@article{ref1,
title="Joint contributions of depression and insufficient sleep to self-harm behaviors in Chinese college students: a population-based study in Jiangsu, China",
journal="Brain sciences",
year="2023",
author="Hua, Yiwen and Xue, Hui and Zhang, Xiyan and Fan, Lijun and Tian, Yong and Wang, Xin and Ni, Xiaoyan and Du, Wei and Zhang, Fengyun and Yang, Jie",
volume="13",
number="5",
pages="e769-e769",
abstract="Self-harm in young people is common, and previous studies have shown that insufficient sleep or depression was associated with self-harm. However, the joint association of insufficient sleep and depression with self-harm is unknown. We employed representative population-based data from the &quot;Surveillance for Common Disease and Health Risk Factors Among Students in Jiangsu Province 2019&quot; project. College students reported their self-harm behavior over the past year. Rate ratios (RRs) and corresponding 95% confidence intervals (CIs) for self-harm in relation to sleep and depression were modeled using negative binomial regression with a sample population as an offset, adjusting for age, gender, and region. The instrumental variable approach was used for the sensitivity analyses. Of the study population, approximately 3.8% reported self-harm behaviors. Students with sufficient sleep experienced a lower risk of self-harm than those with insufficient sleep. Compared with students with sufficient sleep and the absence of depression, the adjusted risk of self-harm was elevated 3-fold (1.46-4.51) in those reporting insufficient sleep in the absence of depression, 11-fold (6.26-17.77) in those with sufficient sleep and definite depression, and 15-fold (8.54-25.17) in those with both insufficient sleep and definite depression. The sensitivity analyses indicate that insufficient sleep remained a contributing risk factor for self-harm. Lack of sleep in young people is significantly associated with self-harm, particularly in the presence of depression. The provision of mental health care and attention to sleep deprivation are particularly important for college students.<p /> <p>Language: en</p>",
language="en",
issn="2076-3425",
doi="10.3390/brainsci13050769",
url="http://dx.doi.org/10.3390/brainsci13050769"
}