Sunday, December 16, 2012

Link Between Sleep Disturbance and Suicide

Editor's note:  Below is another guest blog post. 
Here is a link to the actual journal article being discussed:
There has been a lot of research looking at the relationship between insomnia and depression.  Insomnia does appear to be a risk factor for depression, but it is difficult in these population-based studies to definitively demonstrate a causal relationship.  The fact that insomnia is one of the symptoms of depression makes it especially difficult.  The article being discussed looks specifically at suicide.
Michael Rack, MD

Lack of good, solid sleep on a regular basis has been recognized by doctors as a risk factor for increased health problems for many years. For example, presence of untreated obstructive sleep apnea (OSA) greatly raises the risk of cardiovascular disease, stroke and premature death. More recent studies have established a link between insomnia and increased risk of suicide. This isn’t completely surprising, given that almost everyone has experienced a sour mood after a poor night of sleep. One can begin to imagine how it would feel for this to go on and on for months or even years.

The question of sleep quality and suicide is a difficult one to approach, and not just because of the emotional nature of the topic. Many studies have found such an association, but they were unclear about cause and effect, especially as depression and/or anxiety were also often involved. It has therefore been uncertain if poor sleep and suicide were, for example, two separate effects of depression or anxiety, versus there being a direct link between lack of sleep and taking one’s life. After all, depression and anxiety are risk factors for both poor sleep and suicidal thoughts and actions.

The newest study does a better job of teasing out the separate variables involved in sleep quality and suicide. The results suggest that even when depression and anxiety are factored into the analysis, people who slept poorly were still more likely to think about, plan, or actually make attempts at suicide. This was possible because tens of thousands of people were considered in the study, and this included many depressed or anxious people who were not bothered by poor sleep. Depressed and anxious people who managed to sleep fairly well were much less likely to commit suicide than similar folks who reported poor sleep.

The study was conducted in Norway, where extremely detailed records are kept of peoples’ health histories as well as all causes of death. Another aspect of the study that gives it significance is that there was a “dose-response” relationship – a term borrowed from tests of medications – between worse sleep and greater likelihood of suicidal thoughts, plans or actions. People who indicated they had poor sleep ‘almost every night’ had significantly more suicidal thoughts and actions than those who said their sleep was poor ‘two or three nights a week’ or ‘once a week of less.’

This most recent study comes on top of many others in the past decade or more that hinted at the same conclusion. While some of those studies were small or had other weaknesses to them, the Norwegian study corrected for virtually all such faults. The study was published in the peer-reviewed medical journal Sleep. It was accompanied by an editorial by Dr. W. Vaughn McCall, a sleep expert at Wake Forest University Health Sciences Center in Winston-Salem, NC. He noted that the cumulative studies on this topic had been done with many different populations of people, both old and young, and concluded bluntly, “The time has come to recognize insomnia as a risk factor for suicide, and to include it in the list of potentially modifiable risk factors.”

This study and the ones preceding it have practical ramifications. Dr. McCall urged doctors to ask more exploratory questions of those patients seeking sleep aids, to determine if there are signs of depression or actual thoughts of suicide that deserve treatment along with the insomnia complaint. As for the average person, those suffering from insomnia should make all reasonable attempts to sleep better, whether by getting more exercise during the day or by visiting their doctors to discuss their sleep problems.

Sometimes getting a better night’s sleep involves only simple behavioral changes, such as not exercising or watching TV right before bedtime. In other cases, a short-term course of medication, perhaps with some counseling sessions, may be in order. The outcome of such interventions may go well beyond simply giving someone a better night’s sleep, to actually having a life-saving effect. is an informational portal helping to educate sleep disorder sufferers and connect them to doctors in their area.


randy said...

Hi, Nice post thanks for sharing. Would you please consider adding a link to my website on your page. Please email me back.



Fat Bastardo said...

The medical industry is the only industry that makes more money by being incompetent.

Click Here And See Why American Doctors Kill More People Than the Nazis

Shocking Medical Error Data Click Here

Doctor Salaries Click Here

Doctors are greedy and dangerous!

tốt mua thuốc said...

