Associations of healthy sleep patterns with non‐suicidal self‐injury, suicidal ideation, and suicide attempts among Chinese college students

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Main Authors: Min Li, Yifan Zhang, Meijiao Huang, Dan Chen, Zijuan Ma, Dongfang Wang, Fang Fan
Format: Artículo Open Access
Published: Wiley 2025
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author Min Li
Yifan Zhang
Meijiao Huang
Dan Chen
Zijuan Ma
Dongfang Wang
Fang Fan
author_facet Min Li
Yifan Zhang
Meijiao Huang
Dan Chen
Zijuan Ma
Dongfang Wang
Fang Fan
Min Li
Yifan Zhang
Meijiao Huang
Dan Chen
Zijuan Ma
Dongfang Wang
Fang Fan
collection Wiley Open Access
contents Associations of healthy sleep patterns with non‐suicidal self‐injury, suicidal ideation, and suicide attempts among Chinese college students Min Li Yifan Zhang Meijiao Huang Dan Chen Zijuan Ma Dongfang Wang Fang Fan Sleep Research AbstractBackgroundNon‐suicidal self‐injury (NSSI), suicidal ideation (SI), and suicide attempts (SA) are major concerns among college students. Sleep may be a modifiable factor, but its associations with NSSI, SI, and SA remain unclear.MethodsA cross‐sectional survey of 10,498 college students using a self‐report questionnaire. Sleep health indicators include insomnia symptoms, duration, chronotype, snoring, and daytime sleepiness. Multivariable logistic regression models and restricted cubic spline analyses were used to examine associations between sleep patterns and self‐injurious behaviors.ResultsThe prevalence of NSSI, SI, and SA was 4.8%, 29.7%, and 3.7%, respectively. Participants with higher healthy sleep scores exhibited significantly reduced risks of NSSI, SI, and SA, with dose‐response relationships observed. Each one‐point increase in the sleep score was associated with a 43% lower risk of NSSI (odds ratios (OR) = 0.57, 95% CI: 0.52–0.62), a 37% lower risk of SI (OR = 0.63, 95% CI: 0.61–0.66), and a 48% lower risk of SA (OR = 0.52, 95% CI: 0.48–0.58).ConclusionHealthy sleep patterns were significantly associated with reduced risks of NSSI, SI, and SA among Chinese college students. These findings underscore the importance of promoting comprehensive sleep health as a public health strategy to mitigate self‐injurious behaviors in young populations. 10.1002/slp2.70013 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/slp2.70013
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id wiley_oa_10_1002_slp2_70013
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2025
publisher Wiley
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spellingShingle Associations of healthy sleep patterns with non‐suicidal self‐injury, suicidal ideation, and suicide attempts among Chinese college students
Min Li
Yifan Zhang
Meijiao Huang
Dan Chen
Zijuan Ma
Dongfang Wang
Fang Fan
Sleep Research
Associations of healthy sleep patterns with non‐suicidal self‐injury, suicidal ideation, and suicide attempts among Chinese college students Min Li Yifan Zhang Meijiao Huang Dan Chen Zijuan Ma Dongfang Wang Fang Fan Sleep Research AbstractBackgroundNon‐suicidal self‐injury (NSSI), suicidal ideation (SI), and suicide attempts (SA) are major concerns among college students. Sleep may be a modifiable factor, but its associations with NSSI, SI, and SA remain unclear.MethodsA cross‐sectional survey of 10,498 college students using a self‐report questionnaire. Sleep health indicators include insomnia symptoms, duration, chronotype, snoring, and daytime sleepiness. Multivariable logistic regression models and restricted cubic spline analyses were used to examine associations between sleep patterns and self‐injurious behaviors.ResultsThe prevalence of NSSI, SI, and SA was 4.8%, 29.7%, and 3.7%, respectively. Participants with higher healthy sleep scores exhibited significantly reduced risks of NSSI, SI, and SA, with dose‐response relationships observed. Each one‐point increase in the sleep score was associated with a 43% lower risk of NSSI (odds ratios (OR) = 0.57, 95% CI: 0.52–0.62), a 37% lower risk of SI (OR = 0.63, 95% CI: 0.61–0.66), and a 48% lower risk of SA (OR = 0.52, 95% CI: 0.48–0.58).ConclusionHealthy sleep patterns were significantly associated with reduced risks of NSSI, SI, and SA among Chinese college students. These findings underscore the importance of promoting comprehensive sleep health as a public health strategy to mitigate self‐injurious behaviors in young populations. 10.1002/slp2.70013 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Associations of healthy sleep patterns with non‐suicidal self‐injury, suicidal ideation, and suicide attempts among Chinese college students
topic Sleep Research
url https://onlinelibrary.wiley.com/doi/10.1002/slp2.70013