Prospective associations of insomnia and nightmares with suicidal behavior among primary care patients.

IF 1.2 4区 医学 Q3 FAMILY STUDIES
Logan M Smith, Justin C Baker, Craig J Bryan
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引用次数: 0

Abstract

Introduction: Insomnia and nightmares have both been associated with suicide risk and are both known to be commonly reported in a primary care setting. However, we are unaware of any studies examining the sleep-suicide relationship in the primary care setting. Clarifying these relationships could reveal important clues for improving suicide prevention efforts in primary care and other medical settings.

Method: Participants included 2,744 primary care patients recruited from six clinics located at five U.S. military installations. Participants completed measures of suicidal ideation, insomnia, and nightmares at baseline and suicidal ideation and suicide attempts were tracked at 6- and 12-month follow-up interviews.

Results: Of the 1,792 patients with follow-up data, 57 (3.2%) attempted suicide during the 12-month follow-up. Patients who attempted suicide during follow-up were more likely than patients who did not attempt suicide to have clinical insomnia and nightmares at least weekly. When adjusting for baseline suicidal ideation, clinical insomnia and nightmares at least weekly remained significant predictors of follow-up suicide attempts.

Conclusions: Our findings suggest that insomnia and nightmares are accurate predictors of subsequent suicidal behavior among a primary care population and may offer positive predictive value for suicidal behavior over and above what can be provided by assessing suicidal ideation alone. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

初级保健患者失眠、噩梦与自杀行为的前瞻性关联。
失眠和噩梦都与自杀风险有关,并且在初级保健机构中都被普遍报道。然而,我们不知道有任何研究在初级保健环境中检查睡眠自杀的关系。澄清这些关系可以为改善初级保健和其他医疗机构的自杀预防工作提供重要线索。方法:参与者包括2,744名初级保健患者,来自5个美国军事设施的6个诊所。参与者在基线时完成自杀意念、失眠和噩梦的测量,并在6个月和12个月的随访访谈中跟踪自杀意念和自杀企图。结果:在随访的1792例患者中,57例(3.2%)在12个月的随访期间企图自杀。在随访期间试图自杀的患者比没有试图自杀的患者更有可能出现临床失眠和噩梦,至少每周一次。当调整基线自杀意念时,临床失眠和至少每周一次的噩梦仍然是后续自杀企图的重要预测因子。结论:我们的研究结果表明,失眠和噩梦是初级保健人群中随后自杀行为的准确预测因素,并且可能比单独评估自杀意念提供的自杀行为具有积极的预测价值。(PsycInfo Database Record (c) 2025 APA,版权所有)。
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
Families Systems & Health
Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
1.50
自引率
7.70%
发文量
81
审稿时长
>12 weeks
期刊介绍: Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.
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