Zhu Yiqin, Pruiksma Kristi E, Taylor Daniel J, Khazem Lauren R, Baker Justin C, Young Johnnie, Bryan Craig J, Wiley Joshua, Brown Lily A
Department of Psychological and Brain Sciences, Washington University in St. Louis, St. Louis, USA.
Department of Psychiatry, University of Pennsylvania, Philadelphia, USA.
Behav Sleep Med. 2025 Jul-Aug;23(4):579-591. doi: 10.1080/15402002.2025.2499136. Epub 2025 Apr 29.
Individuals who are at higher risk for suicide commonly report sleep disorder symptoms. There is a need for increased precision in understanding which sleep disorder symptoms are most reported in at-risk populations, as well as variability in sleep disorder symptoms. The current study comprehensively evaluates sleep problems in US Active-Duty Military Personnel with acute suicide risk.
Active-duty treatment-seeking US Marines ( = 40) were recruited based on suicide ideation with intent/plan/suicide attempt in the past month. Marines completed a structured clinical interview for sleep disorders and self-report questionnaires.
Almost all (97.5%) of the participants met criteria for at least one sleep disorder, including insomnia (75.0%), nightmare disorder (50.0%), circadian rhythm sleep-wake disorders (27.5%), and possible obstructive sleep apnea-hypopnea syndrome (25.0%). There was not able variability in total sleep duration (5.45-7.01 hr per night) and bedtimes (19:30-1:00 workdays; 19:30-5:30 weekends), and poor average sleep efficiency (63.28% on weekdays and 69.43% on weekends).
These results underscore our hypothesis that sleep problems are prevalent among military personnel at high risk for suicide. There is a need for a more precise assessment of sleep disorder symptoms among service members who are at high risk for suicide, as well as expanded intervention opportunities in this group.
自杀风险较高的个体通常报告有睡眠障碍症状。需要更精确地了解哪些睡眠障碍症状在高危人群中最常被报告，以及睡眠障碍症状的变异性。本研究全面评估了有急性自杀风险的美国现役军人的睡眠问题。
根据过去一个月内有自杀意念及意图/计划/自杀未遂情况，招募寻求治疗的美国现役海军陆战队队员（n = 40）。海军陆战队队员完成了关于睡眠障碍的结构化临床访谈和自我报告问卷。
几乎所有（97.5%）参与者符合至少一种睡眠障碍的标准，包括失眠（75.0%）、噩梦障碍（50.0%）、昼夜节律睡眠-觉醒障碍（27.5%）以及可能的阻塞性睡眠呼吸暂停低通气综合征（25.0%）。总睡眠时间（每晚5.45 - 7.01小时）和就寝时间（工作日19:30 - 1:00；周末19:30 - 5:30）没有明显差异，平均睡眠效率较差（工作日为63.28%，周末为69.43%）。
这些结果强调了我们的假设，即睡眠问题在有高自杀风险的军人中普遍存在。需要对有高自杀风险的军人中的睡眠障碍症状进行更精确的评估，以及在该群体中扩大干预机会。
