Escobar-Córdoba Franklin, Quijano-Serrano Margarita, Calvo-González José Manuel
Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina - Departamento de Psiquiatría - Bogotá, D.C. - Colombia. Fundación Sueño Vigilia Colombiana. Bogotá, D.C. - Colombia.
Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina - Departamento de Psiquiatría - Bogotá, D.C. - Colombia.
Rev Fac Cien Med Univ Nac Cordoba. 2017;74(1):37-45.
Perform a non-systematic review of the literature to describe the relationship between insomnia and suicide and the findings of these studies.
A search was conducted in PubMed, Medline, SciELO, LILACS, and Cochrane Library OVID data combining MeSH terms: "Suicide and sleep initiation and maintenance disorders".
Insomnia has been related to suicidal ideation, suicide attempts and suicide deaths in cross sectional studies since more than a decade. Suicide is one of the main causes of death.
There are multiple risk factors for committing suicide; some are unmodifiable, such as age, male gender and Caucasian ethnicity; and others are potentially modifiable, such as symptoms of depression, substance abuse and sleep disturbances. Among these disturbances, insomnia has been proven to hold a stronger relation to suicide attempts and deaths, although nightmares have also been associated. Actually, insomnia is considered a stronger predictor of lethal suicide attempts than the presence of a suicide plan.
Here lays the importance of why physicians must learn to detect and evaluate insomnia as a sign of alarm and a risk factor for suicide, no matter what illness the patient suffers from.
对文献进行非系统性综述，以描述失眠与自杀之间的关系以及这些研究的结果。
在PubMed、Medline、SciELO、LILACS和Cochrane图书馆OVID数据中进行检索，结合医学主题词：“自杀与睡眠起始和维持障碍”。
十多年来，横断面研究表明失眠与自杀意念、自杀未遂和自杀死亡有关。自杀是主要死因之一。
自杀存在多种风险因素；一些是不可改变的，如年龄、男性性别和白种人种族；其他一些则可能是可改变的，如抑郁症状、药物滥用和睡眠障碍。在这些障碍中，尽管噩梦也与之相关，但失眠已被证明与自杀未遂和死亡的关系更为密切。实际上，与存在自杀计划相比，失眠被认为是致命自杀未遂的更强预测因素。
这就是为什么医生必须学会将失眠作为一种警示信号和自杀风险因素进行检测和评估的重要性所在，无论患者患何种疾病。
