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Investigating the Interaction Between Sleep Symptoms of Arousal and Acquired Capability in Predicting Suicidality
Hochard, Kevin D. Heym, Nadja Townsend, Ellen
Hochard, Kevin D.
Heym, Nadja
Townsend, Ellen
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2016-08-02
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Abstract
Heightened arousal significantly interacts with acquired capability to predict suicidality. We explore this interaction with insomnia and nightmares independently of waking state arousal symptoms, and test predictions of the Interpersonal Theory of Suicide (IPTS) and Escape Theory in relation to these sleep arousal symptoms. Findings from our e-survey (n = 540) supported the IPTS over models of Suicide as Escape. Sleep-specific measurements of arousal (insomnia and nightmares) showed no main effect, yet interacted with acquired capability to predict increased suicidality. The explained variance in suicidality by the interaction (1%?2%) using sleep-specific measures was comparable to variance explained by interactions previously reported in the literature using measurements composed of a mix of waking and sleep state arousal symptoms. Similarly, when entrapment (inability to escape) was included in models, main effects of sleep symptoms arousal were not detected yet interacted with entrapment to predict suicidality. We discuss findings in relation to treatment options suggesting that sleep-specific interventions be considered for the long-term management of at-risk individuals.
Citation
Hochard, K. D., Heym, N., & Townsend, E. (2017). Investigating the interaction between sleep symptoms of arousal and acquired capability in predicting suicidality. Suicide and Life-Threatening Behavior, 47(3), 370-381. https://doi.org/10.1111/sltb.12285
Publisher
Wiley
Journal
Suicide and Life-Threatening Behavior
Research Unit
DOI
10.1111/sltb.12285
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PubMed Central ID
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Article
Language
en
Description
This is the peer reviewed version of the following article: Hochard, K. D., Heym, N. and Townsend, E. (2016), Investigating the Interaction Between Sleep Symptoms of Arousal and Acquired Capability in Predicting Suicidality. Suicide and Life-Threatening Behavior, which has been published in final form at doi:10.1111/sltb.12285 . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
Series/Report no.
ISSN
0363-0234
EISSN
1943-278X