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Published on: November 30, 2015
Nightmares, insomnia, and suicide within a trauma-exposed sample.
Victoria West Staples1, Emma Angle1, Ainsley Pickering1
1School of Education, Social Work and Psychological Sciences, University of Missouri-Kansas City.
Summary
Nightmares and insomnia independently predict suicide cognitions in trauma-exposed individuals. Interventions targeting these sleep disturbances may help reduce suicidal thinking.
Area of Science:
- Psychiatry
- Sleep Medicine
- Trauma Studies
Background:
- The relationship between nightmares and suicide is debated, with potential confounding factors like fear of sleep (FoS), insomnia, and obstructive sleep apnea (OSA).
- Existing literature lacks clarity on these associations, particularly within trauma-exposed populations.
Purpose of the Study:
- To investigate the direct relationship between nightmares, insomnia, and suicide cognitions in trauma-exposed individuals.
- To control for the influence of fear of sleep (FoS) and obstructive sleep apnea (OSA) in this relationship.
Main Methods:
- A sample of 223 trauma-exposed participants completed an anonymous online survey.
- Measures included trauma exposure, insomnia symptoms, nightmare frequency, FoS, suicide cognitions (SCS), and OSA.
- Stepwise regression analysis was used to examine predictive relationships.
Main Results:
- Insomnia and nightmare frequency were independently associated with suicide cognitions (SCS).
- Fear of sleep (FoS) and obstructive sleep apnea (OSA) did not predict SCS in the final model.
- The combined model explained 21% of the variance in suicide cognitions.
Conclusions:
- Nightmares and insomnia are significant independent predictors of suicide cognitions in trauma-exposed individuals.
- The association between nightmares and suicidal thoughts is not solely explained by insomnia or fear of sleep.
- Targeting interventions for insomnia and nightmares may be a viable strategy for reducing suicidal ideation in at-risk populations.
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