Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA, USA; Division of Sleep Medicine, Harvard Medical School, 26 Shattuck Street, Boston, MA, USA.
Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA, USA; Division of Sleep Medicine, Harvard Medical School, 26 Shattuck Street, Boston, MA, USA.
Psychiatry Res. 2024 Oct;340:116116. doi: 10.1016/j.psychres.2024.116116. Epub 2024 Jul 30.
Sleep difficulties and misuse of drugs/alcohol have been associated with suicidal ideation in young people. Using cross-sectional representative surveys of adolescents in the United States, we conducted adjusted logistic regression modeling to assess the relationships between sleep difficulties, substance use, and suicidal ideation among adolescents with a history of depression (n = 38,418) between 2015 and 2020. Sleep difficulties were associated with thinking about (aOR=1.6,95%CI:1.3-1.9), planning (aOR=1.8,95%CI:1.2-2.6), or attempting (aOR=1.7,95%CI:1.2-2.5) suicide. In those reporting alcohol abuse/dependence, sleep difficulties were associated with attempting suicide (aOR=3.1,95%CI:1.2-8.5). In those reporting illicit drug abuse/dependence, sleep difficulties were associated with thinking about (aOR=2.1,95%CI:1.1-4.1) and attempting (aOR=2.2,95%CI:1.2-4.1) suicide.
睡眠困难和药物/酒精滥用与年轻人的自杀意念有关。我们使用美国青少年的横断面代表性调查，对 2015 年至 2020 年间有抑郁病史的青少年（n=38418 人）进行了调整后的逻辑回归建模，以评估睡眠困难、物质使用与自杀意念之间的关系。睡眠困难与自杀意念（aOR=1.6，95%CI：1.3-1.9）、自杀计划（aOR=1.8，95%CI：1.2-2.6）或自杀企图（aOR=1.7，95%CI：1.2-2.5）有关。在报告酒精滥用/依赖的人群中，睡眠困难与自杀企图有关（aOR=3.1，95%CI：1.2-8.5）。在报告非法药物滥用/依赖的人群中，睡眠困难与自杀意念（aOR=2.1，95%CI：1.1-4.1）和自杀企图（aOR=2.2，95%CI：1.2-4.1）有关。
