Association among depressive disorder, adjustment disorder, sleep disturbance, and suicidal ideation in Taiwanese adolescent

• Published in: Asia-Pacific psychiatry 2014-09, Vol.6 (3), p.319-325
• Main Authors: Chung, Ming-Shun, Chiu, Hsien-Jane, Sun, Wen-Jung, Lin, Chieh-Nan, Kuo, Chien-Cheng, Huang, Wei-Che, Chen, Ying-Sheue, Cheng, Hui-Ping, Chou, Pesus
• Format: Article
• Language: English
• Subjects: adjustment; Adjustment Disorders - epidemiology; Adolescent; adolescent suicide; Child; Comorbidity; depression; Depressive Disorder - epidemiology; Female; Humans; Male; Multivariate analysis; risk factor; Risk Factors; Schizophrenia; Sleep; Sleep Wake Disorders - epidemiology; Suicidal Ideation; Suicides & suicide attempts; Taiwan - epidemiology
• ISSN: 1758-5864; 1758-5872
• DOI: 10.1111/appy.12112

Introduction The aim of this study is to investigate the association among depressive disorder, adjustment disorder, sleep disturbance, and suicidal ideation in Taiwanese adolescent. Methods We recruited 607 students (grades 5–9) to fill out the investigation of basic data and sleep disturbance. Psychiatrists then used the Mini International Neuropsychiatric Interview‐Kid to interview these students to assess their suicidal ideation and psychiatric diagnosis. Multiple logistic regression with forward conditionals was used to find the risk factors for multivariate analysis. Results Female, age, depressive disorder, adjustment disorder, and poor sleep all contributed to adolescent suicidal ideation in univariate analysis. However, poor sleep became non‐significant under the control of depressive disorder and adjustment disorder. Discussion We found that both depressive disorder and adjustment disorder play important roles in sleep and adolescent suicidal ideation. After controlling both depressive disorder and adjustment disorder, sleep disturbance was no longer a risk of adolescent suicidal ideation. We also confirm the indirect influence of sleep on suicidal ideation in adolescent.