Exploring sleep difficulties, alcohol, illicit drugs, and suicidal ideation among adolescents with a history of depression.

Sleep difficulties and misuse of drugs/alcohol have been associated with suicidal ideation in young people. Using cross-sectional representative surveys of adolescents in the United States, we conducted adjusted logistic regression modeling to assess the relationships between sleep difficulties, substance use, and suicidal ideation among adolescents with a history of depression (n = 38,418) between 2015 and 2020. Sleep difficulties were associated with thinking about (aOR=1.6,95%CI:1.3-1.9), planning (aOR=1.8,95%CI:1.2-2.6), or attempting (aOR=1.7,95%CI:1.2-2.5) suicide. In those reporting alcohol abuse/dependence, sleep difficulties were associated with attempting suicide (aOR=3.1,95%CI:1.2-8.5). In those reporting illicit drug abuse/dependence, sleep difficulties were associated with thinking about (aOR=2.1,95%CI:1.1-4.1) and attempting (aOR=2.2,95%CI:1.2-4.1) suicide.
Competing Interests: Declaration of competing interest Dr. Robbins reports receiving consulting fees from Sonesta Hotels International LLC, Hilton Worldwide Holdings Inc, Savoir Beds Ltd., Castle Hot Springs, byNacht GmpH. Dr. Weaver reports consulting fees from the Fred Hutchinson Cancer Center and the University of Pittsburgh. Dr. Quan has received compensation as a consultant for Best Doctors, Bryte Foundation, Jazz Pharmaceuticals, Whispersom, and Apnimed, as a committee member for the American Academy of Sleep Medicine, and as the Field Chief Editor for Frontiers in Sleep. No other authors have conflicts to disclose.
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