ArticleJournal of child psychology and psychiatry, and allied disciplines2023
Sleep influences daily suicidal ideation through affective reactivity to interpersonal events among high-risk adolescents and young adults.
Article in Journal of child psychology and psychiatry, and allied disciplines, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- A Systematic Review of Ecological Momentary Assessment Procedures of Self-Harm (With and Without Suicidal Intent) Studies in Adolescents and Young Adults.International journal of environmental research and public health · 2026Pooled it
- Smartphone-Measured Sleep Health Risk Factors Detect Suicidal Thoughts and Behaviors Among Adolescents.JAACAP open · 2026Article
- Monitoring Within-Person Dynamics in Adolescents Hospitalized for Acute Suicidal Distress: Protocol for an Intensive Longitudinal Study.JMIR research protocols · 2026Article
- Ambulatory Heart Rate Variability Monitoring in Depressed and Suicidal Adolescents Receiving Intensive Outpatient Treatment: Feasibility Study.JMIR formative research · 2026Article
- Sleeping Less Than Usual Is Associated With Greater Daily Depression and Higher Reactivity to Negative Interpersonal Events Among Suicidal Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 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
- Clinical Heterogeneity of Major Depressive Disorder: The Role of Trauma, Dissociation, and Sleep.Journal of clinical medicine · 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
- Sleep and Emotion in Adolescents: A Systematic Review of Studies Using Polysomnography, Actigraphy and Fitbit Data.Annals of neurosciences · 2026Review
- Modeling the dynamics of perceived burdensomeness, thwarted belongingness, and suicidal ideation in continuous time.Journal of psychopathology and clinical science · 2026Article
- Dupilumab Improves Health-Related Quality of Life in Omalizumab-Naïve Patients with Chronic Spontaneous Urticaria.Dermatology and therapy · 2026Article
- A hierarchical machine learning model for predicting self-harm and suicidal behaviour in hospitalised patients with schizophrenia using clinical history and nursing observations.Frontiers in psychiatry · 2026Article
- Sleep characteristics and non-suicidal self-injury: unveiling the association in depressed adolescents.BMC psychiatry · 2025Article
- Associations of depression, anxiety, and insomnia symptoms in subthreshold depression: a network analysis.BMC psychiatry · 2025Article
- Self-Harm Content on Social Media and Proximal Risk for Self-Injurious Thoughts and Behaviors Among Adolescents.JAACAP open · 2025Article
- Sleep Disturbances Are Associated With Depressive Symptoms and Suicidality Among Adolescents in Pediatric Primary Care.JAACAP open · 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
- Minority Stress, Resilience, and Trouble Falling Asleep Among Gender and Sexual Minority Adolescents.Journal of adolescence · 2025Article
- Development and evaluation of a personalised sleep care plan on child and adolescent in-patient mental health wards.BJPsych bulletin · 2025Article
- Nightmares and self-injurious thoughts among clinically acute adolescents: Examining negative affect as a potential mechanism.Journal of affective disorders · 2025Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIdentifying proximal risk factors for suicidal ideation that are modifiable and relevant for adolescents and young adults is critical for suicide prevention. This study used an intensive monitoring approach to examine whether objectively- and subjectively- measured sleep characteristics predict next-day suicidal ideation occurrence and intensity through affective reactivity to interpersonal events in young people at high risk for suicide.
methodsParticipants included 59 (13-23 years; 76% White; 75% female) adolescents and young adults undergoing intensive outpatient program treatment for depression and suicidality. Participants completed daily ratings of suicidal ideation, sleep quality, and affective reactivity to positive and negative interpersonal events for up to 3 months (M = 56 days, SD = 24.13). Actigraphy captured behavioral sleep duration and timing. Multilevel modeling was used to evaluate within-person fluctuations in sleep and affective reactivity as predictors of suicidal ideation, and multilevel mediation tested the indirect effects of sleep on suicidal ideation via affective reactivity to interpersonal events.
resultsResults indicate significant indirect effects of objectively measured sleep duration and subjective sleep quality on next-day suicidal ideation via affective reactivity to negative and positive interpersonal events, respectively. Shorter-than-usual sleep predicted the presence and intensity of next-day suicidal ideation via heightened affective reactivity to negative interpersonal events. Worse sleep quality than usual predicted next-day suicidal ideation via reduced affective reactivity to positive interpersonal events.
conclusionsAffectivity reactivity is a proximal mechanism through which sleep indices may influence risk for suicidal thinking on a daily basis. Findings highlight the utility of targeting sleep and emotion regulation in suicide prevention among adolescents and young adults at high-risk for suicide.
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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.