Effects of sleep quality on suicide risk in COVID-19 patients: The chain mediating of anxiety and depressive symptoms
Yang Yiyue,
Gu Kaiqi,
Wang Rujie,
Liu Honghong,
Ming Xu,
Feng Yingxue,
Peng Yijing,
Chen Yu,
Ji Yuanyuan,
Ma Jing,
Li Dongxiao,
Lu Yue,
Li Jing
Affiliations
Yang Yiyue
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Gu Kaiqi
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Wang Rujie
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Liu Honghong
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Ming Xu
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Feng Yingxue
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Peng Yijing
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Chen Yu
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Ji Yuanyuan
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
Ma Jing
Sleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, China
Li Dongxiao
Sleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, China
Lu Yue
Sleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, China
Li Jing
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China; Sleeping and Psychosomatic Center, Dazu District People’s Hospital, Chongqing, 402360, China; Corresponding author. Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Background: Although current studies have identified sleep disorders as an independent risk factor for suicide, the relationship between sleep disorders and suicide risk has not been well established. This study explored whether anxiety and depressive symptoms are used as mediators to participate in the impact of sleep quality on suicide risk. Methods: This is a cross-sectional study. We administered a psychological questionnaire to the participants, using a combination of self-assessment and psychiatrist assessment.Sleep quality, suicide risk, level of anxiety and depressive symptoms were assessed by PSQI, NGASR, SAS and SDS.The study subjects were 391 hospitalized COVID-19 patients from Wuhan hospitals. We used model 6 in the PROCESS (version 3.5) plug-in of SPSS software to conduct mediation test with sleep quality as the independent variable, suicide risk as the dependent variable, level of anxiety and depressive symptoms as intermediate variables. Results: The severity of anxiety and depressive symptoms and the risk of suicide in the sleep disorder group (63.15 ± 13.71, 59.85 ± 13.38, 6.52 ± 3.67) were higher than those in the non-sleep disorder group (49.83 ± 13.14, 44.87 ± 10.19, 2.87 ± 3.26) (P < 0.001). The mediation model works well, The total indirect effect was 0.22 (95%CI = [0.17, 0.28]), and the direct effect was 0.16 (95%CI = [0.08, 0.24]). Limitations: This study used a self-assessment scale. Conclusions: Anxiety and depressive symptoms played a chain mediating role between sleep quality and suicide risk.
