ArticleFrontiers in psychiatry2021
Initial Low Levels of Suicidal Ideation Still Improve After Cognitive Behavioral Therapy for Insomnia in Regular Psychiatric Care.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- A systematic review of anti-suicidal effects of sedative-hypnotics and cognitive behavioral therapy for insomnia.CNS spectrums · 2025Pooled it
- 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
- Paradoxical association between campus connectedness and delusion-like experiences among Chinese college students: a chained mediation.Frontiers in psychology · 2026Article
- Cognitive behavioral therapy for insomnia as a suicide prevention strategy: a protocol for a systematic review and meta-analysis.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Associations between internet addiction and suicidal ideation in depressed adolescents: the mediating effect of insomnia as well as sex differences.BMC psychiatry · 2024Article
- Mediation effect of insomnia symptoms between positive psychotic like experiences and suicidal ideation among Lebanese young adults.BMC psychiatry · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Insomnia disorder is highly prevalent, and has been identified as a risk factor for many psychiatric problems, including depression, suicide ideation and suicide death. Previous studies have found that cognitive behavioral therapy for insomnia (CBT-I) reduce depression and suicidal ideation in samples with high levels of suicidal ideation. This study aims to investigate associations of CBT-I with suicidal ideation in a sample of 522 patients primarily seeking internet-delivered treatment for insomnia in regular psychiatric care. The sample had high pretreatment insomnia severity levels and a relatively high level of comorbid depression symptoms. Suicidal ideation levels were relatively low pretreatment but still improved significantly after CBT-I. Contrary to previous findings, the strongest predictor of changes in suicidal ideation were improvements in depressive symptoms, rather than improvements in insomnia. We conclude that suicidal ideation may not be a major problem in these patients primarily seeking treatment for insomnia, despite comorbid depressive symptoms, but that suicidal ideation still improves following CBT-i. Considering the increased risk for patients with untreated insomnia to develop depression, this finding is of interest for prevention of suicidal ideation.
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