The relationship between sleep disturbance and self-harming behaviours in high-risk clinical adolescents

• Verfasst von: Nguyen, Thomas [VerfasserIn]
• Verfasst von: Lerch, Stefan [VerfasserIn]
• Verfasst von: Maggetti, Alessia [VerfasserIn]
• Verfasst von: Reichl, Corinna [VerfasserIn]
• Verfasst von: Tarokh, Leila [VerfasserIn]
• Verfasst von: Kaess, Michael [VerfasserIn]
• Titel: The relationship between sleep disturbance and self-harming behaviours in high-risk clinical adolescents
• Verf.angabe: Thomas P. Nguyen, Stefan Lerch, Alessia Maggetti, Corinna Reichl, Leila Tarokh, Michael Kaess
• E-Jahr: 2023
• Jahr: February 2023
• Umfang: 7 S.
• Fussnoten: Published: 21 December 2022 ; Gesehen am 13.06.2023
• Titel Quelle: Enthalten in: Journal of psychiatric research
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1961
• Jahr Quelle: 2023
• Band/Heft Quelle: 158(2023), Seite 81-87
• ISSN Quelle: 1879-1379
• DOI: doi:10.1016/j.jpsychires.2022.12.034
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Adolescence
• Sach-SW: Depression
• Sach-SW: Non-suicidal self-injury
• Sach-SW: Sleep
• Sach-SW: Suicide
• Sach-SW: Suicide attempts
• K10plus-PPN: 184889385X

Abstract

Emerging research has identified sleep disturbance as an important risk factor for predicting self-harming behaviours. However, the temporality of this relationship, particularly in clinical adolescent samples remains poorly understood. This study examines the relationship between sleep disturbance and self-harming behaviours (namely nonsuicidal self-injury and suicide attempts) in clinical adolescents engaging in risk-taking and self-harming behaviours using secondary analyses from a clinical cohort study. Cross-lagged structural equation modelling was used to determine whether baseline sleep disturbance and self-harming behaviours were predictors of each other over a one-year follow-up period in a sample of adolescents (n = 238, 89.5% female) attending and receiving treatment from an outpatient clinic specializing in risk-taking and self-harming behaviours. When controlling for age, sex and depressive symptoms, greater sleep disturbance (p = 0.001) at baseline independently predicted higher numbers of suicide attempts at follow-up. No bidirectional relationship was found when sleep disturbance was modelled with the frequency of nonsuicidal self-injury. This study adds to the growing evidence that sleep disturbance may predict suicidal behaviours. Clinicians should thus regularly assess for sleep disturbances when evaluating suicidal behaviours in high-risk adolescents. Further research and clinical trials should investigate whether sleep-based interventions may be efficacious in reducing the prevalence of suicidal behaviours.