Onset insomnia and insufficient sleep duration are associated with suicide ideation in university students and athletes
Name:
Journal of Affective Disorders ...
Size:
79.79Kb
Format:
PDF
Description:
Final Accepted Manuscript
Author
Khader, Waliuddin SuhaibTubbs, Andrew S
Haghighi, Ariana
Athey, Amy B
Killgore, William D S
Hale, Lauren
Perlis, Michael L
Gehrels, Jo-Ann
Alfonso-Miller, Pamela
Fernandez, Fabian-Xosé
Grandner, Michael A
Affiliation
Univ Arizona, Dept PsycholUniv Arizona, Dept Psychiat
Univ Arizona, Athlet Dept
Issue Date
2020-05-24
Metadata
Show full item recordPublisher
ELSEVIERCitation
Khader, S., Tubbs, A. S., Haghighi, A., Athey, A., Killgore, W. S., Hale, L., ... & Grandner, M. A. (2020). Onset insomnia and insufficient sleep duration are associated with suicide ideation in university students and athletes. Journal of Affective Disorders.Journal
Journal of affective disordersRights
Copyright © 2020 Elsevier B.V. All rights reserved.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background: Previous work has shown that poor sleep is a prospective risk factor for suicide in clinical populations and might contribute to risk in the general population. The present study evaluated whether sleep distress, onset insomnia, and insufficient sleep are associated with suicide ideation in university students and athletes participating in the 2011-2014 National College Health Assessment (NCHA; n = 113,185). Methods: In the NCHA survey, students self-reported the presence or absence of suicide ideation within the past 12 months. SLEEP DISTRESS was assessed with an item indicating that "sleep difficulties" were "particularly traumatic or difficult to handle." ONSET INSOMNIA was assessed as at least 3 nights per week where survey participants reported an "extremely hard time falling asleep." INSUFFICIENT SLEEP was operationalized as the number of days per week where the participants felt they did not get "enough sleep to feel rested." All variables were yes/no except INSUFFICIENT SLEEP, which was categorized as 0-1 (reference), 2-3, 4-5, or 6-7 nights. Binary logistic regression analyses examined suicide ideation as the outcome and sleep variable as a predictor, adjusted for age, sex, year in school, recent depressed mood, and survey year. Associations within student-athletes were likewise assessed. Results: 7.4% of students reported suicide ideation within the past 12 months. In adjusted models, this was significantly associated with SLEEP DISTRESS (OR = 3.01, 95% CI [2.86, 3.16], p < 0.0001), ONSET INSOMNIA (OR = 1.95, 95% CI [1.86, 2.04], p < 0.0001), as well as INSUFFICIENT SLEEP (4-5 nights, OR = 1.41, 95% CI [1.28, 1.56], p < 0.0001; 6-7 nights, OR = 1.92, 95% CI [1.74, 2.13], p < 0.0001). Although suicide ideation was less common among athletes, ORs were similar for athletes for all sleep variables of interest. Conclusion: Sleep distress, onset insomnia, and insufficient sleep were all strongly related to suicide ideation among university students. These relationships were the same among collegiate athletes, even though this group reported less overall suicide ideation. Our findings suggest that university students may benefit from educational materials linking sleep disruption to maladaptive thinking and suicide ideation.Note
12 month embargo; available online 24 May 2020ISSN
0165-0327EISSN
1573-2517PubMed ID
32663946Version
Final accepted manuscriptae974a485f413a2113503eed53cd6c53
10.1016/j.jad.2020.05.102
Scopus Count
Collections
Related articles
- Nonsuicidal self-injury, suicidal ideation, and suicide attempt among collegiate athletes: Findings from the National College Health Assessment.
- Authors: Anchuri K MHS, Davoren AK, Shanahan A, Torres M, Wilcox HC
- Issue date: 2020 Nov-Dec
- Defeat and Entrapment Mediate the Relationship Between Insomnia Symptoms and Suicidal Ideation in Young Adults.
- Authors: Bradford DRR, Biello SM, Russell K
- Issue date: 2022 Jul-Sep
- Linking insomnia and suicide ideation in college females: The role of socio-cognitive variables and depressive symptoms in suicide risk.
- Authors: Bozzay ML, Karver MS, Verona E
- Issue date: 2016 Jul 15
- Loneliness, Insomnia and Suicidal Behavior among School-Going Adolescents in Western Pacific Island Countries: Role of Violence and Injury.
- Authors: Sharma B, Lee TH, Nam EW
- Issue date: 2017 Jul 15
- Association of sleep characteristics with suicidal ideation and suicide attempt among adults aged 50 and older with depressive symptoms in low- and middle-income countries.
- Authors: Owusu JT, Doty SB, Adjaye-Gbewonyo D, Bass JK, Wilcox HC, Gallo JJ, Spira AP
- Issue date: 2020 Feb