Department of Health Sciences, University of Molise, 86100 Campobasso, Italy.
Psychiatry Res. 2011 Jan 30;185(1-2):141-4. doi: 10.1016/j.psychres.2009.10.001. Epub 2010 May 26.
Insomnia has been associated with suicidality. Prisoners have an increased risk of both insomnia and suicidal behaviour. Therefore, it was decided to examine for a relationship between insomnia and suicidal behaviour in a large group of 1420 prisoners. Prisoners had a semi-structured psychiatric interview, which included the Hamilton Depression Rating Scale (HDRS), and completed the Childhood Trauma Questionnaire, Eysenck Personality Questionnaire, Spielberg Anger Expression Inventory and Connor-Davidson Resilience Scale. It was found that 568 (61.2%) of the prisoners scored in the insomnia cluster of the HDRS and that 183 (12.8%) had attempted suicide. Regression analyses showed that insomnia was significantly and independently associated with a lifetime history of attempting suicide. Insomnia was also significantly related to actual suicidality. After controlling for confounders, axis 1 psychiatric disorder, childhood trauma, neuroticism, low resilience, and anger were significantly associated with insomnia in male prisoners. These data suggest the possibility of a relationship between insomnia and suicidality in prisoners. Assessing insomnia may be helpful when evaluating the risk of suicidality in prisoners.
失眠与自杀意念有关。囚犯既有失眠的风险，也有自杀行为的风险。因此，决定在一个由 1420 名囚犯组成的大群体中检查失眠与自杀行为之间的关系。囚犯接受了半结构化的精神病学访谈，其中包括汉密尔顿抑郁评定量表（HDRS），并完成了童年创伤问卷、艾森克人格问卷、斯皮尔伯格愤怒表达量表和康纳-戴维森韧性量表。结果发现，568 名（61.2%）囚犯的 HDRS 中存在失眠症集群，183 名（12.8%）囚犯有过自杀未遂。回归分析表明，失眠与自杀未遂的终生史显著相关。失眠也与实际自杀意念显著相关。在控制混杂因素后，男性囚犯的轴 1 精神障碍、童年创伤、神经质、低韧性和愤怒与失眠显著相关。这些数据表明，囚犯的失眠与自杀意念之间可能存在关系。评估失眠可能有助于评估囚犯自杀意念的风险。
