Sleep Complaints as Risk Factor for Suicidal Behavior in Severely Depressed Children and Adolescents

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art_LOPES_Sleep_Complaints_as_Risk_Factor_for_Suicidal_Behavior_2016.PDF (100.42 KB)
Citações na Scopus
34
Tipo de produção
article
Data de publicação
2016
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY-BLACKWELL
Autores
LOPES, Maria-Cecilia
BORONAT, Alexandre C.
Citação
CNS NEUROSCIENCE & THERAPEUTICS, v.22, n.11, p.915-920, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives: To investigate the association between sleep complaints and suicidal behaviors among severely depressed children and adolescents. Methods: The sample was 214 youths (56.1% males, mean age 12.5 years) with diagnosis of DSM-IV major depressive disorder consecutively recruited from a university-based outpatient clinic specialized in mood disorders. The structured interview for children and adolescents was applied to participants. The Children's Depression Rating Scale-revised version-scored the severity of depression, and the Children's Global Assessment Scale assessed the global functioning. Subgroups of patients were compared for psychopathological association by means of logistic regression, in accordance with presence and absence of sleep complaints and suicidality. Results: The frequency of sleep complaints and suicidal behaviors was, respectively, 66.4% and 52.3%, and both symptoms were observed in 37.9% of patients. Initial insomnia was the most frequent manifestation (58%), followed by night awakening (36%), daytime sleepiness (31%), and early awakening (29.9%). Significant association between sleep disturbance and suicidal behavior was found (odds ratio range of 2.3-10.8). Conclusion: Sleep disturbances are potential warning manifestations of suicidal behaviors in depressed youth. Possibly, the severity of the active affective episode likely underlies in both sleep complaints and suicidal behaviors among depressed underage patients.
Palavras-chave
Affective disorder, Children, Sleep, Suicide
URI
https://observatorio.fm.usp.br/handle/OPI/18123
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Coleções
Artigos e Materiais de Revistas Científicas - HC/IPq
Artigos e Materiais de Revistas Científicas - LIM/23
Artigos e Materiais de Revistas Científicas - ODS/03