@article{ref1,
title="Sleep quality moderates the association between psychotic-like experiences and suicidal ideation among help-seeking university students",
journal="Psychiatry research",
year="2021",
author="Thompson, Elizabeth C. and Sagun, Kristin and Schiffman, Jason and Herman, Bruce and Han, Susan C. and Rouhakhtar, Pamela J. Rakhshan and Millman, Zachary B. and Andorko, Nicole D. and Jay, Samantha Y.",
volume="296",
number="",
pages="e113668-e113668",
abstract="Suicide is a leading cause of death for young adults, and college-enrolled students are at markedly high risk for suicide. Psychotic-like experiences (PLEs) and sleep  difficulties are prevalent among college students and have been linked to increased  suicidal ideation (SI). This cross-sectional study examined the relation between  PLEs and SI, moderated by sleep quality, in a sample of 442 students at a university  counseling center. The Behavioral Health Measure-43 (BHM-43) was used to evaluate  mental health symptoms, including sleep quality and SI. The PRIME Screen-Revised was  used to measure PLEs. Regression results indicated that higher PRIME scores  statistically predicted greater SI. There was a significant interaction between  PRIME and sleep quality in predicting SI. Among individuals with greater sleep  difficulties, PLEs were positively, significantly associated with SI. The PRIME was  not a significant predictor of SI at lower levels of sleep difficulties (i.e. better  sleep quality). This interaction effect remained significant when controlling for  age and the BHM-43 depression and bipolar subscales. <br><br>FINDINGS suggest that sleep  difficulties may be linked to increased SI for individuals with PLEs, and better  sleep may be protective. Further research is needed to explore treatment targeting  PLEs and/or sleep to mitigate suicide risk among university students.<p /> <p>Language: en</p>",
language="en",
issn="0165-1781",
doi="10.1016/j.psychres.2020.113668",
url="http://dx.doi.org/10.1016/j.psychres.2020.113668"
}