Evidence map›Paper›PMID 32706147›Full record

ArticleSuicide & life-threatening behavior2020

Sleep in youth with repeated self-harm and high suicidality: Does sleep predict self-harm risk?

Joan Rosenbaum Asarnow, Sunhye Bai, Kalina N Babeva, Molly Adrian, Michele S Berk, Lauren D Asarnow, Damla Senturk, Marsha M Linehan, Elizabeth McCauley

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Suicide & life-threatening behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.5field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Trajectories of Treatment Response and Nonresponse in Youth at High Risk for Suicide.Journal of the American Academy of Child and Adolescent Psychiatry · 2022
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  5. The longitudinal role of sleep on self-harm during adolescence: A birth cohort study.Journal of child psychology and psychiatry, and allied disciplines · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Joan Rosenbaum AsarnowDepartment of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, California, USA.
Sunhye BaiDepartment of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, California, USA.
Kalina N BabevaDepartment of Psychiatry and Biobehavioral Sciences, University of California at Los Angeles, Los Angeles, California, USA.
Molly AdrianDepartment of Psychology, University of Washington, Seattle, Washington, USA.
Michele S BerkDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.
Lauren D AsarnowDepartment of Psychiatry, University of California San Francisco, San Francisco, California, USA.
Damla SenturkDepartment of Biostatistics, University of California at Los Angeles, Los Angeles, California, USA.
Marsha M LinehanDepartment of Psychology, University of Washington, Seattle, Washington, USA.
Elizabeth McCauleyDepartment of Psychiatry and Behavioral Medicine, Seattle Children's Hospital, Seattle, Washington, USA.
University of California, Los Angeles · USUniversity of Washington · USStanford University · USUniversity of California, San Francisco · US

Funding

TRAINING THE SCIENCE OF CHILD MENTAL HEALTH TREATMENTT32MH073517 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMA JACOB, John C. Piacentini · 2006 to 2026
$5.2M
1/2-Treatment of Suicidal and Self-Injurious Adolescents with Emotional DysregulaR01MH090159 · NIMH · UNIVERSITY OF WASHINGTON · PI LINEHAN, MARSHA · 2011 to 2015
$2.8M
2_2 Treatment of Suicidal and Self_Injurous Adolescents with Emotional DysregulaR01MH093898 · NIMH · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ASARNOW, JOAN ROSENBAUM, BERK, MICHELE STACY · 2011 to 2015
$2.7M
Reducing Risk: A Comprehensive mHealth Sleep Health Intervention for Adolescents at Risk for Depression and Anxiety DisordersK23MH116520 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ASARNOW, LAUREN · 2018 to 2023
$854k
NIMH NIH HHS K23 MH11652NIMH NIH HHS K23 MH116520NIMH NIH HHS R01 MH090159NIMH NIH HHS R01MH090159NIMH NIH HHS R01 MH093898NIMH NIH HHS R01MH93898NIMH NIH HHS T32 MH073517NIMH NIH HHS T32MH073517
6 · The paper itself

Abstract

objectiveTo elucidate processes contributing to continuing self-harm in youth at very high risk for suicide, focusing on sleep disturbance, a putative warning sign of imminent suicide risk.

method101 youth (ages 12-18) selected for high risk of suicide/suicide attempts based on suicidal episodes plus repeated self-harm (suicide attempts and/or nonsuicidal self-injury [NSSI]). Youth were assessed at baseline, 6-, and 12-month follow-ups on measures of self-harm, suicidality, sleep, and depression.

resultsYouth showed high rates of baseline sleep disturbance: 81.2% scored in the clinical range on the Pittsburgh Sleep Quality Index (PSQI); 81.2% reported an evening (night owl) circadian preference. PSQI score was associated with elevated levels of self-harm (suicide attempts and NSSI) contemporaneously and predicted future self-harm within 30 days. Rates of self-harm were high during follow-up: 45.0% and 33.7% at 6 and 12 months, respectively.

conclusionsResults underscore the need to move beyond an acute treatment model to prevent recurrent and potentially deadly self-harm, the importance of clarifying mechanisms contributing to elevated suicide/self-harm risk, and the potential promise of engaging sleep as a therapeutic target for optimizing treatment and elucidating mechanistic processes.

Indexed as

Self-Injurious BehaviorSuicideAdolescentHumansRisk FactorsSleepSuicidal IdeationSuicide, Attempted

Identifiers

PMID32706147
PMCPMC9327783
OpenAlexW3044822800

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.