Mất ngủ là bệnh phổ biến hiện nay và bất cứ ai cũng có thể mắc phải và những bà bầu cũng không thoát khỏi cảnh bị bệnh mất ngủ . mất ngủ có ảnh hưởng đến thai nhi không là câu hỏi được nhiều người hỏi. Vậy nguyên nhân mất ngủ khi mang thaihay buồn ngủ là bệnh gì. Vậy có cách chữa bệnh mất ngủ hiệu quả nhất , cách trị chứng mất ngủ hiệu quả và an toàn nhất . Cùng đi tìm hiểu nhé.

kamagra1uk said...

Growthhormonenow provides high quality hormones that are completely injectable. They provide an efficient, effective way to get the results you need and want.
Growth Hormone UK | Growth Hormone | hgh for sale
Hygetropin | Hygetropin UK | Buy Hygetropin UK
Insulin | Buy Insulin | Insulin UK
Jintropin | Jintropin UK | Buy Jintropin UK
Kigtropin | Kigtropin UK | Buy Kigtropin UK
Riptropin | Riptropin UK | Buy Riptropin UK
Somatropin | Somatropin UK | Buy Somatropin UK

kamagra1uk said...

With the use of these growth hormone, many people have found their growth increase rapidly and have done it in the shortest, and healthiest way.
Growth Hormone UK | Growth Hormone | hgh for sale
Hygetropin | Hygetropin UK | Buy Hygetropin UK
Insulin | Buy Insulin | Insulin UK
Jintropin| Jintropin UK | Buy Jintropin UK
Kigtropin | Kigtropin UK | Buy Kigtropin UK
Riptropin| Riptropin UK | Buy Riptropin UK
Somatropin |Somatropin UK | Buy Somatropin UK

kamagra1uk said...

Melanotan 2 provides potential security from skin cancer development by darkening your skin. It increases secretion of melanin in body. When you buy Melanotan 2, prefer to choose from the online medical shops. It can be easily bought from the online shops as well as local medical shops but purchasing from online stores can be a beneficial option for users.
Melanotan 2 | Melanotan 2 uk | Melanotan Uk

kamagra1uk said... only supply non-restricted kamagra medicines that we receive from the authenticated and reputed manufacturers such as Ajanta Pharma.
Kamagra UK | Buy Kamagra | Cheap Kamagra
Kamagra Tablets| Buy Kamagra tablets| Kamagra tablets UK
Kamagra Jelly - enhanced version of the ED medicine

Jerry Mathew said...

Great information to read. Everyone should have aware of good sleep. Lot of difference is there between going to bed and going to sleep. Sleep disorder problem will change the entire life style. Often they struggle to maintain the required level of energy to function normally.

So please consult sleep specialist doctors before you loose yourself.

chirag devansh said...

We have Quality Rick Simpson Cannabis oil and medical marijuana for smokers,all types of cancer cure,insomnia,glaucoma,Diabetes,epilepsy,back pain,we also have the herbs that reduces stress and other illness. We are selling our products at very negotiable and workable prices. Apart from our very magnificent prices, when you buy from us, you are assured of the highest quality and purity available in the market,and we are 100% sure of our product, with a guaranteed discreet courier shipping or a special 24 hours confidential overnight delivery of the product to your address. We respect and value your privacy and will dont share your information with anyone. We offer discreet and Reliable packaging and delivery. -Fast and reliable shipment within 24hours within the US and 48 hours internationally, using courier service. Call or Text::::: +1936-2283-155, Email: for more information

Shiva Infotech said...

Very Nice & Impressive blog. thanks for sharing such beautiful blog.
Neurological stroke
Snoring and Sleep Apnea
Sleep medicine training in India
Best Neurodiagnostic in Delhi NCR

Dr. Manvir Bhatia said...
This comment has been removed by the author.
Dr. Manvir Bhatia said...

Very very Impressive Blog….thanks for such motive blog:-
Sleep apnea specialist
Neurologist in Delhi NCR

Steve Berke said...

I enjoyed reading this article. PLease continue publishing helpful topics like this. Regards, from beddingstock

Steve Berke said...

I enjoyed reading this article. PLease continue publishing helpful topics like this. Regards, from