@article{ref1,
title="Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members",
journal="BMC psychiatry",
year="2017",
author="Richardson, J. D. and Thompson, A. and King, L. and Corbett, B. and Shnaider, P. and St Cyr, K. and Nelson, C. and Sareen, J. and Elhai, J. and Zamorski, M.",
volume="17",
number="1",
pages="e211-e211",
abstract="BACKGROUND: Past research on the association between insomnia and suicidal ideation (SI) has produced mixed findings. The current study explored the relationship between insomnia, SI, and past-year mental health status among a large Canadian Forces (CF) sample. <br><br>METHOD: Data was obtained from the 2013 Canadian Forces Mental Health Survey (CFMHS), and included a large representative sample of Canadian Regular Forces personnel (N = 6700). A series of univariate logistic regressions were conducted to test individual associations between past-year mental health status, insomnia, and potential confounds and SI. Mental health status included three groups: 0, 1, or two or more probable diagnoses of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), panic disorder (PD) and alcohol abuse/dependence. Stepwise multivariate logistic regression was used to assess the relationship between insomnia and SI with mental health status as a moderator. <br><br>RESULTS: 40.8% of respondents reported experiencing insomnia. Both insomnia and number of mental health conditions incrementally increased the risk of SI. However, past-year mental health status was a significant moderator of this relationship, such that for CF personnel with either no (AOR = 1.61, 1.37-1.89) or only one past-year mental health condition (AOR = 1.39, 1.12-1.73), an incremental increase in insomnia was associated with an increased likelihood of SI. However, in personnel with two or more past-year mental health disorders, insomnia was no longer significantly associated with SI (AOR = 1.04, 0.81-1.33). <br><br>CONCLUSIONS: Insomnia significantly increased the odds of SI, but only among individuals with no or one mental health condition. <br><br>FINDINGS highlight the importance of assessing insomnia among CF members in order to further suicide prevention efforts.<p /> <p>Language: en</p>",
language="en",
issn="1471-244X",
doi="10.1186/s12888-017-1372-5",
url="http://dx.doi.org/10.1186/s12888-017-1372-5"
}