Abstract:
BACKGROUND:Numerous studies have verified that insomnia is associated with suicidal ideation, suicide attempts, and death by suicide. Limited population-based cohort studies have been conducted to examine the association. The present study aimed to analyze whether insomnia increases the risk of suicide attempts and verify the effects of insomnia on suicide risk. METHODS:This study is a cohort study using 2000-2013 hospitalization data from the National Health Insurance Research Database (NHIRD) to track the rate of suicide attempts among insomnia patients aged 15 years or older. In addition, a 1:2 pairing based on sex, age, and date of hospitalization was conducted to identify the reference cohort (patients without insomnia). Cox proportional hazard model was used to assess the effects of insomnia on suicide risk. RESULTS:The total number of hospitalized patients aged 15 years or older was 479,967 between 2000 and 2013 (159,989 patients with insomnia and 319,978 patients without insomnia). After adjusting for confounders, suicide risk in insomnia patients was 3.533-fold that of patients without insomnia (adjusted hazard ratio [HR] = 3.533, 95% confidence interval [CI] = 3.059-4.080, P < 0.001). Suicide risk in low-income patients was 1.434-fold (adjusted HR = 1.434, 95% CI = 1.184-1.736, P < 0.001) that of non-low-income patients. Suicide risk in patients with drug dependence and with mental disorders was 1.592-fold (adjusted HR = 1.592, 95% CI = 1.220-2.077, P < 0.001) and 4.483-fold (adjusted HR = 4.483, 95% CI = 3.934-5.109, P < 0.001) that of patients without drug dependence and without mental disorders, respectively. In the female population, suicide risk in insomnia patients was 4.186-fold (adjusted HR = 4.186, 95% CI = 3.429-5.111, P < 0.001) that of patients without insomnia. Among patients aged 25-44 years, suicide risk in insomnia patients was 5.546-fold (adjusted HR = 5.546, 95% CI = 4.236-7.262, P < 0.001) that of patients without insomnia. Furthermore, the suicide risk of insomnia patients with mental disorders was 18.322-fold that of patients without insomnia and mental disorders (P < 0.001). CONCLUSION:Insomnia, low income, drug dependence, and mental disorders are independent risk factors for suicide attempts. Female patients and those aged 25-44 years are at high risk of suicide due to insomnia. Insomnia, mental disorders, and low income exhibit a synergistic effect on suicide attempts. Clinicians should pay attention to mental status and income level of insomnia patients.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Lin HT,Lai CH,Perng HJ,Chung CH,Wang CC,Chen WL,Chien WCdoi
10.1186/s12888-018-1702-2subject
Has Abstractpub_date
2018-05-02 00:00:00pages
117issue
1issn
1471-244Xpii
10.1186/s12888-018-1702-2journal_volume
18pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Co-morbidity with substance use disorders negatively influences overall functioning in patients with psychosis. However, frequencies and courses of risky use of alcohol, drugs and cigarettes are rarely investigated in patients at psychosis units. The purpose of this study is to describe the use of alcohol, d...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-31
更新日期:2007-07-06 00:00:00
abstract:BACKGROUND:Depression is prevalent but poorly recognized in the Emergency Department (ED). We aimed to identify the frequency of unrecognized geriatric depression and its possible determinants in the ED using the 15-item geriatric depression scale (GDS). We also aimed to explore the performance of the shorter, five-ite...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02910-8
更新日期:2020-11-11 00:00:00
abstract:BACKGROUND:In clinical practice, sleep disturbance is often regarded as an epiphenomenon of the primary mental disorder. The aim of this study was to test if sleep disturbance, independently of primary mental disorders, is associated with current clinical state and benefit from treatment in a sample representative of p...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-179
更新日期:2012-10-29 00:00:00
abstract:BACKGROUND:Pregnancy and the postnatal period is a period of potential vulnerability for women and families. It is UK policy that all women are asked about their mental health and wellbeing early in pregnancy and following the birth to help detect potential problems and prevent serious adverse outcome. However, identif...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1029-9
更新日期:2016-09-15 00:00:00
abstract:BACKGROUND:With an ageing population in most Western countries, people are living longer but often with one or more chronic physical health problems. Older people in physically poor health are at greater risk of developing clinical depression. Cognitive Behavioural Therapy (CBT) and Problem Solving Therapy (PST) have b...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-207
更新日期:2012-11-22 00:00:00
abstract:BACKGROUND:Human trafficking is a global crime and human rights violation. Although research has demonstrated a high prevalence of mental disorder among trafficked people and that trafficked people are in contact with mental health services, little is known about mental health professionals' experiences of identifying ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0679-3
