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Ecological Studies of Sleep Disturbances During Suicidal Crises.
Current Psychiatry Reports ( IF 6.7 ) Pub Date : 2020-05-14 , DOI: 10.1007/s11920-020-01155-2
Laurent Stephane Chaïb 1 , Alejandro Porras Segovia 2, 3 , Enrique Baca-Garcia 3, 4, 5, 6 , Jorge Lopez-Castroman 1, 5, 7, 8
Affiliation  

PURPOSE OF REVIEW Several reviews and metanalyses have shown that sleep disturbances, such as insomnia and nightmares, can predict suicidal ideations and behaviors. Common physio-pathological pathways may explain this relationship. However, only in recent years, some research groups have tried to apply this knowledge in the quest for a reliable tool of suicide risk prediction. We aim to describe in this paper the results of studies using ecological or quasi-ecological assessment methods that connect sleep disturbances and suicide risk. RECENT FINDINGS Our review confirms the paucity of studies on this topic. The few studies that we could analyze suggest the interest of ecological methods of sleep assessment since sleep disturbances predicted the onset or worsening of suicidal ideations and behaviors. Ecological assessment of sleep can help to understand how sleep disturbances contribute to the emergence of suicidal ideations and behaviors. Sleep disturbances appear as a promising "real-life" marker of risk, but further studies are needed to determine if sleep monitoring could guide preventive interventions.

中文翻译:

自杀危机期间睡眠障碍的生态学研究。

复习的目的一些复习和元分析表明,睡眠障碍(例如失眠和噩梦)可以预测自杀的观念和行为。常见的生理病理途径可能解释了这种关系。但是,仅在最近几年,一些研究小组才尝试将这种知识应用于寻求自杀风险预测的可靠工具。我们旨在在本文中描述使用生态学或准生态学评估方法将睡眠障碍和自杀风险联系起来的研究结果。最近的发现我们的评论证实了该主题研究的不足。由于睡眠障碍预示着自杀观念和行为的发生或恶化,因此我们可以分析的少数研究表明了生态睡眠评估方法的重要性。睡眠的生态学评估可以帮助理解睡眠障碍如何导致自杀观念和行为的出现。睡眠障碍似乎是有前途的“现实生活”危险标志,但需要进一步研究以确定睡眠监测是否可以指导预防性干预措施。
更新日期:2020-05-14
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