Associations between multiple sleep dimensions and suicide and non-suicidal self-injury: a cross-sectional study of 3828 Chinese young people.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-03-01 Epub Date: 2024-05-23 DOI:10.1007/s00127-024-02689-z

Qiuyuan Chen, Lu Gong, Yalin Song, Jiangtao Zhang, Xinke Han, Yuhang Zhou, Lijie Li, Xili Jiang, Yudan Hao, Huijun Zhou, Xiaomin Lou, Xian Wang

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引用次数: 0

Abstract

Purpose: Suicide and non-suicidal self-injury (NSSI) are preventable concerns in young people. Suicidal ideation (SI), suicidal plans (SP) and suicidal attempt (SA) are closely related to death. Sleep problems are known risk factors for suicide and NSSI. This study aimed to explore the relationship between sleep, suicidality and NSSI.

Methods: Participants were 3,828 middle school and college students aged 11-23 years from urban and rural areas of Henan Province. Sleep, suicidal phenomena and NSSI were assessed by applying self-reported questionnaires. Chi-squared tests were utilized to demonstrate the demographic data and sleep variables. The correlation between sleep, suicidality and NSSI were explored by using binary logistic regression, while adjusting socio-demographic characteristics with multivariate models.

Results: Sleep variables except mid-sleep time were related to suicidal phenomena (P < 0.05). Greater social jet lag (SJL) [≥ 2 h (h)] was associated with increased risk of SI [Odds ratios (OR) = 1.72, 95% confidence intervals (CI):1.40-2.11], SP (OR = 2.10, 95%CI:1.59-2.79) and SA (OR = 1.50, 95%CI:1.00-2.26). Non-only child participants with SJL (≥ 2 h) had significantly increased odds of SI (OR = 1.75, 95%CI: 1.41-2.18) and SP (OR = 2.25, 95%CI: 1.66-3.05). Eveningness chronotype had the strongest correlation with SI (OR = 3.87, 95%CI:2.78-5.38), SP (OR = 4.72, 95%CI:2.97-7.50), SA (OR = 6.69, 95%CI:3.08-14.52) and NSSI (OR = 1.39, 95%CI:1.02-1.90).

Conclusion: Overlong or short sleep duration, SJL, eveningness chronotype and other sleep abnormalities (e.g., daytime dysfunction, low sleep efficiency) were associated with a higher prevalence of SI, SP and SA. Additionally, eveningness was significantly correlated with NSSI among young people. These findings suggested the importance of assessing and intervening in sleep habits to prevent suicide and NSSI in young people.

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多种睡眠维度与自杀和非自杀性自伤之间的关系：一项针对 3828 名中国青少年的横断面研究。

目的：自杀和非自杀性自伤（NSSI）是青少年中可预防的问题。自杀意念（SI）、自杀计划（SP）和自杀未遂（SA）与死亡密切相关。睡眠问题是自杀和 NSSI 的已知风险因素。本研究旨在探讨睡眠、自杀倾向和 NSSI 之间的关系：参与者为河南省城乡地区的 3828 名 11-23 岁中学生和大学生。采用自我报告问卷对睡眠、自杀现象和 NSSI 进行评估。对人口统计学数据和睡眠变量进行了卡方检验。利用二元逻辑回归探讨了睡眠、自杀倾向和NSSI之间的相关性，同时利用多变量模型调整了社会人口学特征：除中途睡眠时间外，其他睡眠变量均与自杀现象有关（P＜0.05）：睡眠时间过长或过短、SJL、黄昏时型和其他睡眠异常（如日间功能障碍、睡眠效率低）与较高的 SI、SP 和 SA 发生率相关。此外，晚睡时型与青少年的 NSSI 显著相关。这些研究结果表明，评估和干预睡眠习惯对预防青少年自杀和NSSI非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.