ArticleThe Journal of clinical psychiatry2017
Objectively Assessed Sleep Variability as an Acute Warning Sign of Suicidal Ideation in a Longitudinal Evaluation of Young Adults at High Suicide Risk.
Article in The Journal of clinical psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03991650 (REMOTE), which is not on this map. Cited by 81 papers, 3 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.
REMOTE: Monitoring Telemedicine Platform in Patients With Anxiety Symptoms and Alcohol Use Disorder: Smartphone and Wearable Sensors
Who cites it
81 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.
- Nightmares and psychiatric symptoms: A systematic review of longitudinal, experimental, and clinical trial studies.Clinical psychology review · 2023Pooled it
- Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies.Scientific reports · 2020Pooled it
- Objective measurement of sleep, heart rate, heart rate variability, and physical activity in suicidality: A systematic review.Journal of affective disorders · 2020Pooled it
- Impact of an internet-based insomnia intervention on suicidal ideation and associated correlates in veterans at elevated suicide risk.Translational behavioral medicine · 2024Trial
- Trial
- An exploratory analysis of the association of circadian rhythm dysregulation and insomnia with suicidal ideation over the course of treatment in individuals with depression, insomnia, and suicidal ideation.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Trial
- Smartphone-Measured Sleep Health Risk Factors Detect Suicidal Thoughts and Behaviors Among Adolescents.JAACAP open · 2026Article
- Predicting next-day suicidal urges, depression, and PTSD symptoms using ecological momentary assessments and passive sensing of sleep among military service members and veterans.Journal of affective disorders · 2026Article
- Stressful life events and depressive symptom severity associated with suicide planning among adolescents with depression and non-suicidal self-injury: a cross-sectional study.BMC public health · 2026Article
- Longitudinal and Bidirectional Relationships Between Sleep, Emotional Wellbeing and Weight Status in Childhood and Adolescence: Growing Up in Scotland Cohort Analysis.Journal of sleep research · 2026Article
- Comparing Objective Measures of Sleep Disturbance and Sleep Related Impairments as Proximal Risk Indicators of Suicidal Intent and Non-Suicidal Self-Injury.Suicide & life-threatening behavior · 2026Article
- Sleep Disturbances, Psychosis Symptoms, and Suicidal Ideation in First Episode Psychosis: An Exploratory Mixed-Methods Study.Schizophrenia bulletin open · 2026Article
- The kynurenine pathway in depression and schizophrenia: convergent signals, divergent states, and clinical signatures.EXCLI journal · 2026Review
- Use of ecological momentary assessment via wearable devices for detecting acute suicide risk in psychiatric inpatients.Frontiers in psychiatry · 2026Article
- Development and Preliminary Psychometric Properties of the Adolescent Sleep Health Belief Scale.Florence Nightingale journal of nursing · 2025Article
- Understanding Latine disparities in nocturnal wakefulness as a suicide risk factor.Sleep epidemiology · 2025Article
- Personalized models of eating disorder symptoms and suicide risk in anorexia nervosa spectrum disorders: protocol for a longitudinal, passive-sensing study.BMC psychology · 2025Article
- A large-scale study of chronic sleep disorders in psychiatric inpatients: Prevalence, hospitalization burden, restraint use, and comorbidities.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- The Temporal Dynamics of Sleep Disturbances, Depression, and Self-Injurious Thoughts and Behaviors in Preadolescents: A Year-Long Intensive Longitudinal Study.Research on child and adolescent psychopathology · 2025Article
- Nightmares and self-injurious thoughts among clinically acute adolescents: Examining negative affect as a potential mechanism.Journal of affective disorders · 2025Article
21 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
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveYoung adults attempt suicide at disproportionately high rates relative to other groups and demonstrate high rates of sleep disturbance. No study has yet prospectively evaluated disturbed sleep as an acute indicator of risk using an objective index of sleep. We investigated objective and subjective parameters of disturbed sleep as a warning sign of suicidal ideation among young adults over an acute period.
methodsA longitudinal study across a 21-day observation period and 3 time points. Fifty of 4,847 participants (aged 18-23 years) were prescreened from a university undergraduate research pool (February 2007-June 2008) on the basis of suicide attempt history and recent suicidal ideation. Actigraphic and subjective sleep parameters were evaluated as acute predictors of suicidal ideation (Beck Scale for Suicide Ideation), with adjustment for baseline symptoms. Hierarchical regression analyses were employed to predict residual change scores.
resultsNinety-six percent of participants (n = 48) endorsed a suicide attempt history. Mean actigraphy values revealed objectively disturbed sleep parameters; 78% (n = 39) and 36% (n = 18) endorsed clinically significant insomnia and nightmares, respectively. When results were controlled for baseline suicidal and depressive symptoms, actigraphic and subjective sleep parameters predicted suicidal ideation residual change scores at 7- and 21-day follow-ups (P < .001). Specifically, actigraphy-defined variability in sleep timing, insomnia, and nightmares predicted increases in suicidal ideation (P < .05). In a test of competing risk factors, sleep variability outperformed depressive symptoms in the longitudinal prediction of suicidal ideation across time points (P < .05).
conclusionsObjectively and subjectively measured sleep disturbances predicted acute suicidal ideation increases in this population, independent of depressed mood. Self-reported insomnia and nightmares and actigraphically assessed sleep variability emerged as acute warning signs of suicidal ideation. These findings highlight the potential utility of sleep as a proposed biomarker of suicide risk and a therapeutic target.
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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.