TY - JOUR PY - 2018// TI - Sleep problems and suicide risk in youth: A systematic review, developmental framework, and implications for hospital treatment JO - General hospital psychiatry A1 - Kearns, Jaclyn C. A1 - Coppersmith, Daniel D. L. A1 - Santee, Angela C. A1 - Insel, Catherine A1 - Pigeon, Wilfred R. A1 - Glenn, Catherine R. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Sleep problems are transdiagnostic symptoms that confer significant risk for suicidal thoughts and behaviors (STBs) in adults. However, less is known about the sleep-STB association in adolescence-a developmental period when rates of STBs increase drastically, and sleep problems may be particularly pernicious. This article provides a systematic review of research on the sleep-STB association in youth, an overview of changes in sleep regulation during adolescence that may make sleep problems particularly detrimental for youth, and a discussion of the clinical implications of the sleep-STB association for hospitalized youth.

METHOD: The systematic review included all longitudinal studies in which sleep problems were examined as prospective predictors of STBs in adolescents (aged 10-24 years). The search was conducted on December 1, 2017 using PsychINFO, PubMed, and Web of Science databases.

RESULTS: Ten studies qualified for inclusion in this review. Of these, seven studies found at least one type of sleep problem significantly predicted a STB outcome.

CONCLUSIONS: Although findings are mixed, growing research suggests that sleep problems may be a unique risk factor for STBs in youth. Sleep problems may be particularly important intervention target because they are easily assessed across healthcare settings and are amenable to treatment.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0163-8343 UR - http://dx.doi.org/10.1016/j.genhosppsych.2018.09.011 ID - ref1 ER -