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Insomnia symptoms, nightmares, and suicide risk: duration of sleep disturbance matters.

Michael R Nadorff, Sarra Nazem, Amy Fiske

Suicide & life-threatening behavior December 28, 2012 DOI: 10.1111/sltb.12003 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 660
Population Undergraduate students endorsing insomnia symptoms (n = 660) or nightmares (n = 312)
Topics Dreaming
Keywords Humans Risk assessment Cross-sectional studies Suicide Dreams Adolescent Mid-atlantic region Female Young adult Surveys and questionnaires Sleep wake disorders
Key findings Longer duration of insomnia symptoms and of nightmares was each significantly associated with suicide risk, independent of current insomnia or nightmare severity and after controlling for anxiety, depressive, and posttraumatic symptoms. The authors suggest that duration of sleep disturbance is relevant when assessing suicide risk.

Abstract

Duration of insomnia symptoms or nightmares was investigated to see if it was related to suicide risk independent of current insomnia symptoms, nightmares, anxiety symptoms, depressive symptoms, and posttraumatic symptoms. The cross-sectional study involved analyses of survey responses from undergraduate students who endorsed either insomnia symptoms (n = 660) or nightmares (n = 312). Both insomnia symptom and nightmare duration were significantly associated with suicide risk independent of current insomnia symptoms or nightmares, respectively. Relations were also significant after controlling for anxiety symptoms, depressive symptoms, and posttraumatic symptoms. Results suggest that duration of sleep disturbance is relevant when assessing suicide risk.

Comparable studies

Other cross-sectional and survey studies on dreaming, most cited first.

Study Year Design Participants
Insomnia Symptoms, Nightmares, and Suicidal Ideation in a College Student Sample Undergraduate students at a large, public university in the southeastern United States 2011 Observational cross-sectional survey n = 583
Prevalence and Correlates of Frequent Nightmares: A Community-Based 2-Phase Study Middle-aged Hong Kong Chinese adults from the community, mean age 40.9 years (SD 5.5,... 2010 Cross-sectional survey with subsequent clinical evaluation (two-phase design) n = 8,558
Factors of home dream recall: a structural equation model Adults (general population sample) 2003 Cross-sectional survey with structural equation modeling n = 444
The Phenomenology of Lucid Dreaming: An Online Survey Respondents to an online survey about lucid dreams 2014 Online survey n = 684
Frequency of Lucid Dreaming in a Representative German Sample Representative sample of German adults 2011 Cross-sectional survey n = 919

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