Unbound MEDLINE

Sleep disturbance preceding suicide among veterans.

Abstract

OBJECTIVES
We examined the role of sleep disturbance in time to suicide since the last treatment visit among veterans receiving Veterans Health Administration (VHA) services.
METHODS
Among 423 veteran suicide decedents from 2 geographic areas, systematic chart reviews were conducted on the 381 (90.1%) who had a VHA visit in the last year of life. Veteran suicides with a documented sleep disturbance (45.4%) were compared with those without sleep disturbance (54.6%) on time to death since their last VHA visit using an accelerated failure time model.
RESULTS
Veterans with sleep disturbance died sooner after their last visit than did those without sleep disturbance, after we adjusted for the presence of mental health or substance use symptoms, age, and region.
CONCLUSIONS
Findings indicated that sleep disturbance was associated with time to suicide in this sample of veterans who died by suicide. The findings had implications for using the presence of sleep disturbance to detect near-term risk for suicide and suggested that sleep disturbance might provide an important intervention target for a subgroup of at-risk veterans.

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  • Publisher Full Text
  • Authors

    Pigeon WR, Britton PC, Ilgen MA, Chapman B, Conner KR

    Institution

    VISN 2 Center of Excellence for Suicide Prevention, Canandaigua Veteran Affairs Medical Center, Canandaigua, NY 14424, USA. Wilfred_pigeon@urmc.rochester.edu

    Source

    American journal of public health 102 Suppl 1: 2012 Mar pg S93-7

    MeSH

    Adolescent
    Adult
    Aged
    Chi-Square Distribution
    Female
    Humans
    Male
    Middle Aged
    Proportional Hazards Models
    Registries
    Risk Factors
    Sleep Disorders
    Suicide
    Time Factors
    United States
    United States Department of Veterans Affairs
    Veterans

    Pub Type(s)

    Journal Article
    Research Support, U.S. Gov't, Non-P.H.S.

    Language

    eng

    PubMed ID

    22390611