Sleep disturbances and suicide risk: A review of the literature

A growing body of research indicates that sleep disturbances are associated with suicidal ideation and behaviors. This article (1) provides a critical review of the extant literature on sleep and suicidality and (2) addresses shared underlying neurobiological factors, biological and social zeitgebers, treatment implications, and future directions for research. Findings indicate that suicidal ideation and behaviors are closely associated with sleep complaints, and in some cases, this association exists above and beyond depression. Several cross-sectional investigations indicate a unique association between nightmares and suicidal ideation, whereas the relationship between insomnia and suicidality requires further study. Underlying neurobiological factors may, in part, account for the relationship between sleep and suicide. Serotonergic neurotransmission appears to play a critical role in both sleep and suicide. Finally, it remains unclear whether or not sleep-oriented interventions may reduce risk for suicidal behaviors. Unlike other suicide risk factors, sleep complaints may be particularly amenable to treatment. As a warning sign, disturbances in sleep may thus be especially useful to research and may serve as an important clinical target for future suicide intervention efforts

Age, Period, and Cohort Trends in Mood Disorder and Suicide-Related Outcomes in a Nationally Representative Dataset, 2005-2017

Drawing from the National Survey on Drug Use and Health (NSDUH; N = 611,880), a nationally representative survey of U.S. adolescents and adults, we assess age, period, and cohort trends in mood disorder and suicide-related outcomes since the mid-2000s. Rates of major depressive episode in the last year among adolescents aged 12 to 17 increased by 52% 2005-2017; major depressive episode in the last year increased 63% between 2009 and 2017 among young adults 18-25. Serious psychological distress in the last month and suicide-related outcomes (suicidal ideation, plans, attempts, and deaths by suicide) in the last year also increased among young adults 18-25 between 2008 and 2017, with less consistent and weaker increases among adults ages 26 and over. Hierarchical linear modeling analyses separating the effects of age, period, and birth cohort suggest the trends among adults are primarily due to cohort, with a steady rise in mood disorder and suicide-related outcomes over birth cohorts from the early 1980s to the late 1990s. Cultural trends contributing to an increase in mood disorders and suicidal thoughts and behaviors since the mid-2000s, including the rise of electronic communication and digital media and declines in sleep duration, may have had a larger impact on younger people, creating a cohort effect

Prospects for chlorophyll fluorescence remote sensing from the Orbiting Carbon Observatory-2

The Orbiting Carbon Observatory-2 (OCO-2), scheduled to launch in July 2014, is a NASA mission designed to measure atmospheric CO_2. Its main purpose is to allow inversions of net flux estimates of CO_2 on regional to continental scales using the total column CO_2 retrieved using high-resolution spectra in the 0.76, 1.6, and 2.0 μm ranges. Recently, it was shown that solar-induced chlorophyll fluorescence (SIF), a proxy for gross primary production (GPP, carbon uptake through photosynthesis), can be accurately retrieved from space using high spectral resolution radiances in the 750 nm range from the Japanese GOSAT and European GOME-2 instruments. Here, we use real OCO-2 thermal vacuum test data as well as a full repeat cycle (16 days) of simulated OCO-2 spectra under realistic conditions to evaluate the potential of OCO-2 for retrievals of chlorophyll fluorescence and also its dependence on clouds and aerosols. We find that the single-measurement precision is 0.3–0.5 W m^(− 2) sr^(− )1 μm^(−1) (15–25% of typical peak values), better than current measurements from space but still difficult to interpret on a single-sounding basis. The most significant advancement will come from smaller ground-pixel sizes and increased measurement frequency, with a 100-fold increase compared to GOSAT (and about 8 times higher than GOME-2). This will largely decrease the need for coarse spatial and temporal averaging in data analysis and pave the way to accurate local studies. We also find that the lack of full global mapping from the OCO-2 only incurs small representativeness errors on regional averages. Eventually, the combination of net ecosystem exchange (NEE) derived from CO_2 source/sink inversions and SIF as proxy for GPP from the same satellite will provide a more process-based understanding of the global carbon cycle

