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Insufficient sleep and suicidality in adolescents
Yu Jin Lee1, Seong-Jin Cho, In Hee Cho
1Department of Psychiatry, Gachon University of Medicine and Science, Incheon, Republic of Korea.
Adolescents with behaviorally induced insufficient sleep syndrome (BISS) show increased suicidality. Weekend oversleep is linked to suicidal risk, independent of other factors, suggesting chronic sleep restriction heightens adolescent suicidal risk.
Area of Science:
- Adolescent health
- Sleep medicine
- Mental health research
Background:
- Insufficient sleep is prevalent among adolescents.
- Sleep disturbances are linked to various negative health outcomes.
- Understanding the relationship between sleep and suicidality is crucial for public health.
Purpose of the Study:
- To examine the association between behaviorally induced insufficient sleep syndrome (BISS) and suicidality in adolescents.
- To determine if specific sleep patterns, like weekend oversleep, correlate with increased suicidal ideation.
- To investigate the independence of this association from other factors like depression and daytime sleepiness.
Main Methods:
- A population-based, cross-sectional survey was conducted in the Republic of Korea.
- 8,010 students (grades 7-11) completed questionnaires assessing sleep habits, depression (BDI), and suicidal ideation (SSI).
- Statistical analyses controlled for demographic factors, depression, daytime sleepiness, insomnia, and snoring.
Main Results:
- Adolescents diagnosed with BISS exhibited significantly higher scores on the Beck Scale for Suicidal Ideation (SSI).
- Shorter weekday sleep duration and longer weekend oversleep were significant predictors of higher SSI scores.
- Weekend oversleep remained a significant predictor of suicidality even after accounting for depression, daytime sleepiness, and other sleep issues.
Conclusions:
- Behaviorally induced insufficient sleep syndrome (BISS) is associated with increased adolescent suicidality.
- Weekend oversleep independently predicts suicidality, highlighting its importance beyond depression or sleepiness.
- Findings suggest that chronic sleep restriction in adolescents may elevate suicidal risk, necessitating targeted interventions.
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