ArticleBMC psychiatry2017
Insomnia, psychiatric disorders and suicidal ideation in a National Representative Sample of active Canadian Forces members.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
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- Longitudinal role of sleep disturbance in mental health and functioning among adults with suicidal ideation.The British journal of clinical psychology · 2026Article
- Insomnia-related brain functional correlates in first-episode drug-naïve major depressive disorder revealed by resting-state fMRI.Frontiers in neuroscience · 2024Article
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- Mediation effect of insomnia symptoms between positive psychotic like experiences and suicidal ideation among Lebanese young adults.BMC psychiatry · 2023Article
- 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 aberrant dynamic amplitude of low-frequency fluctuations in melancholic major depressive disorder with insomnia.Frontiers in psychiatry · 2022Article
- Article
- Preliminary Study on Changes of Sleep EEG Power and Plasma Melatonin in Male Patients With Major Depressive Disorder After 8 Weeks Treatment.Frontiers in psychiatry · 2021Article
- Nightmares in Patients with Major Depressive Disorder, Bipolar Disorder, and Psychotic Disorders: A Systematic Review.Journal of clinical medicine · 2020Review
- Sleep Disturbances and Suicidality in Posttraumatic Stress Disorder: An Overview of the Literature.Frontiers in psychiatry · 2020Review
- Article
- Blunted Nocturnal Salivary Melatonin Secretion Profiles in Military-Related Posttraumatic Stress Disorder.Frontiers in psychiatry · 2019Article
- Sleep disturbance at pre-deployment is a significant predictor of post-deployment re-experiencing symptoms.European journal of psychotraumatology · 2019Article
- Fractures as a suicidal behavior risk factor: A nationwide population-based cohort study.Medicine · 2019Observational
- Prevalence and characteristics of suicidal ideation among 2199 elderly inpatients with surgical or medical conditions in Taiwan.BMC psychiatry · 2018Article
- Insomnia as an independent predictor of suicide attempts: a nationwide population-based retrospective cohort study.BMC psychiatry · 2018Article
- Depression, Suicidal Behaviour, and Mental Disorders in Older Aboriginal Australians.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPast research on the association between insomnia and suicidal ideation (SI) has produced mixed findings. The current study explored the relationship between insomnia, SI, and past-year mental health status among a large Canadian Forces (CF) sample.
methodData was obtained from the 2013 Canadian Forces Mental Health Survey (CFMHS), and included a large representative sample of Canadian Regular Forces personnel (N = 6700). A series of univariate logistic regressions were conducted to test individual associations between past-year mental health status, insomnia, and potential confounds and SI. Mental health status included three groups: 0, 1, or two or more probable diagnoses of posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalized anxiety disorder (GAD), panic disorder (PD) and alcohol abuse/dependence. Stepwise multivariate logistic regression was used to assess the relationship between insomnia and SI with mental health status as a moderator.
results40.8% of respondents reported experiencing insomnia. Both insomnia and number of mental health conditions incrementally increased the risk of SI. However, past-year mental health status was a significant moderator of this relationship, such that for CF personnel with either no (AOR = 1.61, 1.37-1.89) or only one past-year mental health condition (AOR = 1.39, 1.12-1.73), an incremental increase in insomnia was associated with an increased likelihood of SI. However, in personnel with two or more past-year mental health disorders, insomnia was no longer significantly associated with SI (AOR = 1.04, 0.81-1.33).
conclusionsInsomnia significantly increased the odds of SI, but only among individuals with no or one mental health condition. Findings highlight the importance of assessing insomnia among CF members in order to further suicide prevention efforts.
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