Suicidal risk among adolescent psychiatric inpatients: the role of insomnia, depression, and social-personal factors.

IF 7.2 2区 医学 Q1 PSYCHIATRY
Valentina Baldini, Martina Gnazzo, Martina Maragno, Rebecca Biagetti, Camilla Stefanini, Francesco Canulli, Giorgia Varallo, Cristina Donati, Giovanni Neri, Andrea Fiorillo, Giuseppe Plazzi
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引用次数: 0

Abstract

Background: Adolescents with psychiatric disorders are at increased risk of suicide, with insomnia, depression, and social-personal factors playing pivotal roles. This study investigates the interplay between these factors in a sample of adolescent psychiatric inpatients in Italy, with a particular focus on their association with suicide attempts.

Methods: We conducted a cross-sectional study on 95 adolescent inpatients (54 suicide attempters, 41 non-attempters) to explore their sociodemographic and clinical variables, including insomnia, depression, and social-personal factors as history of bullying. Logistic regression analyses and Pearson's correlations were used to identify significant predictors of suicide attempts and their interrelations.

Results: Suicide attempters were predominantly female (90% vs. 75%, p = 0.04) and more likely to have a family psychiatric history (83% vs. 63%, p = 0.04), a history of bullying (26% vs. 9%, p = 0.01), and insomnia (79% vs. 53%, p = 0.01). Depression was strongly associated with suicide attempts (96% vs. 70%, p = 0.01), while physically active adolescents were significantly less likely to attempt suicide (27% vs. 53%, p = 0.01). Insomnia and depression were highly correlated (r = 0.94, p = 0.02), emphasizing the critical role of the former in emotional dysregulation. Behavioral factors, such as physical inactivity and bullying, emerged as additional key contributors to suicidal behavior.

Conclusion: This study highlights the multifaceted nature of suicide risk in adolescent psychiatric inpatients, with sleep disturbances, depression, and behavioral factors playing central roles. These findings underscore the need for integrated interventions targeting sleep, emotional regulation, and behavioral vulnerabilities to mitigate suicide risk.

青少年精神病住院患者的自杀风险:失眠、抑郁和社会个人因素的作用。
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来源期刊
European Psychiatry
European Psychiatry 医学-精神病学
CiteScore
8.50
自引率
3.80%
发文量
2338
审稿时长
4.5 weeks
期刊介绍: European Psychiatry, the official journal of the European Psychiatric Association, is dedicated to sharing cutting-edge research, policy updates, and fostering dialogue among clinicians, researchers, and patient advocates in the fields of psychiatry, mental health, behavioral science, and neuroscience. This peer-reviewed, Open Access journal strives to publish the latest advancements across various mental health issues, including diagnostic and treatment breakthroughs, as well as advancements in understanding the biological foundations of mental, behavioral, and cognitive functions in both clinical and general population studies.
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