Association Between Suicidal Behaviors and Obstructive Sleep Apnea Based on the STOP-Bang Questionnaire: A Nationwide Population-Based Study.

IF 4.5 2区医学 Q1 PSYCHIATRY

Journal of Clinical Psychiatry Pub Date : 2025-02-03 DOI:10.4088/JCP.24m15345

Chang Hoon Han, Joohyng Son, Jae Ho Chung

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引用次数: 0

Abstract

Objectives: We studied the association between obstructive sleep apnea (OSA) based on STOP-Bang questionnaire and suicidal risk behaviors (ideations, plans, and attempts) in the general population using a nationally representative sample from South Korea.

Methods: Data were obtained from 11,917 adults (aged ≥40 years) who participated in the Korea National Health and Nutrition Examination Survey (2019-2020). Multiple logistic regression analyses were used to evaluate the association between suicidal behaviors and intermediate-high risk OSA (STOP-Bang score ≥3).

Results: Poor health status, severe stress, less sleep time, poor quality of life, and depression were significantly more common in the intermediate-high risk OSA group compared to the low risk OSA group. The proportions of the intermediate-high risk OSA group who had suicidal ideation (2.5%), suicidal planning (1.8%), and suicidal attempts (0.5%) were higher than those in the low risk OSA group (1.1%, 1.2%, 0.1%; P < .001, respectively). A multivariate analysis after adjusting revealed that the odds ratios for suicidal ideations, planning, and attempts were 1.42 (95% confidence interval [CI]: 1.00-2.02), 1.21 (95% CI: 1.01-1.77), and 3.29 (95% CI: 1.50-7.24), respectively, in the intermediate-high risk OSA group.

Conclusions: Moderate-high risk groups of OSA based on the STOP-Bang questionnaire were associated with suicidal behaviors in a Korean population.

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基于STOP-Bang问卷的自杀行为与阻塞性睡眠呼吸暂停之间的关系：一项基于全国人群的研究。

目的：我们研究了基于STOP-Bang问卷的阻塞性睡眠呼吸暂停（OSA）与自杀风险行为（想法、计划和企图）之间的关系，并使用了韩国具有全国代表性的样本。方法：数据来自参加韩国国家健康与营养调查（2019-2020）的11,917名成年人（年龄≥40岁）。采用多元logistic回归分析评估自杀行为与中高危OSA （STOP-Bang评分≥3）的相关性。结果：与低危OSA组相比，中高危OSA组健康状况不佳、压力严重、睡眠时间少、生活质量差、抑郁明显更常见。中高危OSA组有自杀意念（2.5%）、自杀计划（1.8%）和自杀企图（0.5%）的比例高于低危OSA组(1.1%、1.2%、0.1%；P < 0.001)。调整后的多因素分析显示，在中高危OSA组中，自杀意念、计划和企图的比值比分别为1.42（95%可信区间[CI]: 1.00-2.02）、1.21 （95% CI: 1.01-1.77）和3.29 （95% CI: 1.50-7.24）。结论：基于STOP-Bang问卷的中-高危OSA人群与韩国人群的自杀行为相关。

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

Journal of Clinical Psychiatry 医学-精神病学

CiteScore

7.40

自引率

1.90%

发文量

审稿时长

3-8 weeks

期刊介绍： For over 75 years, The Journal of Clinical Psychiatry has been a leading source of peer-reviewed articles offering the latest information on mental health topics to psychiatrists and other medical professionals.The Journal of Clinical Psychiatry is the leading psychiatric resource for clinical information and covers disorders including depression, bipolar disorder, schizophrenia, anxiety, addiction, posttraumatic stress disorder, and attention-deficit/hyperactivity disorder while exploring the newest advances in diagnosis and treatment.