Sleep disturbances prospectively predict suicidal ideation in adults
In a prospective cohort study of 652 adults, sleep disturbance (PSQI ≥ 6) was associated with a nearly 4-fold increased odds of future suicidal ideation (OR = 3.97). This association remained significant after adjusting for depressive symptoms (OR = 1.59). Bidirectional associations were also observed.
Evidence Score
Study Evidence
Study 1. Sleep Problems as Prospective Predictors of Suicidal Ideation.
observationalShimura A, Iida M, Takada Y, Furui Y, Inoue Y · Archives of suicide research : official journal of the International Academy for Suicide Research (2026)
Result:
Mechanism Graph
Limitations
- ⚠Self-reported data may introduce recall bias
- ⚠Sample limited to Japanese adults from a web panel and government officers, limiting generalizability
Frequently Asked Questions
What sleep problems were most predictive of suicidal ideation?▼
The PSQI global score and sleep latency (time to fall asleep) were significant prospective predictors.
Did the association hold after controlling for depression?▼
Yes, sleep disturbance remained a significant predictor of suicidal ideation even after adjusting for depressive symptoms (OR = 1.59).
How common were sleep disturbances in this study?▼
Sleep disturbance (PSQI ≥ 6) was observed in 32.8% of participants.
What was the study design and follow-up period?▼
This was a prospective cohort study with a 3-month follow-up using cross-lagged model analyses.
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References
- 1.Shimura A, Iida M, Takada Y, Furui Y, Inoue Y. "Sleep Problems as Prospective Predictors of Suicidal Ideation.." Archives of suicide research : official journal of the International Academy for Suicide Research, 2026. PMID: 42472476 DOI: 10.1080/13811118.2026.2703972