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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2025-02-01
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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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institution | Kabale University |
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language | English |
publishDate | 2025-02-01 |
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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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