Atypical and Severe Nonsuicidal Self-Injury as an Indicator of Severe Psychopathology: Findings From a Sample of High-Risk Community Mental Health Clients

This study examined whether atypical/severe nonsuicidal self-injury (NSSI; e.g., foreign body ingestion, cutting necessitating sutures) serves as a marker of severe psychopathology among 467 adult community mental health clients (n = 33 with an atypical/severe NSSI history). Information regarding psychiatric risk indicators was extracted from participants’ psychiatric records. Generalized linear models with negative binomial distribution and log link function, as well as chi-square tests, were used to address study aims. Clients with a lifetime atypical/severe NSSI history met criteria for a significantly greater number of psychiatric risk indicators than clients with a lifetime history of common NSSI only; however, these clients were not significantly more likely to report recent suicidal actions. Individuals with an atypical/severe NSSI history may demonstrate more severe psychopathology than those with a history of common NSSI only. Thus, it may be clinically useful to consider individuals with an atypical/severe NSSI history as a high-risk subgroup

Size and emotion or depth and emotion? Evidence, using Matryoshka (Russian) dolls, of children using physical depth as a proxy for emotional charge

Background: The size and emotion effect is the tendency for children to draw people and other objects with a positive emotional charge larger than those with a negative or neutral charge. Here we explored the novel idea that drawing size might be acting as a proxy for depth (proximity).Methods: Forty-two children (aged 3-11 years) chose, from 2 sets of Matryoshka (Russian) dolls, a doll to represent a person with positive, negative or neutral charge, which they placed in front of themselves on a sheet of A3 paper. Results: We found that the children used proximity and doll size, to indicate emotional charge. Conclusions: These findings are consistent with the notion that in drawings, children are using size as a proxy for physical closeness (proximity), as they attempt with varying success to put positive charged items closer to, or negative and neutral charge items further away from, themselves

Manifestations of Overarousal Account For the Association Between Cognitive Anxiety Sensitivity and Suicidal Ideation

Background: Recent evidence suggests an association between cognitive anxiety sensitivity and suicidal ideation. Cognitive anxiety sensitivity has also been implicated as a precursor to various forms of overarousal. These manifestations of overarousal (i.e., agitation, insomnia, nightmares, and anger) may account for the association between cognitive anxiety sensitivity and suicidal ideation. Methods: In Study 1, undergraduate students selectively sampled for recent suicidal ideation completed all measures online. In Study 2, clinical outpatients completed all measures prior to their initial intake appointments at a psychology clinic. Results: Study 1 demonstrated that agitation and insomnia individually and jointly accounted for the association between cognitive anxiety sensitivity and suicidal ideation, controlling for general anxiety and demographic variables. Study 2 replicated and extended these findings, such that, controlling for demographics, general anxiety, and physical and social anxiety sensitivity, agitation and anger each independently and together accounted for the association between cognitive anxiety sensitivity and suicidal ideation, whereas insomnia and nightmares did not. Limitations: This study utilized a cross-sectional design and self-report measures in both samples as well as a sample of undergraduate students in Study 1. Conclusions: Together, these findings suggest that agitation and anger may explain the previously established relationship between cognitive anxiety sensitivity and suicidal ideation. Targeting cognitive anxiety sensitivity in treatment may in turn reduce these forms of overarousal and thereby suicide risk

Modelo tripartito sobre el afecto positivo y negativo, la depresión y la ansiedad : evidencia basada en la estructura de los síntomas y en diferencias sexuales

