ABSTRACT

Court-involved youth living in the community represent a vulnerable, yet understudied, group that is at risk for a variety of concerning outcomes including increased suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI). Additionally, sleep disruption, which has been associated with an increase in impulsive decision making, appears to be disproportionately high in this population. However, little is known about any connection between poor sleep and increased suicide risk and NSSI in a group of youth. This study explores the associations between sleep disruption, suicidal ideation, suicide attempts, and NSSI in a sample of court-involved youth in the community referred for mental health evaluation at a court-based mental health clinic. Findings suggest that sleep disruption is related to NSSI in this population but not suicidal ideation and suicide attempts. Additional relationships were found between NSSI and being female, as well as having a lifetime history of trauma and marijuana use. Findings suggest that court clinics may wish to screen for sleep disruption as a risk factor for NSSI, and future studies may wish to explore improved sleep as a protective factor for CINI youth.

 抽象的

生活在社区中的法庭青少年是一个脆弱但尚未得到充分研究的群体，他们面临着各种相关结果的风险，包括自杀意念、自杀企图和非自杀性自残 (NSSI) 增加。此外，睡眠中断与冲动决策的增加有关，在这一人群中似乎比例过高。然而，对于青少年群体中睡眠不佳与自杀风险增加和 NSSI 之间的联系，我们知之甚少。本研究以社区中涉及法院的青少年为样本，在法院心理健康诊所进行心理健康评估，探讨了睡眠中断、自杀意念、自杀企图和 NSSI 之间的关联。研究结果表明，睡眠中断与该人群中的 NSSI 有关，但与自杀意念和自杀企图无关。研究还发现 NSSI 与女性身份以及终生创伤和吸食大麻史之间存在其他关系。研究结果表明，法庭诊所可能希望筛查睡眠中断作为 NSSI 的危险因素，未来的研究可能希望探索改善睡眠作为 CINI 青少年的保护因素。