Bradley Hospital, Adolescent Inpatient Services, Riverside, Rhode Island, USA.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
J Child Adolesc Psychopharmacol. 2020 Oct;30(8):522-525. doi: 10.1089/cap.2019.0160. Epub 2020 Feb 13.
Thought problems, such as hallucinations and delusional or disorganized ideas, have been associated with increased sleep problems and risk for suicidal ideation (SI). Sleep problems have also been linked directly to suicidality in adolescence. The nature of the relationship between these symptoms among adolescents with acute suicidality is not well understood. This study aims to examine the interrelationships between thought problems, sleep difficulties, and SI in adolescents psychiatrically hospitalized for safety concerns, with the goal of informing suicide risk screening and intervention for this population. Participants included adolescents ( = 690) aged 11-18. A retrospective chart review was used to obtain scores on study measures, including the Suicidal Ideation Questionnaire Junior (SIQ-Jr), the thought problems and sleep disturbance scales on the Youth Self Report (YSR), and mental health diagnoses using the Children's Interview for Psychiatric Syndromes (ChIPS). Findings indicate that SIQ-Jr scores are moderately correlated with both YSR thought problems ( = 0.51, < 0.001) and YSR sleep disturbance ( = 0.47, < 0.001). Further, linear regression analyses support the hypotheses that thought problems ( = 0.28) and sleep difficulties ( = 0.11) are uniquely associated with SI, beyond the significant effects of depression ( = 0.36) and female sex ( = -0.07); = 0.43, (8, 673) = 62.49, < 0.001). These results suggest that sleep interventions and treatment of thought problems may be important for reducing SI, within and outside the context of depression. Furthermore, the adolescent version of the YSR may be a useful tool to evaluate these risk factors alongside other psychiatric concerns.
思维问题，如幻觉、妄想或思维紊乱，与睡眠问题增加和自杀意念（SI）风险相关。睡眠问题也与青少年自杀直接相关。具有急性自杀性的青少年中这些症状之间的关系性质尚不清楚。本研究旨在检查患有精神科住院治疗的青少年的思维问题、睡眠困难和 SI 之间的相互关系，旨在为该人群的自杀风险筛查和干预提供信息。参与者包括年龄在 11-18 岁的青少年（ = 690）。回顾性图表审查用于获得研究措施的分数，包括青少年自杀意念问卷（SIQ-Jr）、青少年自我报告（YSR）上的思维问题和睡眠障碍量表，以及使用儿童精神病学综合征访谈（ChIPS）的心理健康诊断。结果表明，SIQ-Jr 分数与 YSR 思维问题（ = 0.51， < 0.001）和 YSR 睡眠障碍（ = 0.47， < 0.001）呈中度相关。此外，线性回归分析支持以下假设：思维问题（ = 0.28）和睡眠困难（ = 0.11）与 SI 相关，除了抑郁（ = 0.36）和女性性别（ = -0.07）的显著影响之外； = 0.43， (8, 673) = 62.49， < 0.001）。这些结果表明，在抑郁的背景下，睡眠干预和治疗思维问题可能对降低 SI 很重要。此外，YSR 的青少年版本可能是评估这些风险因素和其他精神问题的有用工具。
