TY - JOUR PY - 2020// TI - Gender differences in the relationship between sleep problems and suicide attempt in adolescents JO - Frontiers in psychiatry A1 - Wan, Yuhui A1 - Xu, Huiqiong A1 - Wang, Shanshan A1 - Boyda, David A1 - McFeeters, Danielle A1 - Sun, Ying A1 - Zhang, Shichen A1 - Chen, Ruoling A1 - Tao, Fangbiao SP - e133 EP - e133 VL - 11 IS - N2 - There are few studies examining which types of sleep problems are independently associated with suicide attempt (SA) and gender difference in adolescents. The aim of the present study was to examine whether specific sleep problems were uniquely associated with suicide attempt in adolescents and explore gender differences in the association. A school-based health survey was conducted in four provinces within China from November 2014 to January 2015. A total of 15,132 students aged 10-21 years completed standard questionnaires assessing past 12 month suicide attempt in addition to measures of sleep quality, quantity and sleep beliefs. 5.4% of participants reported a suicide attempt within the last 12 months. After adjustment for sociodemographic variables and psychological symptoms, almost all sleep problems remained significantly associated with a greater endorsement of suicide attempt. Further adjustment for co-occurring sleep problems revealed that weekday sleep duration (<6, 8-10, and ≥10 h), insomnia (often), and nightmares (sometimes and often) remained independently associated with suicide attempt in boys (p < 0.05). However in girls, weekday sleep duration (<6 and ≥10 h), weekend sleep duration (<6 h), midday nap (0 or 1-2 d/week), insomnia (sometimes and often), nightmare (often) and sleep beliefs (high) were independently associated with suicide attempt (p < 0.05). Multiple sleep problems are associated with suicide attempt in adolescents, however the relationship varies by gender.

Copyright © 2020 Wan, Xu, Wang, Boyda, Mcfeeters, Sun, Zhang, Chen and Tao.

Language: en

LA - en SN - 1664-0640 UR - http://dx.doi.org/10.3389/fpsyt.2020.00133 ID - ref1 ER -