010;36:780–93.10.1093/jpepsy/jsq119Suche in Google Scholar PubMed PubMed Central
10. LeBourgeois MK, Giannotti F, Cortesi F, Wolfson AR, Harsh J. The relationship between reported sleep quality and sleep hygiene in Italian and American adolescents. Pediatrics 2005;115: 257–65.10.1542/peds.2004-0815HSuche in Google Scholar PubMed PubMed Central
11. LeBourgeois MK, Hancock M, Harsh J. Validation of the Children’s Sleep Wake Scale (CSWS) [Abstract]. Sleep 2001;24:A219.Suche in Google Scholar
12. LeBourgeois MK, Harsh JR. A new research measure for children’s sleep. Sleep 2001;24:A360.Suche in Google Scholar
13. Storfer-Isser A, LeBourgeois MK, Harsh J, Tompsett CJ, Redline S. Psychometric properties of the Adolescent Sleep Hygiene Scale. J Sleep Res 2013; doi: 10.1111/jsr.12059.10.1111/jsr.12059Suche in Google Scholar PubMed PubMed Central
14. Blunden S, Crawford MR, Gregory AM. Development of a short version of the Dysfunctional Beliefs about Sleep Questionnaire for use with Children (DBAS-C10). Poster session presented at: Annual meeting of the Associated Professional Sleep Societies; 2012 June 9–13; Boston, MA.10.4172/2325-9639.1000115Suche in Google Scholar
15. Gregory AM, Cox J, Crawford MR, Holland J, Haravey AG. Dysfunctional beliefs and attitudes about sleep in children. J Sleep Res 2009;18:422–6.10.1111/j.1365-2869.2009.00747.xSuche in Google Scholar
16. Krakow B. Nightmare complaints in treatment-seeking patients in clinical sleep medicine settings: Diagnostic and treatment implications. Sleep 2006;29:1313–9.10.1093/sleep/29.10.1313Suche in Google Scholar
17. Krakow B, Schrader R, Tandberg D, Hillifield M, Koss MP, et al. Nightmare frequency in sexual assault survivors with PTSD. J Anxiety Disord 2002;16:175–90.10.1016/S0887-6185(02)00093-2Suche in Google Scholar
18. Reynolds WM. Suicidal Ideation Questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources, 1988.Suche in Google Scholar
19. Palermo TM, Toliver-Sokol M, Fonareva I, Koh JL. Objective and subjective assessment of sleep in adolescents with chronic pain compared to healthy adolescents. Clin J Pain 2007;23:812–20.10.1097/AJP.0b013e318156ca63Suche in Google Scholar PubMed PubMed Central
20. Walker AJ, Johnson KP, Miaskowski C, Lee KL, Gedaly-Duff V. Sleep quality and sleep hygiene behaviors of adolescents during chemotherapy. J Clin Sleep Med 2010;6: 439–44.10.5664/jcsm.27932Suche in Google Scholar
21. Cartwright R. Dreams and adaptation to divorce. In: Barrett D, editor. Trauma and dreams. Cambridge, MA: Harvard University Press, 1996:179–85.Suche in Google Scholar
22. McCall WV. Insomnia is a risk factor for suicide-what are the next steps? Sleep 2011;34:1149–50.10.5665/SLEEP.1222Suche in Google Scholar PubMed PubMed Central
23. McCall WV, Batson N, Webster M, Case LD, Joshi I, et al.Nightmares and dysfunctional beliefs about sleep mediate the effect of insomnia symptoms on suicidal ideation. J Clin Sleep Med 2013;9:135–40.10.5664/jcsm.2408Suche in Google Scholar PubMed PubMed Central
24. McCall WV, Blocker JN, D’Agostino Jr R, Kimball J, Boggs N, et al. Insomnia severity is an indicator of suicidal ideation during a depression clinical trial. Sleep Med 2010;11:822–7.10.1016/j.sleep.2010.04.004Suche in Google Scholar PubMed PubMed Central
© 2014 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- Editorial
- Healthy eating and physical activity
- Reviews
- A comprehensive review of mental health gatekeeper-trainings for adolescents and young adults
- A conceptual framework for early adolescence: a platform for research
- Original Articles
- Body image satisfaction and self-esteem in Thai female adolescents: the moderating role of self-compassion
- Iranian university students’ perceived reproductive health needs
- An exploration of adolescent nonsuicidal self-injury and religious coping
- Adolescents’ view of health concept and its risk factors: a literature review
- Suicide attempts and suicides in Bolivia from 2007 to 2012: pesticides are the preferred method – females try but males commit suicide!
- Predictive factors and psychosocial effects of Internet addictive behaviors in Cypriot adolescents
- Nutrition, lifestyle factors, and mental health in adolescents and young adults living in Austria
- University students’ point of views to facilitators and barriers to sexual and reproductive health services
- The context of alcohol consumption among adolescents and their families
- Determinants of condom use at sexual debut among young Vietnamese
- Associations between sleep disturbance and suicidal ideation in adolescents admitted to an inpatient psychiatric unit
- Body size preferences among young women in five Arab countries: a cross-cultural study
- Drug knowledge of expatriate adolescents in the United Arab Emirates and their attitudes towards self-medication
- Perspectives of clinical medical directors in child and adolescent psychiatry: diagnostic and treatment needs of migrant families
- Factors associated with physical inactivity among female and male rural adolescents in Borneo – a cross-sectional study
- Book Review
- Brainstorm: The Power and Purpose of the Teenage Brain by Daniel J. Siegel M.D
Artikel in diesem Heft
- Frontmatter
- Editorial
- Healthy eating and physical activity
- Reviews
- A comprehensive review of mental health gatekeeper-trainings for adolescents and young adults
- A conceptual framework for early adolescence: a platform for research
- Original Articles
- Body image satisfaction and self-esteem in Thai female adolescents: the moderating role of self-compassion
- Iranian university students’ perceived reproductive health needs
- An exploration of adolescent nonsuicidal self-injury and religious coping
- Adolescents’ view of health concept and its risk factors: a literature review
- Suicide attempts and suicides in Bolivia from 2007 to 2012: pesticides are the preferred method – females try but males commit suicide!
- Predictive factors and psychosocial effects of Internet addictive behaviors in Cypriot adolescents
- Nutrition, lifestyle factors, and mental health in adolescents and young adults living in Austria
- University students’ point of views to facilitators and barriers to sexual and reproductive health services
- The context of alcohol consumption among adolescents and their families
- Determinants of condom use at sexual debut among young Vietnamese
- Associations between sleep disturbance and suicidal ideation in adolescents admitted to an inpatient psychiatric unit
- Body size preferences among young women in five Arab countries: a cross-cultural study
- Drug knowledge of expatriate adolescents in the United Arab Emirates and their attitudes towards self-medication
- Perspectives of clinical medical directors in child and adolescent psychiatry: diagnostic and treatment needs of migrant families
- Factors associated with physical inactivity among female and male rural adolescents in Borneo – a cross-sectional study
- Book Review
- Brainstorm: The Power and Purpose of the Teenage Brain by Daniel J. Siegel M.D