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• W3044822800 endingPage "1197" @default.
• W3044822800 startingPage "1189" @default.
• W3044822800 abstract "To elucidate processes contributing to continuing self-harm in youth at very high risk for suicide, focusing on sleep disturbance, a putative warning sign of imminent suicide risk.101 youth (ages 12-18) selected for high risk of suicide/suicide attempts based on suicidal episodes plus repeated self-harm (suicide attempts and/or nonsuicidal self-injury [NSSI]). Youth were assessed at baseline, 6-, and 12-month follow-ups on measures of self-harm, suicidality, sleep, and depression.Youth showed high rates of baseline sleep disturbance: 81.2% scored in the clinical range on the Pittsburgh Sleep Quality Index (PSQI); 81.2% reported an evening (night owl) circadian preference. PSQI score was associated with elevated levels of self-harm (suicide attempts and NSSI) contemporaneously and predicted future self-harm within 30 days. Rates of self-harm were high during follow-up: 45.0% and 33.7% at 6 and 12 months, respectively.Results underscore the need to move beyond an acute treatment model to prevent recurrent and potentially deadly self-harm, the importance of clarifying mechanisms contributing to elevated suicide/self-harm risk, and the potential promise of engaging sleep as a therapeutic target for optimizing treatment and elucidating mechanistic processes." @default.
• W3044822800 created "2020-07-29" @default.
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• W3044822800 date "2020-07-24" @default.
• W3044822800 modified "2023-10-16" @default.
• W3044822800 title "Sleep in youth with repeated self‐harm and high suicidality: Does sleep predict self‐harm risk?" @default.
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• W3044822800 doi "https://doi.org/10.1111/sltb.12658" @default.
• W3044822800 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32706147" @default.
• W3044822800 hasPublicationYear "2020" @default.
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