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Does Insomnia Increase the Risk of Suicide in Hospitalized Patients with Major Depressive Disorder? A Nationwide Inpatient Analysis from 2006 to 2015

dc.contributor.authorMansuri, Zeeshanen
dc.contributor.authorReddy, Abhisheken
dc.contributor.authorVadukapuram, Ramuen
dc.contributor.authorThootkur, Mounicaen
dc.contributor.authorTrivedi, Chintanen
dc.date.accessioned2022-04-22T12:28:30Zen
dc.date.available2022-04-22T12:28:30Zen
dc.date.issued2022-04-19en
dc.date.updated2022-04-21T21:03:38Zen
dc.description.abstract<b>Introduction.</b> Insomnia is an important symptom associated with major depressive disorder (MDD). In addition, it is one of the risk factors for suicide. Studies have shown the relationship be-tween insomnia and suicidal behavior in patients with MDD. However, this association has not been evaluated in a large sample of hospitalized patients. <b>Objectives.</b> To evaluate the suicidal be-havior in MDD patients with insomnia compared to those without insomnia. <b>Methods.</b> From the National Inpatient Sample (NIS 2006&ndash;2015) database using the ICD-9 code, patients&rsquo; data were obtained with the primary diagnosis of MDD and comorbid diagnosis of insomnia disorders (MDD+I). These patients were compared with MDD patients without insomnia disorders (MDD&ndash;I) by performing a 1:2 match for the primary diagnosis code. Suicidal ideation/attempt da-ta were compared between the groups by multivariate logistic regression analysis. <b>Results.</b> After the diagnostic code matching, 139061 patients were included in the MDD+I group and 276496 patients in the MDD&ndash;I group. MDD+I patients were older (47 years vs. 45 years, <i>p</i> &lt; 0.001) com-pared to the MDD&ndash;I group. The rate of suicidal ideation/attempt was 56.0% in the MDD+I group and 42.0% in the MDD&ndash;I group (<i>p</i> &lt; 0.001). After adjusting for age, sex, race, borderline personal-ity disorders, anxiety disorders, and substance use disorders, &lsquo;insomnia&rsquo; was associated with 1.71 times higher odds of suicidal behavior among MDD patients admitted to the hospital. (Odds ratio: 1.71, 95% confidence interval 1.60&ndash;1.82, <i>p</i> &lt; 0.001). Conclusions. Insomnia among MDD patients is significantly associated with the risk of suicide. MDD patients with insomnia need to be closely monitored for suicidal behavior.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMansuri, Z.; Reddy, A.; Vadukapuram, R.; Thootkur, M.; Trivedi, C. Does Insomnia Increase the Risk of Suicide in Hospitalized Patients with Major Depressive Disorder? A Nationwide Inpatient Analysis from 2006 to 2015. Behav. Sci. 2022, 12, 117.en
dc.identifier.doihttps://doi.org/10.3390/bs12050117en
dc.identifier.urihttp://hdl.handle.net/10919/109729en
dc.language.isoenen
dc.publisherMDPIen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectinsomniaen
dc.subjectdepressionen
dc.subjectsuicideen
dc.titleDoes Insomnia Increase the Risk of Suicide in Hospitalized Patients with Major Depressive Disorder? A Nationwide Inpatient Analysis from 2006 to 2015en
dc.title.serialBehavioral Scienceen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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