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Treatment disengagement and non-completion poses a major problem for the successful treatment of patients with severe mental illness. Motivation for treatment has long been proposed as a major determinant of treatment engagement, but exact mechanisms remain unclear. This current study serves three purposes: ...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-244X-12-209
更新日期:2012-11-24 00:00:00
abstract:BACKGROUND:The prevalence of major depressive disorder (MDD) is highest in working age people and depression causes significant impairment in occupational functioning. Work productivity and work absence should be incorporated into clinical assessments but currently available scales may not be optimized for clinical use...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-78
更新日期:2009-12-03 00:00:00
abstract:BACKGROUND:Executive functioning impairment is common in substance use disorder and is a major risk factor for poor treatment outcomes, including treatment drop-out and relapse. Cognitive remediation interventions seek to improve executive functioning and offer a promising approach to increase the efficacy of alcohol a...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2044-4
更新日期:2019-02-13 00:00:00
abstract:BACKGROUND:Social dislocations resulting from coronavirus disease 2019 (COVID-19) pandemic have been prolonged, which has led to general population social suppression. The present study aimed to reveal risk factors associated with mental health problems and suggest concrete coping strategies in the context of COVID-19....
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-021-03047-y
更新日期:2021-01-12 00:00:00
abstract:BACKGROUND:Agitation and containment are frequent in psychiatric care but little is known about their costs. The aim was to evaluate the use of services and costs related to agitation and containment of adult patients admitted to a psychiatric hospital or emergency service. METHODS:Systematic searches of four electron...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-015-0417-x
更新日期:2015-03-04 00:00:00
abstract:BACKGROUND:The literature suggests that many people in the general population tend to distance themselves from those with mental illness. However, there are volunteers that behave differently, spending their free time with people with mental illness and providing direct input in the form of befriending. Whilst there ar...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1960-z
更新日期:2018-12-04 00:00:00
abstract:BACKGROUND:Disordered eating behavior and body dissatisfaction affect a large proportion of the Dutch population and account for severe psychological, physical and social morbidity. Yet, the threshold for seeking professional care is still high. In the Netherlands, only 7.5% of patients with bulimia nervosa and 33% of ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-13-310
更新日期:2013-11-16 00:00:00
abstract:BACKGROUND:The clinical utility of the existing apps for people with eating disorders (EDs) is not clear. The TCApp has been specifically developed for people with EDs, is based on the principles of Cognitive Behavioural Treatment (CBT) and allows a bidirectional link between the patient and the therapist. The objectiv...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1664-4
更新日期:2018-05-02 00:00:00
abstract:BACKGROUND:Shared decision making is a promising model for patient-centred medicine, resulting in better clinical outcomes overall. In the mental health field, interventions that consider the patient-centred perspective--such as patient quality of life, involvement in the treatment, treatment satisfaction, and working ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-14-111
更新日期:2014-04-14 00:00:00
abstract:BACKGROUND:School bullying is a destructive behaviour common among adolescents that can sometimes escalate to criminal activity. This study aimed to examine the association between four types of school bullying (i.e., physical, verbal, relational, and cyber) and murderous ideation and behaviours (i.e., ideation, plans,...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2108-5
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:Numerous structurally unrelated drugs, including antipsychotics, can prolong QT interval and trigger the acquired long QT syndrome (aLQTS). All of them are thought to act at the level of KCNH2, a subunit of the potassium channel. Although the QT-prolonging drugs are proscribed in the subjects with aLQTS, the...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-220
更新日期:2012-12-05 00:00:00
abstract:BACKGROUND:Administrative data are increasingly used to conduct research on depression and inform health services and health policy. Depression surveillance using administrative data is an alternative to surveys, which can be more resource-intensive. The objectives of this study were to: (1) systematically review the l...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-014-0289-5
