ArticleJournal of affective disorders2017
Insomnia and suicide-related behaviors: A multi-study investigation of thwarted belongingness as a distinct explanatory factor.
Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A direct comparison of theory-driven and machine learning prediction of suicide: A meta-analysis.PloS one · 2021Pooled it
- The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research.Psychological bulletin · 2017Pooled it
- Investigating insomnia as a cross-sectional and longitudinal predictor of loneliness: Findings from six samples.Psychiatry research · 2017Pooled it
- Comorbid sleep disorders and suicide risk among children and adolescents with bipolar disorder.Journal of psychiatric research · 2017Trial
- Expressed Emotion in Adolescent Suicidal Ideation: The Mediating Role of Thwarted Belongingness and Perceived Burdensomeness.Suicide & life-threatening behavior · 2026Article
- Reciprocal effects between loneliness and sleep disturbances from adolescence to mid-adulthood: the HUNT study.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Understanding Latine disparities in nocturnal wakefulness as a suicide risk factor.Sleep epidemiology · 2025Article
- Insomnia, Social Disconnectedness, and Suicidal Ideation Severity in Underserved Veterans.Cognitive therapy and research · 2025Article
- Assessment and analysis of factors influencing suicidal ideation in young adults: a large cohort study using an elastic network logistic regression model.BMC psychiatry · 2025Article
- The mediation effects of nightmares and depression between insomnia and suicidal ideation in young adults.Scientific reports · 2024Article
- Sleep quality and in-person versus online social interaction during the early COVID-19 pandemic lockdown: Impact on affect and interpersonal needs among young adults.Psychiatry research communications · 2023Article
- Mediation effect of insomnia symptoms between positive psychotic like experiences and suicidal ideation among Lebanese young adults.BMC psychiatry · 2023Article
- Impacts of the psychological stress response on nonsuicidal self-injury behavior in students during the COVID-19 epidemic in China: the mediating role of sleep disorders.BMC psychology · 2022Article
- Utilizing digital predictive biomarkers to identify Veteran suicide risk.Frontiers in digital health · 2022Review
- Article
- When Night Falls Fast: Sleep and Suicidal Behavior Among Adolescents and Young Adults.Child and adolescent psychiatric clinics of North America · 2021Review
- How Is the Presence of Company Related to Thwarted Belongingness in Real Time? Taking a Closer Look at the Conceptualization of the Construct of the Interpersonal Theory of Suicide.International journal of environmental research and public health · 2020Article
- The Interpersonal Needs Questionnaire: Statistical Considerations for Improved Clinical Application.Assessment · 2020Article
- Relationship of Nocturnal Wakefulness to Suicide Risk Across Months and Methods of Suicide.The Journal of clinical psychiatry · 2020Article
- 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
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundInsomnia is a robust correlate of suicidal ideation and behavior. Preliminary research has identified thwarted belongingness (c.f. social disconnection) as an explanatory link between insomnia and suicidal ideation.
objectivesThis study replicates and extends previous findings using both cross-sectional and longitudinal designs in four demographically diverse samples. Additionally, the specificity of thwarted belongingness was evaluated by testing anxiety as a rival mediator.
methodSelf-report measures of insomnia symptoms, thwarted belongingness, suicidal ideation and behavior, and anxiety were administered in four adult samples: 469 undergraduate students, 352 psychiatric outpatients, 858 firefighters, and 217 primary care patients.
resultsMore severe insomnia was associated with more severe thwarted belongingness and suicidality. Thwarted belongingness significantly accounted for the association between insomnia and suicidality, cross-sectionally and longitudinally, beyond anxiety. Notably, findings supported the specificity of thwarted belongingness: anxiety did not significantly mediate the association between insomnia and suicidality, and insomnia did not mediate the relation between thwarted belongingness and suicidality. LIMITATIONS: This study relied solely on self-report measures. Future studies incorporating objective sleep measurements are needed.
conclusionFindings underscore the utility of assessing and addressing sleep disturbances and social disconnection to reduce suicide risk.
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