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Sleep Disturbance Preceding Suicide Among Veterans
- Publication Year :
- 2012
- Publisher :
- American Public Health Association, 2012.
-
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.
- Subjects :
- Adult
Male
Sleep Wake Disorders
medicine.medical_specialty
Time Factors
Research and Practice
Adolescent
Poison control
Suicide prevention
Occupational safety and health
Risk Factors
Injury prevention
medicine
Humans
Registries
Psychiatry
health care economics and organizations
Aged
Proportional Hazards Models
Veterans
Sleep disorder
Chi-Square Distribution
business.industry
Public Health, Environmental and Occupational Health
Human factors and ergonomics
Middle Aged
medicine.disease
Mental health
humanities
United States
Suicide
United States Department of Veterans Affairs
Female
Substance use
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....70d66388a4413e5f1e94da8419ed17f0