El modelo tripartito sobre la depresión y la ansiedad sugiere que la depresión y la ansiedad poseen componentes compartidos (afecto negativo generalizado) y específicos (anhedonia e hiperactivación fisiológica). En este artículo comentamos cinco estudios recientes que han abordado aspectos del modelo tripartito. Los estudios indican que: 1) el afecto positivo y el afecto negativo representan dimensiones separables del ánimo, lo cual es evidenciable a través de diferentes culturas incluida la española; 2) el modelo tripartito de la depresión y la ansiedad parece ser una buena descripción de las características de ambos síndromes; 3) hombres y mujeres parecen diferir respecto a los síndromes asociados a la depresión, pero no en relación con la depresión "pura" en sí misma. Se discuten la implicaciones teóricas y clínicas de estos hallazgos

Teoría de la depresión por desesperanza : aportaciones recientes

La teoría de desesperanza de la depresión o teoría de la depresión por desesperanza, propuesta por Abramson, Metalsky y Alloy (Psychological Review, 96, 358-372,1989), establece que las personas que poseen estilos inferenclales negativos (l.e., vulnerabilidad cognitiva) son más propensas a desarrollar síntomas depresivos (más específicamente los síntomas del subtipo "depresión por desesperanza') cuando experimentan sucesos vitales negativos que las personas que no poseen dichos estilos. En el presente artículo resumimos nuevos hallazgos empíricos que apoyan dicha teoría, principalmente los provenientes del Temple-Wisconsln Cognitive Vulnerability to Depression Project, un proyecto en el que se utiliza prospectivamente la estrategia de alto riesgo conductual con la que se prueba la hipótesis de vulnerabilidad y de mediación causal de la teoría de desesperanza de la depresión. En concreto analizamos (1) resultados retrospectivos y prospectivos referidos al Eje I (trastornos depresivos, incluido el subtipo de depresión por desesperanza), (2) la vulnerabilidad cognitiva y los trastornos de personalidad concurrentes (Eje II), (3) los mecanismos mediante los cuales los estilos cognitivos incrementan la vulnerabilidad para la depresión, y (4) el maltrato infantil como posible factor causal de la vulnerabilidad cognitiva para la depresión. También se discute la evidencia relevante para la integración de la teoría de la desesperanza y la vulnerabilidad biológica para la depresión. Finalmente, se ponen de relieve posibles implicaciones para la prevención y tratamiento de la depresión

Real-Time Mobile Teleophthalmology for the Detection of Eye Disease in Minorities and Low Socioeconomics At-Risk Populations

Purpose: To examine the benefits and feasibility of a mobile, real-time, community-based, teleophthalmology program for detecting eye diseases in the New York metro area. Design: Single site, nonrandomized, cross-sectional, teleophthalmologic study. Methods: Participants underwent a comprehensive evaluation in a Wi-Fi-equipped teleophthalmology mobile unit. The evaluation consisted of a basic anamnesis with a questionnaire form, brief systemic evaluations and an ophthalmologic evaluation that included visual field, intraocular pressure, pachymetry, anterior segment optical coherence tomography, posterior segment optical coherence tomography, and nonmydriatic fundus photography. The results were evaluated in real-time and follow-up calls were scheduled to complete a secondary questionnaire form. Risk factors were calculated for different types of ophthalmological referrals. Results: A total of 957 participants were screened. Out of 458 (48%) participants that have been referred, 305 (32%) had glaucoma, 136 (14%) had narrow-angle, 124 (13%) had cataract, 29 had (3%) diabetic retinopathy, 9 (1%) had macular degeneration, and 97 (10%) had other eye disease findings. Significant risk factors for ophthalmological referral consisted of older age, history of high blood pressure, diabetes mellitus, Hemoglobin A1c measurement of ≥6.5, and stage 2 hypertension. As for the ocular parameters, all but central corneal thickness were found to be significant, including having an intraocular pressure \u3e21 mm Hg, vertical cup-to-disc ratio ≥0.5, visual field abnormalities, and retinal nerve fiber layer thinning. Conclusions: Mobile, real-time teleophthalmology is both workable and effective in increasing access to care and identifying the most common causes of blindness and their risk factors