SynthesisClinical psychology review2020
Sleep and suicide: A systematic review and meta-analysis of longitudinal studies.
Synthesis in Clinical psychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 115 papers, 5 of them syntheses 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.
Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults (ANSWERS-OA): A Pilot, Open-Label, Randomized Controlled Trial of Digital Cognitive Behavioral Therapy for Insomnia
A Randomized Controlled Trial of Sleep Scholar: A Single-Session, Internet-Based Insomnia Intervention for College Students
Stress, Coping, and Sleep Health Study
Who cites it
115 citing papers in PubMed, 5 syntheses or guidelines pooled it, 216 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
- A systematic review of anti-suicidal effects of sedative-hypnotics and cognitive behavioral therapy for insomnia.CNS spectrums · 2025Pooled it
- A systematic review of studies using network analysis to assess dynamics of psychotic-like experiences in community samples.Psychological medicine · 2025Pooled it
- A systematic review and Bayesian meta-analysis of 30 years of stress generation research: Clinical, psychological, and sociodemographic risk and protective factors for prospective negative life events.Psychological bulletin · 2024Pooled it
- Social and circadian rhythm dysregulation and suicide: A systematic review and meta-analysis.Neuroscience and biobehavioral reviews · 2024Pooled it
- Youth experiencing homelessness at risk for suicide: psychosocial risk factors and service use patterns.BMC public health · 2025Trial
- Smartphone-Measured Sleep Health Risk Factors Detect Suicidal Thoughts and Behaviors Among Adolescents.JAACAP open · 2026Article
- Improving access to help with poor sleep across youth mental health services: Interim implementation and clinical outcomes.The British journal of clinical psychology · 2026Article
- Longitudinal role of sleep disturbance in mental health and functioning among adults with suicidal ideation.The British journal of clinical psychology · 2026Article
- Reduced Slow-Wave Sleep and Sleep-Disordered Breathing Are Linked to Suicidal Ideation in Major Depressive Disorder.Brain and behavior · 2026Article
- Prevalence and clinical features of depressed adolescents co-occurring insomnia and excessive daytime sleepiness symptoms.European archives of psychiatry and clinical neuroscience · 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
- Intraindividual sleep variability in young adult women with posttraumatic stress disorder symptoms and hazardous alcohol use after sexual assault.Journal of behavioral medicine · 2026Article
- Suicide and Sleep Disorders: The Role of Insomnia, Nightmares, and Circadian Disruption.Cureus · 2026Review
- Multidimensional determinants of suicide risk in emerging adults: the roles of sleep health, chronotype, exercise participation, earthquake exposure, and gender.BMC public health · 2026Article
- Strategizing AI utilization for psychological literature screening: A comparative analysis of machine learning algorithms and key factors to consider.Research synthesis methods · 2026Article
- Effect of Substance Abuse on Suicidal Behaviors Among People Living With HIV: 11-Year Cohort Study.The journal of nursing research : JNR · 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
- Obesity and Suicide Behavior in Young Latina Adults of Mexican Heritage: The Mediating Influences of Sleep Problems, Health Problems, and Dissatisfaction with Personal Appearance.Behavioral sciences (Basel, Switzerland) · 2026Article
- Two-week prevalence and correlates of suicidal ideation among first-visit general-hospital psychiatric outpatients: a cross-sectional study using the PHQ-9 and EPQ.BMC psychiatry · 2026Article
55 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
8 authors at 6 institutions in 1 country.
Funding
Abstract
The current review provides a quantitative synthesis of the empirical literature on sleep disturbance as a risk factor for suicidal thoughts and behaviors (STBs). A systematic search of PsycINFO, MEDLINE, and the references of prior reviews resulted in 41 eligible studies included in this meta-analysis. Sleep disturbance, including insomnia, prospectively predicted STBs, yielding small-to-medium to medium effect sizes for these associations. Complicating interpretation of these findings however, is that few studies of suicidal ideation and suicide attempts, as well as none of suicide deaths, assessed short-term risk (i.e., employed follow-up assessments of under a month). Such studies are needed to evaluate current conceptualizations of sleep dysregulation as being involved in acute risk for suicidal behavior. This want of short-term risk studies also suggests that current clinical recommendations to monitor sleep as a potential warning sign of suicide risk has a relatively modest empirical basis, being largely driven by cross-sectional or retrospective research. The current review ends with recommendations for generating future research on short-term risk and greater differentiation between acute and chronic aspects of sleep disturbance, and by providing a model of how sleep disturbance may confer risk for STBs through neuroinflammatory and stress processes and associated impairments in executive control.
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.