Evidence map›Paper›PMID 40166987›Full record

ArticleSuicide & life-threatening behavior2025

Suicidal Ideation, Cognitive Control, and Sleep in Veterans in a Residential Treatment Facility: A Pilot Study.

Lily A Brown, Kevin G Lynch, Philip Gehrman, Lindiwe Mayinja, Danielle Farabaugh, Keith Bredemeier

Abstract read
In one paragraph

Article in Suicide & life-threatening behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Lily A BrownDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Kevin G LynchDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Philip GehrmanDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Lindiwe MayinjaDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Danielle FarabaughCoatesville VA Medical Center, Coatesville, Pennsylvania, USA.
Keith BredemeierPsychological and Brain Sciences, University of Delaware, Newark, Delaware, USA.

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Knashawn Hodge Morales · 2013 to 2026
$23.5M
Signature ProjectP50MH127511 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BROWN, GREGORY K · 2021 to 2025
$14.4M
A mechanistic trial of the neurobiology of extinction learning and intraparietal sulcus stimulationR01MH132740 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Lily A Brown · 2024 to 2026
$2.4M
Nocturnal wakefulness, cognitive control, and suicidal urges: A prospective evaluation of variance during residential treatmentR21MH123888 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BREDEMEIER, KEITH ERIC, BROWN, LILY A · 2021 to 2022
$447k
NIEHS NIH HHS P30 ES013508NIMH NIH HHS 1P50MH127511-0NIMH NIH HHS L30 MH117700NIMH NIH HHS P30 MH 097488NIMH NIH HHS P30 MH097488NIMH NIH HHS P50 MH127511NIMH NIH HHS R01 MH132740NIMH NIH HHS R01 MH132740-01NIMH NIH HHS R21 MH123888NIMH NIH HHS R21MH123888
6 · The paper itself

Abstract

introductionSleep disorder symptoms are associated with suicidal ideation, and wakefulness in the middle of the night is associated with an increased risk for suicide, potentially due to deficits in cognitive control. Little is known about daily-level associations among sleep and suicide or about the role of cognitive control in these associations.

methodsVeterans (n = 32) with past-month suicidal ideation in a residential treatment unit were assessed for 28 days using the suicide visual analogue scale (S-VAS) to assess suicidal urges, a daily sleep diary, and self-reported cognitive control.

resultsWakefulness in the middle of the night (1-4 a.m.) was associated with the most severe suicidal ideation. Nocturnal wakefulness and sleep quality were each associated with next-day suicidal ideation intensity. Self-reported cognitive control deficits were associated with more intense suicidal ideation. The association between nocturnal wakefulness and suicidal ideation was partially accounted for by self-reported impulsive behavior (7% of variance).

conclusionsVeterans reported the highest suicidal ideation in the middle of the night. These findings suggest the importance of assessing sleep, suicidal ideation, and cognitive control among veterans and the need to consider nocturnal wakefulness as an indicator of heightened risk for suicide among veterans.

Indexed as

CognitionSleepSleep Wake DisordersSuicidal IdeationVeteransAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsResidential TreatmentWakefulnesscognitive controlsleep disorderssuicideveterans

Identifiers

PMID40166987
PMCPMC11959678

What OpenQuestion holds

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Registered trials

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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.