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Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans.
Psychiatry Res. 2014 Aug 15; 218(1-2):118-23.PR

Abstract

This study examines the association between suicidal ideation and sleep disturbances in a sample of treatment-seeking Canadian Forces members and veterans, after controlling for probable posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalised anxiety disorder (GAD), and alcohol use disorder (AUD). Subjects included members and veterans of Canadian Forces seeking treatment at a hospital-based Operational Stress Injury Clinic (n=404). Sleep disturbances and nightmares were measured using individual items on the PTSD Checklist - Military Version (PCL - M), while the suicidality item of the Patient Health Questionnaire (PHQ-9) was used as a stand-alone item to assess presence or absence of suicidal ideation. Regression analyses were used to determine the respective impact of (1) insomnia and (2) nightmares on suicidal ideation, while controlling for presence of probable PTSD, MDD, GAD, and AUD. We found that 86.9% of patients reported having problems falling or staying asleep and 67.9% of patients reported being bothered by nightmares related to military-specific traumatic events. Neither sleep disturbances nor nightmares significantly predicted suicidal ideation; instead, probable MDD emerged as the most significant predictor. The clinical implications of these findings and their potential impact on treatment guidelines are discussed.

Authors+Show Affiliations

Parkwood Hospital Operational Stress Injury Clinic, St. Joseph׳s Health Care London, London, Ontario, Canada; Department of Psychiatry, Western University, London, Ontario, Canada; Department of Psychiatry and Behavioral Neuroscience, McMaster University, Hamilton, Ontario, Canada. Electronic address: don.richardson@sjhc.london.on.ca.Parkwood Hospital Operational Stress Injury Clinic, St. Joseph׳s Health Care London, London, Ontario, Canada.Parkwood Hospital Operational Stress Injury Clinic, St. Joseph׳s Health Care London, London, Ontario, Canada; Department of Psychology, Western University, London, Ontario, Canada.Department of Psychology, University of Toledo, Toleldo, OH, USA; Department of Psychiatry, University of Toledo, Toleldo, OH, USA.Deer Lodge Operational Stress Injury Clinic, Winnipeg, Manitoba, Canada; Department of Psychiatry,University of Manitoba, Winnipeg, Manitoba, Canada; Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24755040

Citation

Don Richardson, J, et al. "Sleep Disturbances and Suicidal Ideation in a Sample of Treatment-seeking Canadian Forces Members and Veterans." Psychiatry Research, vol. 218, no. 1-2, 2014, pp. 118-23.
Don Richardson J, Cyr KS, Nelson C, et al. Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans. Psychiatry Res. 2014;218(1-2):118-23.
Don Richardson, J., Cyr, K. S., Nelson, C., Elhai, J. D., & Sareen, J. (2014). Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans. Psychiatry Research, 218(1-2), 118-23. https://doi.org/10.1016/j.psychres.2014.04.008
Don Richardson J, et al. Sleep Disturbances and Suicidal Ideation in a Sample of Treatment-seeking Canadian Forces Members and Veterans. Psychiatry Res. 2014 Aug 15;218(1-2):118-23. PubMed PMID: 24755040.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans. AU - Don Richardson,J, AU - Cyr,Kate St, AU - Nelson,Charles, AU - Elhai,Jon D, AU - Sareen,Jitender, Y1 - 2014/04/13/ PY - 2013/05/24/received PY - 2014/03/31/revised PY - 2014/04/04/accepted PY - 2014/4/24/entrez PY - 2014/4/24/pubmed PY - 2014/12/15/medline KW - Depression KW - Military KW - Posttraumatic stress disorder KW - Sleep KW - Suicidal ideation SP - 118 EP - 23 JF - Psychiatry research JO - Psychiatry Res VL - 218 IS - 1-2 N2 - This study examines the association between suicidal ideation and sleep disturbances in a sample of treatment-seeking Canadian Forces members and veterans, after controlling for probable posttraumatic stress disorder (PTSD), major depressive disorder (MDD), generalised anxiety disorder (GAD), and alcohol use disorder (AUD). Subjects included members and veterans of Canadian Forces seeking treatment at a hospital-based Operational Stress Injury Clinic (n=404). Sleep disturbances and nightmares were measured using individual items on the PTSD Checklist - Military Version (PCL - M), while the suicidality item of the Patient Health Questionnaire (PHQ-9) was used as a stand-alone item to assess presence or absence of suicidal ideation. Regression analyses were used to determine the respective impact of (1) insomnia and (2) nightmares on suicidal ideation, while controlling for presence of probable PTSD, MDD, GAD, and AUD. We found that 86.9% of patients reported having problems falling or staying asleep and 67.9% of patients reported being bothered by nightmares related to military-specific traumatic events. Neither sleep disturbances nor nightmares significantly predicted suicidal ideation; instead, probable MDD emerged as the most significant predictor. The clinical implications of these findings and their potential impact on treatment guidelines are discussed. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/24755040/Sleep_disturbances_and_suicidal_ideation_in_a_sample_of_treatment_seeking_Canadian_Forces_members_and_veterans_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(14)00285-6 DB - PRIME DP - Unbound Medicine ER -