ArticleJournal of youth and adolescence2015
Sleepless in Fairfax: the difference one more hour of sleep can make for teen hopelessness, suicidal ideation, and substance use.
Article in Journal of youth and adolescence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
63 citing papers in PubMed, 4 syntheses or guidelines pooled it, 166 citations in OpenAlex.
- Sleep and suicide: A systematic review and meta-analysis of longitudinal studies.Clinical psychology review · 2020Pooled it
- Later school start times for supporting the education, health, and well-being of high school students.The Cochrane database of systematic reviews · 2017Pooled it
- Examining the role of psychological factors in the relationship between sleep problems and suicide.Clinical psychology review · 2017Pooled it
- Delaying Middle School and High School Start Times Promotes Student Health and Performance: An American Academy of Sleep Medicine Position Statement.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Guideline
- A one-hour delayed school start improves sleep, sleepiness and inhibitory control in early adolescents in a randomized controlled trial.Scientific reports · 2026Trial
- Impact of an internet-based insomnia intervention on suicidal ideation and associated correlates in veterans at elevated suicide risk.Translational behavioral medicine · 2024Trial
- Time trends and predictors of difficulties in getting to sleep among adolescents from six Nordic countries 2002-2018.Scandinavian journal of public health · 2026Article
- The Effect of Sleep Quality on Academic Performance: A Systematic Review and Meta-Analysis Study.Behavioral sciences (Basel, Switzerland) · 2026Review
- Association between cybervictimization and sleep quality in a national sample of U.S. young people: examining the moderating role of in-person and social media emotional support.BMC pediatrics · 2026Article
- College students' depression and body image: Unraveling the Link.World journal of psychiatry · 2025Article
- Nightly Sleep Duration and Symptom Burden Over 1 Month Following Pediatric Concussion.JAMA network open · 2025Article
- Risk Factors and Correlates of School Bullying and Cyberbullying among Turkish Adolescents: Evidence from a School-Based Cross-Sectional Study.Alpha psychiatry · 2025Article
- Parental Exposure to Work Schedule Instability and Child Sleep Quality.Work, employment & society : a journal of the British Sociological Association · 2025Article
- Interconnection between adolescents' and family members' sleep.Scientific reports · 2024Article
- Do later school start times improve adolescents' sleep and substance use? A quasi-experimental study.Preventive medicine · 2024Article
- Review
- A test of competing mediators linking trouble sleeping to cannabis use in adolescents and emerging adults.Experimental and clinical psychopharmacology · 2024Article
- Insufficient Sleep is Associated With Increasing Trends in Adolescent Suicidal Behaviors.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Sleep and circadian rhythms in adolescents with attempted suicide.Scientific reports · 2024Article
- Testing the relationships of hope and negotiable fate with sleep quality among university students in Hong Kong.Frontiers in psychology · 2024Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Insufficient sleep is a risk factor for depression, suicidality, and substance use, yet little is known about gender, ethnic, and community-level differences in sleep and its associated outcomes, especially during adolescence. Further, much of the prior work has compared groups of teens getting plenty as opposed to insufficient amounts of sleep rather than examine sleep hours continuously. The present study examined adolescent weekday self-reported sleep duration and its links with hopelessness, suicidality, and substance use in a suburban community with very early high school start times. We utilized a large (N = 27,939, 51.2% female) and ethnically diverse sample of adolescents from the 2009 Fairfax County (Virginia) Youth Survey, an anonymous, self-report, population-level survey administered to all 8th, 10th and 12th grade students in public schools in the county. High-school students reported an average 6.5 h of sleep per school night, with 20% obtaining ≤5 h, and only 3% reporting the recommended 9 h/night. Females and minority youth obtained even less sleep on average, and the reduction in sleep in the transition from middle school to high school was more pronounced for females and for Asian students. Hierarchical, multivariate, logistic regression analyses, controlling for background variables, indicated that just 1 h less of weekday sleep was associated with significantly greater odds of feeling hopeless, seriously considering suicide, suicide attempts, and substance use. Relationships between sleep duration and suicidality were stronger for male teens, and sleep duration was more associated with hopelessness for white students compared to most ethnic minority groups. Implications for intervention at multiple levels are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.