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Published on: April 26, 2024
DEPRESSION MEDIATES THE RELATION OF INSOMNIA SEVERITY WITH SUICIDE RISK IN THREE CLINICAL SAMPLES OF U.S. MILITARY
Craig J Bryan1,2, Jacqueline Gonzales1,2, M David Rudd1,3
1National Center for Veterans Studies, The University of Utah, Salt Lake City, Utah.
Insomnia severity is linked to suicide risk in military personnel, but depression appears to be the driving factor. Depression mediates the relationship between sleep disturbance and suicidal thoughts in these clinical samples.
Area of Science:
- Psychiatry
- Sleep Medicine
- Military Mental Health
Background:
- Empirical research links insomnia severity to suicide risk in civilian populations.
- Limited research exists on this relationship within U.S. military personnel.
Purpose of the Study:
- To investigate the association between insomnia severity and suicide ideation/attempts in U.S. military clinical samples.
- To determine if depression or posttraumatic stress disorder (PTSD) mediates this relationship.
Main Methods:
- Secondary data analysis of three clinical military samples (Air Force outpatients, Army inpatients, Army outpatients).
- Utilized validated scales for suicide ideation, depression, insomnia severity, and PTSD.
- Employed statistical modeling, including mediation analysis, to examine relationships.
Main Results:
- Insomnia severity showed a concurrent and prospective association with suicide ideation across all samples.
- After adjusting for covariates, insomnia severity was not directly linked to suicide ideation, but depression remained a significant predictor.
- Mediation analysis confirmed that depression explained the link between insomnia severity and suicide ideation.
Conclusions:
- Depression is the primary factor explaining the relationship between insomnia severity and suicide risk in military personnel.
- Findings highlight the critical role of addressing depression in mitigating suicide risk among service members experiencing sleep disturbances.
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