The relationship between sleep disturbance and self-harming behaviours in high-risk clinical adolescents
Emerging research has identified sleep disturbance as an important risk factor for predicting self-harming behaviours. However, the temporality of this relationship, particularly in clinical adolescent samples remains poorly understood. This study examines the relationship between sleep disturbance...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
February 2023
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| In: |
Journal of psychiatric research
Year: 2023, Volume: 158, Pages: 81-87 |
| ISSN: | 1879-1379 |
| DOI: | 10.1016/j.jpsychires.2022.12.034 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.jpsychires.2022.12.034 Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0022395622007038 
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| Author Notes: | Thomas P. Nguyen, Stefan Lerch, Alessia Maggetti, Corinna Reichl, Leila Tarokh, Michael Kaess |
| Summary: | Emerging research has identified sleep disturbance as an important risk factor for predicting self-harming behaviours. However, the temporality of this relationship, particularly in clinical adolescent samples remains poorly understood. This study examines the relationship between sleep disturbance and self-harming behaviours (namely nonsuicidal self-injury and suicide attempts) in clinical adolescents engaging in risk-taking and self-harming behaviours using secondary analyses from a clinical cohort study. Cross-lagged structural equation modelling was used to determine whether baseline sleep disturbance and self-harming behaviours were predictors of each other over a one-year follow-up period in a sample of adolescents (n = 238, 89.5% female) attending and receiving treatment from an outpatient clinic specializing in risk-taking and self-harming behaviours. When controlling for age, sex and depressive symptoms, greater sleep disturbance (p = 0.001) at baseline independently predicted higher numbers of suicide attempts at follow-up. No bidirectional relationship was found when sleep disturbance was modelled with the frequency of nonsuicidal self-injury. This study adds to the growing evidence that sleep disturbance may predict suicidal behaviours. Clinicians should thus regularly assess for sleep disturbances when evaluating suicidal behaviours in high-risk adolescents. Further research and clinical trials should investigate whether sleep-based interventions may be efficacious in reducing the prevalence of suicidal behaviours. |
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| Item Description: | Published: 21 December 2022 Gesehen am 13.06.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1879-1379 |
| DOI: | 10.1016/j.jpsychires.2022.12.034 |