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GUPEA >
Sahlgrenska Academy / Sahlgrenska akademin >
Institute of Neuroscience and Physiology / Inst för neurovetenskap och fysiologi >
Doctoral Theses / Doktorsavhandlingar >
Sleep, sense of coherence and suicidality in suicide attempters
Please use this identifier to cite or link to this item:
http://hdl.handle.net/2077/19036
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| Title: | Sleep, sense of coherence and suicidality in suicide attempters |
| Authors: | Sjöström, Nils |
| Email: | Nils.Sjostrom@neuro.gu.se |
| Issue Date: | 2009-01-26 |
| University: | University of Gothenburg. Sahlgrenska Academy |
| Department: | Institute of Neuroscience and Physiology. Department of Psychiatry and Neurochemistry |
| Parts: | I. Sjöström N, Waern M, Hetta J. Nightmares and sleep disturbances in relation to suicidality in suicide attempters. Sleep 2007;30:91-95.
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II. Sjöström N, Hetta J, Waern M. Persistent nightmares are associated with repeat suicide attempt. A prospective study. Psychiatry Research 2008, in press.
III. Sjöström N, Hetta J, Waern M. Sense of coherence and suicidality in suicide attempters. A prospective study. Journal of Advanced Nursing, submitted.
IV. Waern M, Sjöström N, Marlow T, Hetta J. Does the suicide assessment scale predict risk of repetition? A prospective study of suicide attempters at a hospital emergency department. In manuscript.
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| Date for public defence: | 2009-01-23 |
| Public defence: | Fredagen den 23 januari 2009, kl 13.00, Sahlgrensaulan, Blå Stråket 5, Sahlgrenska Universitetssjukhuset/Sahlgrenska, Göteborg |
| Examinationsnivå: | Doctor of Philosophy (Medicine) |
| Publication type: | Doctoral thesis |
| Keywords: | Suicidality
repeat suicide attempt
sleep
nightmares
sense of coherence |
| Abstract: | A suicide attempt is a strong predictor of future suicide. The management of patients who
self-harm presents a challenge for psychiatric services. It is therefore important to identify
factors that ... moremay be related to increased risk of suicidal behaviour in suicide attempters.
The current study aimed to examine the prevalence of specific sleep disturbances in
suicide attempters and possible associations between sleep disturbances (including
nightmares) and suicidal behaviour. A second focus was to test associations between
sense of coherence and suicidality. Further, we tested whether Suicide Assessment Scale
(SUAS) predicted repeat attempt.
The study included 165 suicide attempt patients aged 18 – 69 years who were admitted to
medical/psychiatric wards at Sahlgrenska University Hospital completed an initial clinical
interview including self-report instruments assessing sleep complaints (Uppsala Sleep
Inventory), depression/anxiety symptom intensity (CPRS Self-rating Scale for Affective
Symptoms) and the individual’s capacity to manage stress and stay well (Sense of
Coherence Questionnaire). Ninety-eight patients took part in a 2 month follow-up
interview. Data concerning repeat suicide attempts were obtained from hospital case
records.
We found that 89 % of the subjects reported some kind of sleep disturbance. The most
common complaint was difficulties initiating sleep (73 %) followed by difficulties
maintaining sleep (69 %) and early morning awakening (58 %). Sixty-six percent
reported nightmares. Persistent frequent nightmares were associated with risk for
persistent suicidality and repeat attempt. SOC was associated with suicidality at followup,
but we could not show an association with repeat attempt. The ability of the SUAS to
predict repeat suicidal behaviour in the entire study group was low but the instrument
performed better in the subgroup who reported ongoing psychiatric treatment at 2 month
follow-up.
Questions regarding sleep disturbances and nightmares could be addressed in the clinical
evaluation, care and treatment of suicidal patients. SOC may be a tool to facilitate and
deepen the dialogue between the psychiatric nurse and the suicidal patient. Our data
provide further support for the use of the SUAS as a complementary tool in the
assessment of psychiatric patients after a suicide attempt. |
| ISBN: | 978-91-633-3617-1 |
| URI: | http://hdl.handle.net/2077/19036 |
| Appears in Collections: | Doctoral Theses from Sahlgrenska Academy
Doctoral Theses from University of Gothenburg / Doktorsavhandlingar från Göteborgs universitet
Doctoral Theses / Doktorsavhandlingar
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