When Night Falls Fast : Sleep and Suicidal Behavior Among Adolescents and Young Adults - 20/11/20

Doi : 10.1016/j.chc.2020.08.009

Sara N. Fernandes, MA ^a, Emily Zuckerman, BA ^b, Regina Miranda, PhD ^c, Argelinda Baroni, MD ^b,^⁎
^a New York State Psychiatric Institute, Columbia University Irving Medical Center, 1051 Riverside Drive, Room 1600C, New York, NY 10032, USA
^b Department of Child and Adolescent Psychiatry, NYU Langone Health, One Park Avenue, 7th Floor, New York, NY 10016, USA
^c Department of Psychology, Hunter College and The Graduate Center, City University of New York, 695 Park Avenue, Room 611HN, New York, NY 10065, USA

^∗Corresponding author.

Résumé

Sleep disturbances have been linked to suicidal ideation and behaviors in adolescents. Specifically, insomnia and nightmares are associated with current suicide risk and predict future ideation. Associations between hypersomnia, sleep apnea, and suicide remain inconclusive. Potential biological mechanisms underlying these relationships include executive functioning deficits and hyperarousal. Related psychological factors may include thwarted belongingness, perceived burdensomeness, and negative appraisals. Assessing suicide risk in patients with sleep disturbances, and vice versa, is needed. Therapeutic interventions such as cognitive behavior therapy for insomnia and imagery rehearsal treatment, as well as pharmacologic treatments, show promise in treating sleep disorders and suicidal behavior.

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Keywords : Suicide, Sleep, Nightmares, Insomnia, Adolescent, Young adult