Abstract

Objective

Problems sleeping and stress are known to contribute to the development of suicide ideation. However, it is unclear how these risk factors interact longitudinally. The purpose of this study was to determine the impact of problems sleeping on the development of suicide ideation in adolescence one year later and how the relationship changes with the addition of stress as a moderator.

Method

Data were collected from 153 adolescents (M age = 12.8, SD = 1.6) over three years as part of a larger study. Participants completed the MINI-Kid and Youth Self-Report, which were used to assess for suicidality. The Stress scale of the YSR was used to measure stress. Participants also completed the Adolescent Sleep Wake Scale, which was used to assess their perceptions of their sleep quality.

Results

Logistic moderation analyses demonstrated a significant interaction between ASWS and YSR Stress in the prediction of suicide ideation one year later, Wald χ²(1)=4.57, OR = 0.68, p < 0.05. Results demonstrated higher odds of endorsing SI as stress increased when sleep quality was poor (OR = 21.51) compared to when sleep quality was high (OR = 4.03), suggesting that adequate sleep may act as a protective factor against suicide ideation.

Conclusions

The results are indicative of long-term consequences of sleep on adolescent mental health, particularly when faced with high levels of stress. These results may have significant clinical implications for suicide prevention efforts as this relationship may help identify at-risk adolescents prior to the initial experience of suicide ideation.

中文翻译：

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应激反应对青春期主观睡眠质量与自杀意念关系的调节作用

摘要

客观的

众所周知，睡眠问题和压力会导致自杀意念的发展。然而，尚不清楚这些风险因素如何纵向相互作用。本研究的目的是确定睡眠问题对一年后青春期自杀意念发展的影响，以及这种关系如何随着压力的增加而变化。

方法

作为一项大型研究的一部分，在三年内收集了 153 名青少年（M年龄 = 12.8，SD = 1.6）的数据。参与者完成了用于评估自杀倾向的 MINI-Kid 和青少年自我报告。YSR的压力量表用于测量压力。参与者还完成了青少年睡眠觉醒量表，该量表用于评估他们对睡眠质量的看法。

结果

Logistic 调节分析表明，ASWS 和 YSR 压力在一年后的自杀意念预测中存在显着的交互作用，Wald χ ² (1)=4.57，OR = 0.68，p  < 0.05。结果表明，与睡眠质量高时（OR = 4.03）相比，当睡眠质量差时（OR = 21.51）压力增加，支持 SI 的几率更高，这表明充足的睡眠可能是防止自杀意念的保护因素。

结论

结果表明睡眠对青少年心理健康的长期影响，尤其是在面临高压力时。这些结果可能对自杀预防工作具有重要的临床意义，因为这种关系可能有助于在初次体验自杀意念之前识别处于风险中的青少年。