Association of sleep problems with suicidal behaviors and healthcare utilization in adults with chronic diseases: the role of mental illness.

IF 3.6 3区医学 Q1 PSYCHIATRY

Annals of General Psychiatry Pub Date : 2025-06-21 DOI:10.1186/s12991-025-00576-8

Chen Wen, Zheng Wei, Nasr Chalghaf, Woldegebriel Assefa Woldegerima, Jianhong Wu, Nicola Luigi Bragazzi, Sergio Garbarino

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引用次数: 0

Abstract

Objectives: This study aimed to investigate the association between sleep problems and suicidal behaviors as well as healthcare utilization in Canadian adults with chronic diseases, while also examining the mediating role of mental illness.

Methods: Data were drawn from the 2015-16 cycle of the Canadian Community Health Survey, specifically from Ontario, Manitoba, and Saskatchewan - the provinces that included the optional sleep module. A total of 22,700 participants aged ≥ 18 years and diagnosed with at least one chronic disease were included in the analysis. Sleep problems were defined as extreme sleep durations (either < 5 or ≥ 10 h) and insomnia. Mental illness was classified as a self-reported mood or anxiety disorder.

Results: Participants with extreme sleep durations (compared to 7 to < 8 h) and those with insomnia (compared to no insomnia) showed a higher prevalence of suicidal ideation, suicidal plans, and increased healthcare utilization. After adjusting for multiple covariates, both extreme sleep durations and insomnia remained significantly associated with increased odds of suicidal ideation, suicidal plans, and healthcare utilization. Mediation analyses indicated that mental illness partially mediated these associations.

Conclusions: Both extreme sleep durations and insomnia were independently associated with higher odds of suicidal behaviors and increased healthcare utilization in adults with chronic diseases, with mental illness playing a partial mediating role in these relationships.

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慢性疾病患者睡眠问题与自杀行为和医疗保健利用的关联：精神疾病的作用

目的：本研究旨在探讨加拿大成人慢性疾病患者的睡眠问题与自杀行为和医疗保健利用之间的关系，同时探讨精神疾病的中介作用。方法：数据来自加拿大社区健康调查的2015-16周期，特别是来自安大略省、马尼托巴省和萨斯喀彻温省的数据，这些省份包括可选睡眠模块。共有22,700名年龄≥18岁且诊断为至少一种慢性疾病的参与者被纳入分析。睡眠问题被定义为极端睡眠持续时间(结果：极端睡眠持续时间的参与者（相比于7）到结论：极端睡眠持续时间和失眠与成人慢性疾病患者自杀行为的高几率和医疗保健利用率增加独立相关，精神疾病在这些关系中起部分中介作用。

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

Annals of General Psychiatry PSYCHIATRY-

CiteScore

6.60

自引率

2.70%

发文量

审稿时长

>12 weeks

期刊介绍： Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.