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Pre-Covid-19 short sleep duration and eveningness chronotype are associated with incident suicidal ideation during Covid-19 pandemic in medical students

A retrospective cohort study

Bibliographic Data

ID22089006
AuthorsDandan Zheng (0000-0003-2330-5221, Shantou University), Qingsong Qin (0000-0001-6315-5809, Shantou University), Yingyin Peng (Shantou University), Hao Zhong (0000-0002-4302-9183, Shantou University), Yerui Huang (Shantou University), Hongjie Wang (0000-0002-8243-2469, Shantou University), Qiqing Tan (0009-0002-6880-0015, Shantou University), Yun Li (0000-0001-8225-4554, Shantou University, corresponding author)
Year2024
Volume12
Pages1406396-1406396
Publication date2024-07-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1406396
PMID39109162
OpenAlexW4400929079
LanguageEN
References cited56

Introduction Cross-sectional evidence suggests that sleep problems increased the risk of suicide during the 2019 coronavirus disease (COVID-19) pandemic. However, a lack of longitudinal studies examined the relationship between pre-COVID-19 sleep duration, chronotype and incident suicide during the COVID-19 pandemic. Thus, we examined these associations in a longitudinal study of medical students. Methods From the Shantou College Student Sleep Cohort, a total of 333 first and second grade medical students (age 19.41 ± 0.82 years, female 61.26%), without suicidal ideation (SI) at pre-COVID-19 period, were followed up during the COVID-19 pandemic. Incident SI was defined by their response to the 9 th question from the Beck Depression Inventory. Short sleep duration was defined as less than 7 h/night. The Morningness-Eveningness Questionnaire was used to evaluate the participants’ chronotype. Logistic regression with adjusted odds ratios (AOR) and 95% confidence intervals (95% CI) was used to examine the association between sleep and SI. Results The incidence of SI during the COVID-19 pandemic was 5.71%. Logistic regressions with confounding factors adjustment showed that both short sleep duration (AOR = 4.91, 95% CI = 1.16–20.74) and eveningness (AOR = 3.80, 95% CI = 1.08–13.30) in the pre-COVID-19 period were associated with increased risk of incident SI during the COVID-19 pandemic. Conclusion Pre-COVID-19 short sleep duration and eveningness predict incident SI during the COVID-19 pandemic in medical students. Prolonging sleep duration may help to decrease SI during major public health crises

Chronotype · Circadian rhythm · Cohort · Cohort study · Confidence interval · Confounding · Disease · Logistic regression · Longitudinal study · Odds ratio · Pandemic · Poison control · Psychiatry · Suicidal ideation · Suicide prevention · Clinical Psychology · COVID-19 and Mental Health · Demography · Medicine · Mental Health Research Topics · Psychology · Sleep and related disorders · Emergency Medicine · Internal Medicine

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