A Comprehensive Review of the Literature on Sleep Difficulties and Suicidality in Youth to Inform an Integrative Developmental Model and Future Directions.

IF 1.5 Q4 CLINICAL NEUROLOGY Current Sleep Medicine Reports Pub Date : 2022-03-01 Epub Date: 2022-03-03 DOI:10.1007/s40675-022-00222-9

Tina R Goldstein, Peter L Franzen

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Abstract

Purpose of review: 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.

Recent findings: 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.

Summary: Literature supports a clear association between sleep difficulties and youth suicidality. Future directions include prospective longitudinal studies and targeted prevention efforts.

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全面回顾有关青少年睡眠障碍和自杀倾向的文献，为综合发展模式和未来方向提供依据。

审查目的：自杀是目前导致青少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参考。睡眠是一个很有前景且易于评估的因素。我们对有关青少年睡眠与自杀想法和行为的文献进行了严格的审查：大多数关于青少年睡眠与自杀倾向关系的研究都来自流行病学样本，其中对睡眠问题和自杀倾向的评估都是在不同的时间范围内进行的，所使用的量表项目有限，并不是为了测量这些因素而设计的。尽管如此，这些数据压倒性地支持自杀倾向与一系列睡眠障碍（如失眠、睡眠时间短/长、周末睡过头）之间存在关联，而不仅仅是抑郁症状。包含临床样本或前瞻性设计的研究有限。我们回顾了潜在的机制，并提出了一个以发展为基础的综合模型。摘要：文献支持睡眠障碍与青少年自杀之间存在明显的关联。未来的研究方向包括前瞻性纵向研究和有针对性的预防工作。

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来源期刊

Current Sleep Medicine Reports Medicine-Pulmonary and Respiratory Medicine

CiteScore

2.50

自引率

5.60%

发文量

期刊介绍： Current Sleep Medicine Reports aims to review the most important, recently published articles in the field of sleep medicine. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of sleep conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas such as insomnia, narcolepsy, sleep apnea, circadian rhythm disorders, and parasomnias. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.