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When Non-Suicidal Self-Injury Predicts Non-Suicidal Self-Injury and Poor Sleep—Results from a Larger Cross-Sectional and Quasi-Longitudinal Study

Author

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  • Habibolah Khazaie

    (Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851451, Iran)

  • Sepideh Khazaie

    (Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851451, Iran)

  • Ali Zakiei

    (Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851451, Iran)

  • Kenneth M. Dürsteler

    (Psychiatric Clinics, Division of Substance Use Disorders Basel, University of Basel, 4002 Basel, Switzerland
    Center for Addictive Disorders, Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, 8001 Zurich, Switzerland)

  • Annette Beatrix Brühl

    (Center of Affective, Stress and Sleep Disorders, Psychiatric Hospital, University of Basel, 4002 Basel, Switzerland)

  • Serge Brand

    (Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851451, Iran
    Center of Affective, Stress and Sleep Disorders, Psychiatric Hospital, University of Basel, 4002 Basel, Switzerland
    Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851451, Iran
    Department of Sport, Exercise and Health, Division of Sport Science and Psychosocial Health, University of Basel, 4052 Basel, Switzerland)

  • Dena Sadeghi-Bahmani

    (Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah 6719851451, Iran
    Center of Affective, Stress and Sleep Disorders, Psychiatric Hospital, University of Basel, 4002 Basel, Switzerland
    Department of Psychology, Stanford University, Stanford, CA 94305, USA)

Abstract

Poor sleep is associated with a higher risk of non-suicidal self-injury (NSSI) as a proxy of unfavorable emotion regulation. In the present study, we tested the hypothesis that past non-suicidal self-injury was associated with current non-suicidal self-injury and with current subjective sleep patterns. To this end, a larger sample of young adults were assessed. A total of 2374 adults (mean age: 27.58 years; 39.6% females) completed a series of self-rating questionnaires covering sociodemographic information, past and current NSSIs, suicide attempts, and current sleep patterns, including experiencing nightmares. Past NSSIs predicted current NSSIs. Current sleep patterns had a modest impact on the association between past and current NSSIs. Compared to male participants, female participants did not report more sleep complaints or more current NSSIs, but more past NSSIs. Past NSSIs predicted the occurrences of nightmares and suicide attempts. The best predictor of current NSSI was the remembered past NSSI, while current poor sleep was only modestly associated with current NSSI. Further indicators of current NSSI and poor sleep were suicide attempts and nightmares within the last six months. Overall, it appears that poor emotion regulation should be considered as underlying factor to trigger and maintain non-suicidal self-injury-related behavior and poor sleep. Further, unlike previous studies, which focused on the possible influence of sleep patterns on NSSIs, the aim of the present study paradigm was to investigate NSSIs on sleep patterns.

Suggested Citation

  • Habibolah Khazaie & Sepideh Khazaie & Ali Zakiei & Kenneth M. Dürsteler & Annette Beatrix Brühl & Serge Brand & Dena Sadeghi-Bahmani, 2021. "When Non-Suicidal Self-Injury Predicts Non-Suicidal Self-Injury and Poor Sleep—Results from a Larger Cross-Sectional and Quasi-Longitudinal Study," IJERPH, MDPI, vol. 18(24), pages 1-16, December.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13011-:d:698815
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    References listed on IDEAS

    as
    1. Desana Kocevska & Thom S. Lysen & Aafje Dotinga & M. Elisabeth Koopman-Verhoeff & Maartje P. C. M. Luijk & Niki Antypa & Nienke R. Biermasz & Anneke Blokstra & Johannes Brug & Wiliam J. Burk & Hannie , 2021. "Sleep characteristics across the lifespan in 1.1 million people from the Netherlands, United Kingdom and United States: a systematic review and meta-analysis," Nature Human Behaviour, Nature, vol. 5(1), pages 113-122, January.
    2. Azita Chehri & Serge Brand & Nastaran Goldaste & Sodabeh Eskandari & Annette Brühl & Dena Sadeghi Bahmani & Habibolah Khazaie, 2020. "Psychometric Properties of the Persian Pittsburgh Sleep Quality Index for Adolescents," IJERPH, MDPI, vol. 17(19), pages 1-15, September.
    3. Nasrin Abdoli & Vahid Farnia & Somayeh Jahangiri & Farnaz Radmehr & Mostafa Alikhani & Pegah Abdoli & Omran Davarinejad & Kenneth M. Dürsteler & Annette Beatrix Brühl & Dena Sadeghi-Bahmani & Serge Br, 2021. "Sources of Sleep Disturbances and Psychological Strain for Hospital Staff Working during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
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