Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model

Background: Nonsuicidal self-injury (NSSI), which pertains to self-induced actions that cause harm to the body, comprises repetitive, intentional, and direct actions that do not adhere to social norms and expectations. The present study aimed to predict NSSI by sleep disorders (poor sleep quality, i...

Full description

Saved in:
Bibliographic Details
Main Authors: Shakiba Rezaei, Azita Chehri, Saeede Sadat Hosseini, Mokhtar Arefi, Hassan Amiri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Annals of Indian Psychiatry
Subjects:
Online Access:https://journals.lww.com/10.4103/aip.aip_143_23
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849735767103897600
author Shakiba Rezaei
Azita Chehri
Saeede Sadat Hosseini
Mokhtar Arefi
Hassan Amiri
author_facet Shakiba Rezaei
Azita Chehri
Saeede Sadat Hosseini
Mokhtar Arefi
Hassan Amiri
author_sort Shakiba Rezaei
collection DOAJ
description Background: Nonsuicidal self-injury (NSSI), which pertains to self-induced actions that cause harm to the body, comprises repetitive, intentional, and direct actions that do not adhere to social norms and expectations. The present study aimed to predict NSSI by sleep disorders (poor sleep quality, insomnia severity, risk of sleep apnea, and circadian rhythms) utilizing a neural network model. Methods: Using a multi-stage cluster sampling, a group of 400 health-care personnel (70% female, aged 32.5 ± 8.8 years) from the western region of Iran was selected. The subjects completed the Inventory of Statements about Self-Injury, Pittsburgh Sleep Quality Index, Berlin Questionnaire, Insomnia Severity Index, and Munich Chronotype Questionnaire. The neural network model and receiver operating characteristic (ROC) curve were used to examine the association between sleep disorders and NSSI. Results: The use of a neural network architecture resulted in the discovery of a single hidden layer containing three hidden units. Both training and testing models predicted more than 85% of cases with NSSI correctly. The results of area under the ROC curve were completely acceptable (0.834). The findings suggest that the severity of insomnia (0.418) and poor sleep quality (0.333) serve as potent indicators associated with both subgroups, with normalized importance values ranging from 80% to 100%. Conclusion: The neural network algorithm can be effectively employed in predicting NSSI by several sleep disorders. Future research can test the complexity of sleep disorders connected to NSSI comorbid with other psychiatric conditions.
format Article
id doaj-art-c728764147ba418b9ce22472d60acca4
institution DOAJ
issn 2588-8358
2588-8366
language English
publishDate 2025-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Indian Psychiatry
spelling doaj-art-c728764147ba418b9ce22472d60acca42025-08-20T03:07:27ZengWolters Kluwer Medknow PublicationsAnnals of Indian Psychiatry2588-83582588-83662025-04-019212412910.4103/aip.aip_143_23Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network ModelShakiba RezaeiAzita ChehriSaeede Sadat HosseiniMokhtar ArefiHassan AmiriBackground: Nonsuicidal self-injury (NSSI), which pertains to self-induced actions that cause harm to the body, comprises repetitive, intentional, and direct actions that do not adhere to social norms and expectations. The present study aimed to predict NSSI by sleep disorders (poor sleep quality, insomnia severity, risk of sleep apnea, and circadian rhythms) utilizing a neural network model. Methods: Using a multi-stage cluster sampling, a group of 400 health-care personnel (70% female, aged 32.5 ± 8.8 years) from the western region of Iran was selected. The subjects completed the Inventory of Statements about Self-Injury, Pittsburgh Sleep Quality Index, Berlin Questionnaire, Insomnia Severity Index, and Munich Chronotype Questionnaire. The neural network model and receiver operating characteristic (ROC) curve were used to examine the association between sleep disorders and NSSI. Results: The use of a neural network architecture resulted in the discovery of a single hidden layer containing three hidden units. Both training and testing models predicted more than 85% of cases with NSSI correctly. The results of area under the ROC curve were completely acceptable (0.834). The findings suggest that the severity of insomnia (0.418) and poor sleep quality (0.333) serve as potent indicators associated with both subgroups, with normalized importance values ranging from 80% to 100%. Conclusion: The neural network algorithm can be effectively employed in predicting NSSI by several sleep disorders. Future research can test the complexity of sleep disorders connected to NSSI comorbid with other psychiatric conditions.https://journals.lww.com/10.4103/aip.aip_143_23neural networknonsuicidal self-injurypredictive modelsleep disorder
spellingShingle Shakiba Rezaei
Azita Chehri
Saeede Sadat Hosseini
Mokhtar Arefi
Hassan Amiri
Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model
Annals of Indian Psychiatry
neural network
nonsuicidal self-injury
predictive model
sleep disorder
title Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model
title_full Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model
title_fullStr Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model
title_full_unstemmed Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model
title_short Predictability of Lifetime Nonsuicidal Self-injury by Symptoms of Sleep Disorders Using a Neural Network Model
title_sort predictability of lifetime nonsuicidal self injury by symptoms of sleep disorders using a neural network model
topic neural network
nonsuicidal self-injury
predictive model
sleep disorder
url https://journals.lww.com/10.4103/aip.aip_143_23
work_keys_str_mv AT shakibarezaei predictabilityoflifetimenonsuicidalselfinjurybysymptomsofsleepdisordersusinganeuralnetworkmodel
AT azitachehri predictabilityoflifetimenonsuicidalselfinjurybysymptomsofsleepdisordersusinganeuralnetworkmodel
AT saeedesadathosseini predictabilityoflifetimenonsuicidalselfinjurybysymptomsofsleepdisordersusinganeuralnetworkmodel
AT mokhtararefi predictabilityoflifetimenonsuicidalselfinjurybysymptomsofsleepdisordersusinganeuralnetworkmodel
AT hassanamiri predictabilityoflifetimenonsuicidalselfinjurybysymptomsofsleepdisordersusinganeuralnetworkmodel