更新日期:2014-10-17 00:00:00
abstract:BACKGROUND:The presence of depressive subsyndromal symptoms (SS) in bipolar disorder (BD) increases the risk of affective relapse and worsens social, cognitive functioning, and quality of life. Nonetheless, there are limited data on how to optimize the treatment of subthreshold depressive symptoms in BD. Mindfulness-Ba...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-014-0215-x
更新日期:2014-08-15 00:00:00
abstract:BACKGROUND:Frequent users of the psychiatric emergency service (PES) place a heavy burden upon the mental health care delivery system. The aim of this study was to identify distinct temporal or geographical patterns of PES use by these patients as potential markers for their early detection. METHODS:Diagnostic profile...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-60
更新日期:2007-10-29 00:00:00
abstract:BACKGROUND:This is an update of a previous meta-analysis published in 2005. METHODS:It includes the data published up to march 2010 for a total of 247 papers and 18,300 cases. Cognitive deficits are examined in 5 different domains: Memory functioning (128 studies), Global cognitive functioning (131 studies), Language ...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-12-64
更新日期:2012-06-20 00:00:00
abstract:BACKGROUND:The potential link between sleep disorders and suicidal behaviour has been the subject of several reviews. We performed this meta-analysis to estimate the overall association between sleep disorders and suicidal behaviour and to identify a more specific relationship in patients with depression. METHODS:A sy...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/s12888-019-2302-5
更新日期:2019-10-17 00:00:00
abstract:BACKGROUND:Abnormalities in vocal expression during a depressed episode have frequently been reported in people with depression, but less is known about if these abnormalities only exist in special situations. In addition, the impacts of irrelevant demographic variables on voice were uncontrolled in previous studies. T...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2300-7
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:Despite the effectiveness of methylphenidate for treating ADHD, up to 30% of individuals with ADHD show poor responses to methylphenidate. Neuroimaging biomarkers to predict medication responses remain elusive. This study characterized neuroanatomical features that differentiated between clinically good and ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-021-03040-5
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:The Collaborative Care Model (CoCM) for mental healthcare, where a consulting psychiatrist supports primary care and behavioral health workers, has the potential to address the large unmet burden of mental illness worldwide. A core component of this model is that the psychiatrist reviews treatment plans for ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-2464-1
更新日期:2020-02-05 00:00:00
abstract:BACKGROUND:Lower socioeconomic status is often thought to be associated with an elevated risk of postpartum depression; however, this relationship exhibits noticeable heterogeneity between studies. The present study examined this relationship in Japan. METHODS:Data were obtained from 90,194 mothers in an ongoing birth...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2401-3
更新日期:2019-12-27 00:00:00
abstract:BACKGROUND:Biomarkers are now widely used in many fields of medicine, and the identification of biomarkers that predict antipsychotic efficacy and adverse reactions is a growing area of psychiatric research. Monoamine molecules of the peripheral bloodstream are possible prospective biomarkers based on a growing body of...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-017-1562-1
更新日期:2017-12-08 00:00:00
abstract:BACKGROUND:While physical health has improved considerably over recent decades in Finland, the disease burden of mental health, especially that of depression, has become increasingly demanding. However, we lack long-term data on the natural course of subjective well-being in the general population. The aim of this stud...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-5-4
更新日期:2005-01-18 00:00:00
abstract:BACKGROUND:Bipolar disorder, particularly in children, is characterized by rapid cycling and switching, making circadian clock genes plausible molecular underpinnings for bipolar disorder. We previously reported work establishing mice lacking the clock gene D-box binding protein (DBP) as a stress-reactive genetic anima...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-70
更新日期:2009-11-12 00:00:00
abstract:BACKGROUND:Since 2009 some German health insurance companies have implemented integrated mental health care services along the principles of assertive community treatment in collaboration with local mental health service providers across Germany. Focus of this study is the analysis of effectiveness and cost-effectivene...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-244X-14-163
更新日期:2014-06-04 00:00:00