Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey

Abstract Insomnia symptoms and short sleep duration are known to be associated with suicidal ideation. The aim of this study was to investigate the association between nonrestorative sleep (NRS), a subjective experience of feeling unrefreshed after waking up, and suicidal ideation in the general pop...

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Main Authors: Kouju Yamada, Yoshiyuki Kaneko, Chisato Konno, Ryuji Furihata, Yuichiro Otsuka, Yoshitaka Kaneita, Makoto Uchiyama, Masahiro Suzuki
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87897-6
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author Kouju Yamada
Yoshiyuki Kaneko
Chisato Konno
Ryuji Furihata
Yuichiro Otsuka
Yoshitaka Kaneita
Makoto Uchiyama
Masahiro Suzuki
author_facet Kouju Yamada
Yoshiyuki Kaneko
Chisato Konno
Ryuji Furihata
Yuichiro Otsuka
Yoshitaka Kaneita
Makoto Uchiyama
Masahiro Suzuki
author_sort Kouju Yamada
collection DOAJ
description Abstract Insomnia symptoms and short sleep duration are known to be associated with suicidal ideation. The aim of this study was to investigate the association between nonrestorative sleep (NRS), a subjective experience of feeling unrefreshed after waking up, and suicidal ideation in the general population. We analyzed data from a cross-sectional survey of 2559 randomly sampled adults living in Japan. The participants were asked about insomnia symptoms (difficulty initiating sleep, difficulty maintaining sleep, and early morning awakening), NRS, sleep duration, and the presence of suicidal ideation. Logistic regression analysis was used to examine the associations among short sleep duration (< 6 h), insomnia symptoms, NRS, and suicidal ideation. Possible confounding factors were adjusted using propensity scores. In the multivariate analysis adjusting for the confounding effects of other sleep-related factors, in addition to psychiatric, sociodemographic, and lifestyle factors, only NRS showed a positive association with suicidal ideation (adjusted odds ratio [aOR] = 2.266). These findings suggest the importance of focusing on NRS for suicide prevention in the general population.
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spelling doaj-art-60e421e54e954b08bc6429d9d481ebd02025-02-09T12:36:33ZengNature PortfolioScientific Reports2045-23222025-02-011511710.1038/s41598-025-87897-6Associations between nonrestorative sleep and suicidal ideation: a Japanese general population surveyKouju Yamada0Yoshiyuki Kaneko1Chisato Konno2Ryuji Furihata3Yuichiro Otsuka4Yoshitaka Kaneita5Makoto Uchiyama6Masahiro Suzuki7Department of Psychiatry, Nihon University School of MedicineDepartment of Psychiatry, Nihon University School of MedicineDepartment of Psychiatry, Nihon University School of MedicineAgency for Student Support and Disability Resources, Kyoto UniversityDivision of Public Health, Department of Social Medicine, Nihon University School of MedicineDivision of Public Health, Department of Social Medicine, Nihon University School of MedicineDepartment of Psychiatry, Nihon University School of MedicineDepartment of Psychiatry, Nihon University School of MedicineAbstract Insomnia symptoms and short sleep duration are known to be associated with suicidal ideation. The aim of this study was to investigate the association between nonrestorative sleep (NRS), a subjective experience of feeling unrefreshed after waking up, and suicidal ideation in the general population. We analyzed data from a cross-sectional survey of 2559 randomly sampled adults living in Japan. The participants were asked about insomnia symptoms (difficulty initiating sleep, difficulty maintaining sleep, and early morning awakening), NRS, sleep duration, and the presence of suicidal ideation. Logistic regression analysis was used to examine the associations among short sleep duration (< 6 h), insomnia symptoms, NRS, and suicidal ideation. Possible confounding factors were adjusted using propensity scores. In the multivariate analysis adjusting for the confounding effects of other sleep-related factors, in addition to psychiatric, sociodemographic, and lifestyle factors, only NRS showed a positive association with suicidal ideation (adjusted odds ratio [aOR] = 2.266). These findings suggest the importance of focusing on NRS for suicide prevention in the general population.https://doi.org/10.1038/s41598-025-87897-6SleepInsomniaNonrestorative sleepSuicidal ideationEpidemiologyPopulation surveillance
spellingShingle Kouju Yamada
Yoshiyuki Kaneko
Chisato Konno
Ryuji Furihata
Yuichiro Otsuka
Yoshitaka Kaneita
Makoto Uchiyama
Masahiro Suzuki
Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey
Scientific Reports
Sleep
Insomnia
Nonrestorative sleep
Suicidal ideation
Epidemiology
Population surveillance
title Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey
title_full Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey
title_fullStr Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey
title_full_unstemmed Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey
title_short Associations between nonrestorative sleep and suicidal ideation: a Japanese general population survey
title_sort associations between nonrestorative sleep and suicidal ideation a japanese general population survey
topic Sleep
Insomnia
Nonrestorative sleep
Suicidal ideation
Epidemiology
Population surveillance
url https://doi.org/10.1038/s41598-025-87897-6
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