Sleep Disturbance Preceding Suicide Among Veterans

Adult Male Sleep Wake Disorders Chi-Square Distribution Time Factors Adolescent Middle Aged United States 3. Good health Suicide United States Department of Veterans Affairs 03 medical and health sciences 0302 clinical medicine Risk Factors Humans Female Registries Aged Proportional Hazards Models Veterans
DOI: 10.2105/ajph.2011.300470 Publication Date: 2012-01-26T05:47:41Z
ABSTRACT
Objectives. We examined the role of sleep disturbance in time to suicide since the last treatment visit among veterans receiving Veterans Health Administration (VHA) services.Methods. Among 423 veteran suicide decedents from 2 geographic areas, systematic chart reviews were conducted on the 381 (90.1%) who had a VHA visit in the last year of life. Veteran suicides with a documented sleep disturbance (45.4%) were compared with those without sleep disturbance (54.6%) on time to death since their last VHA visit using an accelerated failure time model.Results. Veterans with sleep disturbance died sooner after their last visit than did those without sleep disturbance, after we adjusted for the presence of mental health or substance use symptoms, age, and region.Conclusions. Findings indicated that sleep disturbance was associated with time to suicide in this sample of veterans who died by suicide. The findings had implications for using the presence of sleep disturbance to detect near-term risk for suicide and suggested that sleep disturbance might provide an important intervention target for a subgroup of at-risk veterans.
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