Sleep and Suicide in Older Adults: An Opportunity for Intervention
Abstract 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...
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Veröffentlicht in: | Clinical therapeutics 2016-11, Vol.38 (11), p.2332-2339 |
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creator | Bishop, Todd M., PhD Simons, Kelsey V., PhD King, Deborah A., PhD Pigeon, Wilfred R., Ph.D |
description | Abstract 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. |
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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.</description><identifier>ISSN: 0149-2918</identifier><identifier>EISSN: 1879-114X</identifier><identifier>DOI: 10.1016/j.clinthera.2016.09.015</identifier><identifier>PMID: 27751672</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adults ; Age ; Aged ; Aging ; Anxiety ; Behavior modification ; Conflicts of interest ; Depression - epidemiology ; Drugs ; Hispanic people ; Humans ; Hypnotics and Sedatives - administration & dosage ; Insomnia ; Internal Medicine ; Medical Education ; Mens health ; Mental depression ; Middle Aged ; older adults ; Older people ; Prevalence ; Restless legs syndrome ; Risk Factors ; sleep ; Sleep apnea ; Sleep disorders ; sleep disturbance suicide ; Sleep Initiation and Maintenance Disorders - psychology ; Sleep Wake Disorders - psychology ; Suicidal Ideation ; Suicide - psychology ; Suicides & suicide attempts ; Womens health</subject><ispartof>Clinical therapeutics, 2016-11, Vol.38 (11), p.2332-2339</ispartof><rights>2016</rights><rights>Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Nov 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-7faabeaf5ab09d146e1047a41fc78a41ffd5a4c24212c1e825ecd7fb47e846b23</citedby><cites>FETCH-LOGICAL-c503t-7faabeaf5ab09d146e1047a41fc78a41ffd5a4c24212c1e825ecd7fb47e846b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1841759977?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27751672$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bishop, Todd M., PhD</creatorcontrib><creatorcontrib>Simons, Kelsey V., PhD</creatorcontrib><creatorcontrib>King, Deborah A., PhD</creatorcontrib><creatorcontrib>Pigeon, Wilfred R., Ph.D</creatorcontrib><title>Sleep and Suicide in Older Adults: An Opportunity for Intervention</title><title>Clinical therapeutics</title><addtitle>Clin Ther</addtitle><description>Abstract 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.</description><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Aging</subject><subject>Anxiety</subject><subject>Behavior modification</subject><subject>Conflicts of interest</subject><subject>Depression - epidemiology</subject><subject>Drugs</subject><subject>Hispanic people</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Insomnia</subject><subject>Internal Medicine</subject><subject>Medical Education</subject><subject>Mens health</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>older adults</subject><subject>Older people</subject><subject>Prevalence</subject><subject>Restless legs syndrome</subject><subject>Risk Factors</subject><subject>sleep</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><subject>sleep disturbance suicide</subject><subject>Sleep Initiation and Maintenance Disorders - psychology</subject><subject>Sleep Wake Disorders - psychology</subject><subject>Suicidal Ideation</subject><subject>Suicide - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Womens health</subject><issn>0149-2918</issn><issn>1879-114X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkcFu1DAQhi0EotvCK0AkLlwSPI4dJxyQlopCpUo9LEi9WY49EV6yTrCdSvv2ONpSpJ44jTT65rfnG0LeAq2AQvNhX5nR-fQTg65YblS0qyiIZ2QDrexKAH73nGwo8K5kHbRn5DzGPaW07gR7Sc6YlAIayTbk825EnAvtbbFbnHEWC-eL29FiKLZ2GVP8WGxzY56nkBbv0rEYplBc-4ThHn1yk39FXgx6jPj6oV6QH1dfvl9-K29uv15fbm9KI2idSjlo3aMehO5pZ4E3CJRLzWEwsl3LYIXmhnEGzAC2TKCxcui5xJY3PasvyPtT7hym3wvGpA4uGhxH7XFaooK2FlzUgvGMvnuC7qcl-Py7THGQouukzJQ8USZMMQYc1BzcQYejAqpWzWqvHjWrVbOincqa8-Sbh_ylP6B9nPvrNQPbE4BZyL3DoKJx6A1aF9AkZSf3H498epKxcs7o8RceMf7bSEWmqNqt116PDU1NZd3e1X8A-qem0w</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Bishop, Todd M., PhD</creator><creator>Simons, Kelsey V., PhD</creator><creator>King, Deborah A., PhD</creator><creator>Pigeon, Wilfred R., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>Sleep and Suicide in Older Adults: An Opportunity for Intervention</title><author>Bishop, Todd M., PhD ; Simons, Kelsey V., PhD ; King, Deborah A., PhD ; Pigeon, Wilfred R., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-7faabeaf5ab09d146e1047a41fc78a41ffd5a4c24212c1e825ecd7fb47e846b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Aging</topic><topic>Anxiety</topic><topic>Behavior modification</topic><topic>Conflicts of interest</topic><topic>Depression - epidemiology</topic><topic>Drugs</topic><topic>Hispanic people</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - administration & dosage</topic><topic>Insomnia</topic><topic>Internal Medicine</topic><topic>Medical Education</topic><topic>Mens health</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>older adults</topic><topic>Older people</topic><topic>Prevalence</topic><topic>Restless legs syndrome</topic><topic>Risk Factors</topic><topic>sleep</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><topic>sleep disturbance suicide</topic><topic>Sleep Initiation and Maintenance Disorders - psychology</topic><topic>Sleep Wake Disorders - psychology</topic><topic>Suicidal Ideation</topic><topic>Suicide - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bishop, Todd M., PhD</creatorcontrib><creatorcontrib>Simons, Kelsey V., PhD</creatorcontrib><creatorcontrib>King, Deborah A., PhD</creatorcontrib><creatorcontrib>Pigeon, Wilfred R., Ph.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bishop, Todd M., PhD</au><au>Simons, Kelsey V., PhD</au><au>King, Deborah A., PhD</au><au>Pigeon, Wilfred R., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep and Suicide in Older Adults: An Opportunity for Intervention</atitle><jtitle>Clinical therapeutics</jtitle><addtitle>Clin Ther</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>38</volume><issue>11</issue><spage>2332</spage><epage>2339</epage><pages>2332-2339</pages><issn>0149-2918</issn><eissn>1879-114X</eissn><abstract>Abstract 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27751672</pmid><doi>10.1016/j.clinthera.2016.09.015</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adults Age Aged Aging Anxiety Behavior modification Conflicts of interest Depression - epidemiology Drugs Hispanic people Humans Hypnotics and Sedatives - administration & dosage Insomnia Internal Medicine Medical Education Mens health Mental depression Middle Aged older adults Older people Prevalence Restless legs syndrome Risk Factors sleep Sleep apnea Sleep disorders sleep disturbance suicide Sleep Initiation and Maintenance Disorders - psychology Sleep Wake Disorders - psychology Suicidal Ideation Suicide - psychology Suicides & suicide attempts Womens health |
title | Sleep and Suicide in Older Adults: An Opportunity for Intervention |
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