The relationship between sleep disturbances, coping strategies, social interactions, and suicide ideation among adults

Although there are many established risk factors for suicide ideation, there is also some literature that questions the use of individual risk factors, and argues for a more complex approach towards them. Current research delved into the interplay between activating coping strategies, negative social interactions, and sleep disturbances in relation to suicide ideation. Study employed a longitudinal design with the sample of 82 participants with a recent history of a suicide attempt or moderate to severe suicide ideation. The observations were collected four times a day via ecological momentary assessments for the duration of three weeks. The hypotheses were tested via multilevel modelling analyses. Activating coping strategies were not significantly associated with reduced suicide ideation. Then, negative social interactions were positively associated with suicide ideation, poor subjective sleep quality, and nightmares. Furthermore, poor subjective sleep quality and difficulty...Show moreAlthough there are many established risk factors for suicide ideation, there is also some literature that questions the use of individual risk factors, and argues for a more complex approach towards them. Current research delved into the interplay between activating coping strategies, negative social interactions, and sleep disturbances in relation to suicide ideation. Study employed a longitudinal design with the sample of 82 participants with a recent history of a suicide attempt or moderate to severe suicide ideation. The observations were collected four times a day via ecological momentary assessments for the duration of three weeks. The hypotheses were tested via multilevel modelling analyses. Activating coping strategies were not significantly associated with reduced suicide ideation. Then, negative social interactions were positively associated with suicide ideation, poor subjective sleep quality, and nightmares. Furthermore, poor subjective sleep quality and difficulty falling asleep were associated with suicide ideation, whereas nightmares were not. Lastly, a full mediating effect of subjective sleep quality was found on the relationship between negative social interactions and suicide ideation. Despite some limitations, such as self-report and a somewhat selective sample, the study's strengths lie in its use of ecological momentary assessments and multilevel modelling, which enable a comprehensive examination of daily fluctuations and associations. The study discusses possible reasons for and the importance of current findings, and calls for future research to explore complex relationships among suicide ideation risk factors, potentially offering a more nuanced understanding of their predictive power.Show less

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The relationship between sleep disturbances, coping strategies, social interactions, and suicide ideation among adults