ArticleInternational psychogeriatrics2016
Insomnia is associated with suicide attempt in middle-aged and older adults with depression.
Article in International psychogeriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04986007 (Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults), which is not on this map. Cited by 23 papers, 1 of them a synthesis 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.
Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults (ANSWERS-OA): A Pilot, Open-Label, Randomized Controlled Trial of Digital Cognitive Behavioral Therapy for Insomnia
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- Toxicity of benzodiazepines in the treatment of insomnia disorders in older adults: a systematic literature review.Croatian medical journal · 2024Pooled it
- Trial
- The PAPPI cross-sectional study: prevalence, associated factors and care management for insomnia in outpatient public psychiatric services.BMC psychiatry · 2025Article
- Mediation effect of insomnia symptoms between positive psychotic like experiences and suicidal ideation among Lebanese young adults.BMC psychiatry · 2023Article
- RCT of the effectiveness of stepped-care sleep therapy in general practice: The RESTING study protocol.Contemporary clinical trials · 2022Article
- Does Insomnia Increase the Risk of Suicide in Hospitalized Patients with Major Depressive Disorder? A Nationwide Inpatient Analysis from 2006 to 2015.Behavioral sciences (Basel, Switzerland) · 2022Article
- Psychoactive medication use and risk of suicide in long-term care facility residents.International journal of geriatric psychiatry · 2022Article
- You lack the season of all natures, sleep.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents.Healthcare (Basel, Switzerland) · 2021Article
- Association of Sleep Architecture and Physiology with Depressive Disorder and Antidepressants Treatment.International journal of molecular sciences · 2021Review
- Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study.Frontiers in psychiatry · 2021Article
- Associations of Sleep Quality and Frailty among the Older Adults with Chronic Disease in China: The Mediation Effect of Psychological Distress.International journal of environmental research and public health · 2020Article
- Article
- Insomnia Is Associated With Frequency of Suicidal Ideation Independent of Depression: A Replication and Extension of Findings From the National Health and Nutrition Examination Survey.Frontiers in psychiatry · 2020Article
- Association of Lipid Profile and Suicide Attempts in a Large Sample of First Episode Drug-Naive Patients With Major Depressive Disorder.Frontiers in psychiatry · 2020Article
- Insomnia in Older Adults.Current geriatrics reports · 2019Article
- Suicide in the elderly: a 37-years retrospective study.Acta bio-medica : Atenei Parmensis · 2019Article
- Perspectives on the Management of Vascular Depression.The American journal of psychiatry · 2018Review
- The Neurobiological Basis of Sleep and Sleep Disorders.Physiology (Bethesda, Md.) · 2018Review
- Insomnia as an independent predictor of suicide attempts: a nationwide population-based retrospective cohort study.BMC psychiatry · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundInsomnia increases in prevalence with age, is strongly associated with depression, and has been identified as a risk factor for suicide in several studies. The aim of this study was to determine whether insomnia severity varies between those who have attempted suicide (n = 72), those who only contemplate suicide (n = 28), and those who are depressed but have no suicidal ideation or attempt history (n = 35).
methodsParticipants were middle-aged and older adults (age 44-87, M = 66 years) with depression. Insomnia severity was measured as the sum of the early, middle, and late insomnia items from the Hamilton Rating Scale for Depression. General linear models examined relations between group status as the independent variable and insomnia severity as the dependent variable.
resultsThe suicide attempt group suffered from more severe insomnia than the suicidal ideation and non-suicidal depressed groups (p < 0.05). Differences remained after adjusting for potential confounders including demographics, cognitive ability, alcohol dependence in the past month, severity of depressed mood, anxiety, and physical health burden. Moreover, greater insomnia severity in the suicide attempt group could not be explained by interpersonal difficulties, executive functioning, benzodiazepine use, or by the presence of post-traumatic stress disorder.
conclusionsOur results suggest that insomnia may be more strongly associated with suicidal behavior than with the presence of suicidal thoughts alone. Accordingly, insomnia is a potential treatment target for reducing suicide risk in middle-aged and older adults.
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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.