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Related Experiment Video

Updated: May 27, 2026

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats

A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats

Published on: May 22, 2019

Is insomnia associated with suicidality in stroke?

Wai-Kwong Tang¹, Jin-Yan Lu, Huajun Liang

¹Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China. tangwk@cuhk.edu.hk

Archives of Physical Medicine and Rehabilitation

|December 3, 2011

Summary

Insomnia, particularly frequent awakenings, is linked to increased suicidality risk in stroke patients. Early identification and treatment of sleep disturbances are crucial for stroke survivors.

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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats

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Published on: May 22, 2019

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder

Published on: April 26, 2024

Area of Science:

Neurology
Psychiatry
Sleep Medicine

Background:

Stroke survivors face significant mental health challenges, including an increased risk of suicidality.
Insomnia is a common post-stroke complication that may exacerbate psychological distress.

Purpose of the Study:

To investigate the association between insomnia symptoms and suicidality in Chinese patients following a first or recurrent stroke.
To identify specific insomnia-related factors that predict suicidality in this population.

Main Methods:

A cross-sectional survey was conducted with 787 patients admitted to an acute stroke unit.
Suicidality was assessed using the Geriatric Mental State Examination 3 months post-stroke.
Insomnia symptoms were evaluated using a standard questionnaire, with analyses adjusted for confounders.

Main Results:

11.1% of stroke patients reported suicidality.
Frequent awakening was significantly more prevalent in patients with suicidality.
Frequent awakening emerged as a significant predictor of suicidality (OR, 1.7) after adjusting for confounders.

Conclusions:

Insomnia, especially frequent awakenings, is a significant risk factor for suicidality in stroke patients.
Clinicians should be vigilant for insomnia in stroke survivors.
Early detection and management of insomnia are vital for mitigating suicidality risk in stroke patients.