ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2025
Nightmares and insomnia within the acute aftermath of trauma prospectively predict suicidal ideation.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Temporal associations between nightmares and PTSD symptoms in the acute post-sexual assault period: An ecological momentary assessment study.Journal of mood and anxiety disorders · 2026Article
- Article
- The Distressing Dream Content Inventory: Development and Initial Validation in Acute Trauma Patients.Journal of sleep research · 2026Article
- Bringing cognitive behavioral therapy for nightmares to patients with trauma: increasing access and feasibility via primary and acute care.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Fear of Sleep in the Acute Aftermath of Trauma Predicts Future Posttraumatic Stress Disorder: The Moderating Role of Community Violence Exposure.Behavioral sciences (Basel, Switzerland) · 2026Article
- Changing outcomes: trauma, disordered sleep, and suicide.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Disproportionality evaluation of adverse effects and suicide/self-injury risk factors associated with vortioxetine: a large-scale pharmacovigilance study.Frontiers in pharmacology · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
STUDY
objectivesPatients with acute trauma are vulnerable to suicidality following hospitalization. Research suggests nightmares and insomnia may interact to potentiate suicidality, possibly due to nightmares worsening co-occurring insomnia. Nightmares and insomnia are common stress reactions to acute trauma and might compound suicide risk within acutely traumatized patients. We tested the prospective relationship between nightmares and insomnia immediately after trauma on future suicidal ideation (SI).
methodsPatients hospitalized in Detroit, Michigan following traumatic injury (mean
resultsPatients with clinically significant nightmares and comorbid insomnia symptoms at T2 reported the highest rates of SI at T3 (42.9%), whereas patients with insomnia alone (8.0%) or neither sleep disturbance (6.7%) had the lowest SI rates (
conclusionsThese novel results suggest clinically significant nightmares strengthen the association between insomnia and suicidality after trauma. As nearly half of acute trauma patients with nightmares and insomnia experience SI 2 months after trauma, early interventions that target both may curb SI rates. CITATION: Reffi AN, Kalmbach DA, Cheng P, et al. Nightmares and insomnia within the acute aftermath of trauma prospectively predict suicidal ideation.
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