Sleep and Suicide in Older Adults: An Opportunity for Intervention

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• 作者：Todd M. Bishop ; PhD¹ ; ² ; ^{todd.bishop@va.gov" class="auth_mail" title="E-mail the corresponding author} ; Kelsey V. Simons ; PhD¹ ; ² ; Deborah A. King ; PhD¹ ; ² ; Wilfred R. Pigeon ; Ph.D.¹ ; ²
• 关键词：older adults ; sleep ; sleep disturbance suicide
• 刊名：Clinical Therapeutics
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：38
• 期：11
• 页码：2332-2339
• 全文大小：329 K

文摘

Whether as a standalone disorder or as a symptom associated with existing pathology, the prevalence of sleep disturbance increases with age. Older adults also experience a myriad of risk factors for suicide, including depression, and have elevated rates of suicide. There is now significant evidence linking sleep disturbances to suicidal thoughts and behaviors. The use of pharmacologic means to treat insomnia (e.g., sedative hypnotics) is also commonplace among older cohorts and has been associated with suicide. Behavioral treatment of insomnia represents an efficacious alternative to pharmacotherapy among older adults, which while improving sleep, may concurrently reduce depressive symptomatology. Implications and clinical recommendations of the sleep–suicide relationship are discussed.