Sleep disorders and suicide attempts following discharge from residential treatment
IntroductionSuicide is a significant public health concern and its prevention remains a top clinical priority of the Veterans Health Administration. Periods of transition in care (e.g., moving from inpatient to outpatient care) represent a period of increased risk. Sleep disorders are prevalent amon...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Sleep |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frsle.2023.1173650/full |
| _version_ | 1827163362674343936 |
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| author | Todd M. Bishop Todd M. Bishop Todd M. Bishop Westley A. Youngren John S. Klein Katrina J. Speed Wilfred R. Pigeon Wilfred R. Pigeon Wilfred R. Pigeon |
| author_facet | Todd M. Bishop Todd M. Bishop Todd M. Bishop Westley A. Youngren John S. Klein Katrina J. Speed Wilfred R. Pigeon Wilfred R. Pigeon Wilfred R. Pigeon |
| author_sort | Todd M. Bishop |
| collection | DOAJ |
| description | IntroductionSuicide is a significant public health concern and its prevention remains a top clinical priority of the Veterans Health Administration. Periods of transition in care (e.g., moving from inpatient to outpatient care) represent a period of increased risk. Sleep disorders are prevalent amongst Veterans and are modifiable risk factor for suicide. The present study examined the relationship of sleep disorders to time to suicide attempt amongst Veterans known to have attempted suicide in the 180 days following discharge from a Mental Health Residential Rehabilitation Treatment Program.MethodThe present sample was comprised of all Veterans enrolled in services with the Veterans Health Administration known to have attempted suicide following discharge from a Mental Health Residential Rehabilitation Treatment Program during Fiscal Years 13 and 14 (N = 1,489). To create this sample, electronic medical record data were extracted from two VHA data sources: the Corporate Data Warehouse and the Suicide Prevention Application Network.ResultsCox regression models revealed that Veterans with a sleep disturbance (N = 1,211) had a shorter time to suicide attempt than those without a sleep disturbance [Hazard Ratio (HR) = 1.16, CI (1.02–1.32)]. A subsequent Cox regression model including age, insomnia, nightmare disorder, and alcohol dependence revealed that sleep-related breathing disorders [HR = 1.19, CI (1.01–1.38)], alcohol dependence [HR = 1.16, CI (1.02–1.33)], and age group were associated with increased risk.ConclusionFindings indicate that sleep disturbance, primarily driven by sleep-related breathing disorders, was associated with time to suicide attempt in this sample of high-risk Veterans known to have attempted suicide in the 180 days following their discharge from a Mental Health Residential Rehabilitation Treatment Program. These findings reveal an opportunity to reduce risk through the screening and treatment of sleep disorders in high-risk populations. |
| first_indexed | 2024-03-11T23:36:15Z |
| format | Article |
| id | doaj.art-b7f38182ecd14cf585facd4858f439e2 |
| institution | Directory Open Access Journal |
| issn | 2813-2890 |
| language | English |
| last_indexed | 2025-03-21T00:59:30Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sleep |
| spelling | doaj.art-b7f38182ecd14cf585facd4858f439e22024-08-03T04:37:21ZengFrontiers Media S.A.Frontiers in Sleep2813-28902023-09-01210.3389/frsle.2023.11736501173650Sleep disorders and suicide attempts following discharge from residential treatmentTodd M. Bishop0Todd M. Bishop1Todd M. Bishop2Westley A. Youngren3John S. Klein4Katrina J. Speed5Wilfred R. Pigeon6Wilfred R. Pigeon7Wilfred R. Pigeon8VA Center of Excellence for Suicide Prevention, Finger Lakes Healthcare System, Canandaigua, NY, United StatesDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesCenter for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, United StatesVA Center of Excellence for Suicide Prevention, Finger Lakes Healthcare System, Canandaigua, NY, United StatesVA Center of Excellence for Suicide Prevention, Finger Lakes Healthcare System, Canandaigua, NY, United StatesCharlie Norwood VA Medical Center, Augusta, GA, United StatesVA Center of Excellence for Suicide Prevention, Finger Lakes Healthcare System, Canandaigua, NY, United StatesDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, United StatesCenter for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, United StatesIntroductionSuicide is a significant public health concern and its prevention remains a top clinical priority of the Veterans Health Administration. Periods of transition in care (e.g., moving from inpatient to outpatient care) represent a period of increased risk. Sleep disorders are prevalent amongst Veterans and are modifiable risk factor for suicide. The present study examined the relationship of sleep disorders to time to suicide attempt amongst Veterans known to have attempted suicide in the 180 days following discharge from a Mental Health Residential Rehabilitation Treatment Program.MethodThe present sample was comprised of all Veterans enrolled in services with the Veterans Health Administration known to have attempted suicide following discharge from a Mental Health Residential Rehabilitation Treatment Program during Fiscal Years 13 and 14 (N = 1,489). To create this sample, electronic medical record data were extracted from two VHA data sources: the Corporate Data Warehouse and the Suicide Prevention Application Network.ResultsCox regression models revealed that Veterans with a sleep disturbance (N = 1,211) had a shorter time to suicide attempt than those without a sleep disturbance [Hazard Ratio (HR) = 1.16, CI (1.02–1.32)]. A subsequent Cox regression model including age, insomnia, nightmare disorder, and alcohol dependence revealed that sleep-related breathing disorders [HR = 1.19, CI (1.01–1.38)], alcohol dependence [HR = 1.16, CI (1.02–1.33)], and age group were associated with increased risk.ConclusionFindings indicate that sleep disturbance, primarily driven by sleep-related breathing disorders, was associated with time to suicide attempt in this sample of high-risk Veterans known to have attempted suicide in the 180 days following their discharge from a Mental Health Residential Rehabilitation Treatment Program. These findings reveal an opportunity to reduce risk through the screening and treatment of sleep disorders in high-risk populations.https://www.frontiersin.org/articles/10.3389/frsle.2023.1173650/fullsleep disorderinsomniasuicideveteransleep-related breathing disorder |
| spellingShingle | Todd M. Bishop Todd M. Bishop Todd M. Bishop Westley A. Youngren John S. Klein Katrina J. Speed Wilfred R. Pigeon Wilfred R. Pigeon Wilfred R. Pigeon Sleep disorders and suicide attempts following discharge from residential treatment Frontiers in Sleep sleep disorder insomnia suicide veteran sleep-related breathing disorder |
| title | Sleep disorders and suicide attempts following discharge from residential treatment |
| title_full | Sleep disorders and suicide attempts following discharge from residential treatment |
| title_fullStr | Sleep disorders and suicide attempts following discharge from residential treatment |
| title_full_unstemmed | Sleep disorders and suicide attempts following discharge from residential treatment |
| title_short | Sleep disorders and suicide attempts following discharge from residential treatment |
| title_sort | sleep disorders and suicide attempts following discharge from residential treatment |
| topic | sleep disorder insomnia suicide veteran sleep-related breathing disorder |
| url | https://www.frontiersin.org/articles/10.3389/frsle.2023.1173650/full |
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