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Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China

Self-harm in young people is common, and previous studies have shown that insufficient sleep or depression was associated with self-harm. However, the joint association of insufficient sleep and depression with self-harm is unknown. We employed representative population-based data from the “Surveill...

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Autores principales: Hua, Yiwen, Xue, Hui, Zhang, Xiyan, Fan, Lijun, Tian, Yong, Wang, Xin, Ni, Xiaoyan, Du, Wei, Zhang, Fengyun, Yang, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10216376/
https://www.ncbi.nlm.nih.gov/pubmed/37239241
http://dx.doi.org/10.3390/brainsci13050769
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author Hua, Yiwen
Xue, Hui
Zhang, Xiyan
Fan, Lijun
Tian, Yong
Wang, Xin
Ni, Xiaoyan
Du, Wei
Zhang, Fengyun
Yang, Jie
author_facet Hua, Yiwen
Xue, Hui
Zhang, Xiyan
Fan, Lijun
Tian, Yong
Wang, Xin
Ni, Xiaoyan
Du, Wei
Zhang, Fengyun
Yang, Jie
author_sort Hua, Yiwen
collection PubMed
description Self-harm in young people is common, and previous studies have shown that insufficient sleep or depression was associated with self-harm. However, the joint association of insufficient sleep and depression with self-harm is unknown. We employed representative population-based data from the “Surveillance for Common Disease and Health Risk Factors Among Students in Jiangsu Province 2019” project. College students reported their self-harm behavior over the past year. Rate ratios (RRs) and corresponding 95% confidence intervals (CIs) for self-harm in relation to sleep and depression were modeled using negative binomial regression with a sample population as an offset, adjusting for age, gender, and region. The instrumental variable approach was used for the sensitivity analyses. Of the study population, approximately 3.8% reported self-harm behaviors. Students with sufficient sleep experienced a lower risk of self-harm than those with insufficient sleep. Compared with students with sufficient sleep and the absence of depression, the adjusted risk of self-harm was elevated 3-fold (1.46–4.51) in those reporting insufficient sleep in the absence of depression, 11-fold (6.26–17.77) in those with sufficient sleep and definite depression, and 15-fold (8.54–25.17) in those with both insufficient sleep and definite depression. The sensitivity analyses indicate that insufficient sleep remained a contributing risk factor for self-harm. Lack of sleep in young people is significantly associated with self-harm, particularly in the presence of depression. The provision of mental health care and attention to sleep deprivation are particularly important for college students.
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spelling pubmed-102163762023-05-27 Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China Hua, Yiwen Xue, Hui Zhang, Xiyan Fan, Lijun Tian, Yong Wang, Xin Ni, Xiaoyan Du, Wei Zhang, Fengyun Yang, Jie Brain Sci Article Self-harm in young people is common, and previous studies have shown that insufficient sleep or depression was associated with self-harm. However, the joint association of insufficient sleep and depression with self-harm is unknown. We employed representative population-based data from the “Surveillance for Common Disease and Health Risk Factors Among Students in Jiangsu Province 2019” project. College students reported their self-harm behavior over the past year. Rate ratios (RRs) and corresponding 95% confidence intervals (CIs) for self-harm in relation to sleep and depression were modeled using negative binomial regression with a sample population as an offset, adjusting for age, gender, and region. The instrumental variable approach was used for the sensitivity analyses. Of the study population, approximately 3.8% reported self-harm behaviors. Students with sufficient sleep experienced a lower risk of self-harm than those with insufficient sleep. Compared with students with sufficient sleep and the absence of depression, the adjusted risk of self-harm was elevated 3-fold (1.46–4.51) in those reporting insufficient sleep in the absence of depression, 11-fold (6.26–17.77) in those with sufficient sleep and definite depression, and 15-fold (8.54–25.17) in those with both insufficient sleep and definite depression. The sensitivity analyses indicate that insufficient sleep remained a contributing risk factor for self-harm. Lack of sleep in young people is significantly associated with self-harm, particularly in the presence of depression. The provision of mental health care and attention to sleep deprivation are particularly important for college students. MDPI 2023-05-06 /pmc/articles/PMC10216376/ /pubmed/37239241 http://dx.doi.org/10.3390/brainsci13050769 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hua, Yiwen
Xue, Hui
Zhang, Xiyan
Fan, Lijun
Tian, Yong
Wang, Xin
Ni, Xiaoyan
Du, Wei
Zhang, Fengyun
Yang, Jie
Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China
title Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China
title_full Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China
title_fullStr Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China
title_full_unstemmed Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China
title_short Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China
title_sort joint contributions of depression and insufficient sleep to self-harm behaviors in chinese college students: a population-based study in jiangsu, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10216376/
https://www.ncbi.nlm.nih.gov/pubmed/37239241
http://dx.doi.org/10.3390/brainsci13050769
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