New York State Psychiatric Institute, Columbia University Irving Medical Center, 1051 Riverside Drive, Room 1600C, New York, NY 10032, USA.
Department of Child and Adolescent Psychiatry, NYU Langone Health, One Park Avenue, 7th Floor, New York, NY 10016, USA.
Child Adolesc Psychiatr Clin N Am. 2021 Jan;30(1):269-282. doi: 10.1016/j.chc.2020.08.009. Epub 2020 Oct 27.
Sleep disturbances have been linked to suicidal ideation and behaviors in adolescents. Specifically, insomnia and nightmares are associated with current suicide risk and predict future ideation. Associations between hypersomnia, sleep apnea, and suicide remain inconclusive. Potential biological mechanisms underlying these relationships include executive functioning deficits and hyperarousal. Related psychological factors may include thwarted belongingness, perceived burdensomeness, and negative appraisals. Assessing suicide risk in patients with sleep disturbances, and vice versa, is needed. Therapeutic interventions such as cognitive behavior therapy for insomnia and imagery rehearsal treatment, as well as pharmacologic treatments, show promise in treating sleep disorders and suicidal behavior.
睡眠障碍与青少年的自杀意念和行为有关。具体而言，失眠和噩梦与当前的自杀风险相关，并可预测未来的意念。嗜睡症、睡眠呼吸暂停与自杀之间的关联尚无定论。这些关系背后的潜在生物学机制包括执行功能缺陷和过度兴奋。相关的心理因素可能包括归属感受挫、被认为是累赘和负面评价。需要评估睡眠障碍患者的自杀风险，反之亦然。认知行为疗法治疗失眠和意象排练治疗以及药物治疗等治疗干预措施在治疗睡眠障碍和自杀行为方面显示出希望。
