Longitudinal associations between sleep chronotype with suicide-related psychological behaviors among middle school students

WANG Yali; CHE Wanyu; WANG Meng; TAO Shuman; TAO Fangbiao; WU Xiaoyan

doi:10.16835/j.cnki.1000-9817.2024355

Volume 45 Issue 12

Dec. 2024

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WANG Yali, CHE Wanyu, WANG Meng, TAO Shuman, TAO Fangbiao, WU Xiaoyan. Longitudinal associations between sleep chronotype with suicide-related psychological behaviors among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1733-1737. doi: 10.16835/j.cnki.1000-9817.2024355

Citation:

WANG Yali, CHE Wanyu, WANG Meng, TAO Shuman, TAO Fangbiao, WU Xiaoyan. Longitudinal associations between sleep chronotype with suicide-related psychological behaviors among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1733-1737. doi: 10.16835/j.cnki.1000-9817.2024355

Citation:

WANG Yali, CHE Wanyu, WANG Meng, TAO Shuman, TAO Fangbiao, WU Xiaoyan. Longitudinal associations between sleep chronotype with suicide-related psychological behaviors among middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(12): 1733-1737. doi: 10.16835/j.cnki.1000-9817.2024355

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Longitudinal associations between sleep chronotype with suicide-related psychological behaviors among middle school students

doi: 10.16835/j.cnki.1000-9817.2024355

WANG Yali¹,
CHE Wanyu²,
WANG Meng²,
TAO Shuman³,
TAO Fangbiao^{2, 3},
WU Xiaoyan^{2, 3
,
,}

1.
School of Public Health, Anhui Medical University, Hefei (230032), Anhui Privince, China

Received Date: 2024-09-26
Rev Recd Date: 2024-10-26

Available Online: 2025-01-07

Publish Date: 2024-12-25

Abstract

Abstract

Objective To analyze the association between sleep chronotype and suicidal psychological behaviors among middle school students, so as to provide a scientific basis for the prevention and control of middle school students suicide. Methods In October 2021 and November 2022, a multi-stage cluster sampling method was used to conduct baseline and follow-up surveys in Shenyang, Zhengzhou, Nanchang, and Taiyuan cities in China, and a total of 6 656 middle and high school students were included as the research subjects. The Chi-square test was used to analyze the groups differences, and generalized estimating equation was used to analyze the associations between middle school students' sleep chronotype and suicide ideation, suicide plan and suicide attempt, and the grade stratification was carried out. Results Baseline detection of suicide ideation, suicide plan, and suicide attempt were 26.3%, 12.6%, and 5.3%, respectively, with follow-up rates of 21.0%, 10.0%, and 4.8% for each, and varied significantly by gender, academic stress, smoking or alcohol use, and anxiety or depressive symptoms among middle school students (χ²=11.93-880.20, P<0.05). After adjusting for gender, academic stress, physical activity, smoking, alcohol use, anxiety and depressive symptoms, generalized estimating equations showed that compared with the morning sleep chronotype, the OR(95%CI) for suicide ideation, suicide plan and suicide attempt were 1.61(1.36-1.89), 1.66(1.35-2.05) and 1.41(1.06-1.88) among evening chronotype students, and were higher among junior 1.78(1.39-2.27), 2.00(1.48-2.69) and senior middle school students 1.84(1.44-2.35), 1.67(1.20-2.33) (P<0.05). Conclusion There is a positive association between evening sleep chronotype and middle school students suicidal psychological behavior, and improving sleep chronotype may be one of the effective measures to prevent middle school students suicide.
- Sleep,
- Suicide,
- Behavior,
- Mental health,
- Students

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References(37)

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