Wan Yuhui, Xu Huiqiong, Wang Shanshan, Boyda David, Mcfeeters Danielle, Sun Ying, Zhang Shichen, Chen Ruoling, Tao Fangbiao
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
Anhui Provincial Key Laboratory of Population Health & Aristogenics, Hefei, China.
Front Psychiatry. 2020 Feb 28;11:133. doi: 10.3389/fpsyt.2020.00133. eCollection 2020.
There are few studies examining which types of sleep problems are independently associated with suicide attempt (SA) and gender difference in adolescents. The aim of the present study was to examine whether specific sleep problems were uniquely associated with suicide attempt in adolescents and explore gender differences in the association. A school-based health survey was conducted in four provinces within China from November 2014 to January 2015. A total of 15,132 students aged 10-21 years completed standard questionnaires assessing past 12 month suicide attempt in addition to measures of sleep quality, quantity and sleep beliefs. 5.4% of participants reported a suicide attempt within the last 12 months. After adjustment for sociodemographic variables and psychological symptoms, almost all sleep problems remained significantly associated with a greater endorsement of suicide attempt. Further adjustment for co-occurring sleep problems revealed that weekday sleep duration (<6, 8-10, and ≥10 h), insomnia (often), and nightmares (sometimes and often) remained independently associated with suicide attempt in boys ( < 0.05). However in girls, weekday sleep duration (<6 and ≥10 h), weekend sleep duration (<6 h), midday nap (0 or 1-2 d/week), insomnia (sometimes and often), nightmare (often) and sleep beliefs (high) were independently associated with suicide attempt ( < 0.05). Multiple sleep problems are associated with suicide attempt in adolescents, however the relationship varies by gender.
很少有研究探讨青少年中哪些类型的睡眠问题与自杀未遂（SA）独立相关以及性别差异。本研究的目的是检验特定的睡眠问题是否与青少年自杀未遂存在独特关联，并探讨这种关联中的性别差异。2014年11月至2015年1月在中国四个省份开展了一项基于学校的健康调查。共有15132名10至21岁的学生完成了标准问卷，问卷除了评估睡眠质量、睡眠时间和睡眠信念外，还评估了过去12个月的自杀未遂情况。5.4%的参与者报告在过去12个月内有过自杀未遂行为。在对社会人口统计学变量和心理症状进行调整后，几乎所有睡眠问题仍与更高的自杀未遂认可度显著相关。对同时出现的睡眠问题进一步调整后发现，工作日睡眠时间（<6、8 - 10和≥10小时）、失眠（经常）和噩梦（有时和经常）在男孩中仍与自杀未遂独立相关（<0.05）。然而在女孩中，工作日睡眠时间（<6和≥10小时）、周末睡眠时间（<6小时）、午睡（每周0天或1 - 2天）、失眠（有时和经常）、噩梦（经常）和睡眠信念（高）与自杀未遂独立相关（<0.05）。多种睡眠问题与青少年自杀未遂相关，但这种关系因性别而异。
