ArticleJournal of affective disorders2018
Rumination in relation to suicide risk, ideation, and attempts: Exacerbation by poor sleep quality?
Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.
- Boulevard of broken rhythms: A systematic review and meta-analysis on the relationship between sleep disturbances and suicidal behavior in bipolar disorder.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- Attachment, Physical Leisure, and Suicidal Ideation in Emerging Adulthood: Evidence from University Students.Behavioral sciences (Basel, Switzerland) · 2026Article
- Longitudinal role of sleep disturbance in mental health and functioning among adults with suicidal ideation.The British journal of clinical psychology · 2026Article
- Suicide and Sleep Disorders: The Role of Insomnia, Nightmares, and Circadian Disruption.Cureus · 2026Review
- Trajectories of Suicidal Risk Impact Mood Regulation Differently in Patients With a Diagnosis of Bipolar Disorder.Acta psychiatrica Scandinavica · 2026Article
- Testing the Integrated Motivational-Volitional Model of suicidal behavior in a young Danish population.BMC psychiatry · 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
- Age matters: a narrative review and machine learning analysis on shared and separate multidimensional risk domains for early and late onset suicidal behavior.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Sleep Disturbances, Psychosis Symptoms, and Suicidal Ideation in First Episode Psychosis: An Exploratory Mixed-Methods Study.Schizophrenia bulletin open · 2026Article
- Prevalence and psychiatric correlates of loneliness in UK university students.Npj mental health research · 2025Article
- The Correlation of Loneliness and Rumination with Suicidal Ideation in Female Students: The Mediating Role of Perceived Parenting Styles.International journal of school health · 2025Article
- Brooding, reflection, and anger rumination in late life suicidal behavior.Journal of affective disorders · 2025Article
- A moderated mediation model in assessing links between rumination, emotional reactivity, and suicidal risk in alcohol use disorder.Frontiers in psychiatry · 2025Article
- From sleeplessness to solitude: emotional repair as a buffer between insomnia and loneliness in university students.Frontiers in sleep · 2025Article
- ADHD, chronotype, and circadian preference in a multi-site sample of college students.Journal of sleep research · 2024Article
- Emotional regulation and suicidal ideation-Mediating roles of perceived social support and avoidant coping.Frontiers in psychology · 2024Article
- Breakfast consumption was associated with suicidal ideation, plan, and attempt: a population-based cross-sectional study.Frontiers in public health · 2024Article
- Cortisol Regulation among Women Who Experience Suicidal Ideation during Pregnancy.Journal of affective disorders reports · 2023Article
- Prevalence of anxiety, depression, mania, insomnia, stress, suicidal ideation, psychotic experiences, & loneliness in UK university students.Scientific data · 2023Article
- Future-oriented repetitive thought, depressive symptoms, and suicide ideation severity: Role of future-event fluency and depressive predictive certainty.Journal of affective disorders · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRumination, particularly brooding rumination, is associated with suicide risk, ideation and attempts; however, findings are inconsistent with respect to reflective rumination. Recent research suggests reflective rumination might be associated with increased suicide risk specifically among vulnerable individuals. Poor sleep quality is related to both suicide risk and rumination, yet no research has examined whether reflective rumination and sleep quality interact in relation to suicidal risk. This study, therefore, examined whether sleep quality moderates the link between ruminative subtypes and (a) suicide risk overall, and (b) suicidal ideation and (c) history of suicide attempts, specifically.
methodsParticipants were 1696 college students (ages 18-29 years; 65% female) who completed measures assessing rumination, sleep, and suicidal ideation and behavior. Hierarchical linear and logistic regressions were performed regressing overall suicide risk (linear), suicidal ideation (linear) and history of attempts (logistic) on ruminative subtypes controlling for demographics. Sleep quality was examined as a moderator of the rumination-suicide risk/ideation/attempts link.
resultsBrooding rumination was significantly associated with increased suicide risk, ideation, and attempts but these associations were not moderated by sleep quality. Sleep quality exacerbated the association of reflective rumination with overall suicide risk and suicidal ideation specifically. Reflective rumination was not itself, or in interaction with sleep quality, significantly associated with a history of suicide attempts. LIMITATIONS: The study is cross-sectional and utilizes a college student sample.
conclusionsThis study adds to the literature that suggests reflective rumination is associated with suicide risk and ideation in certain cases, such as in individuals with lower sleep quality. In addition, the study adds continued support for an association between brooding rumination and suicidal behaviors. More studies that examine the relations between ruminative subtypes and attempts are needed. Interventions that target sleep problems and rumination may be beneficial for suicide prevention and intervention.
Indexed as
Identifiers
What OpenQuestion holds
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.