A FOLLOW-UP STUDY OF DEPRESSION AND QUALITY OF SLEEP AMONG SUICIDE ATTEMPTERS

Author(s): 
WC TZENG 1, WT CHENG 2
1National Defence Medical Centre, Taiwan, 2Armed Forces Song-Shan General Hospital, Taiwan
Text: 
BACKGROUND: To understand whether patients with a history of suicide attempt show improvements in affect and sleep quality during post-discharge follow-up care. The purpose of this study was to evaluate the nature of depression and sleep problems among patients with suicide attempts.
METHODS: Thirty-five male patients, aged from 19 to 30 years, hospitalized due to their suicide attempts in the military were included in this study. The initial assessment was conducted during their hospitalization, and the following assessments were administered one month, three months, and six months later in their outpatient clinics, respectively. In each assessment, all subjects completed the Pittsburgh Sleep Quality Index (PSQI) and the Beck Depression Inventory (BDI).
RESULTS: All patients left the hospital after they applied a premature discharge from the military and only 34% came to their scheduled outpatient appointments. Compliant patients showed significant decreased BDI scores while they still had sleep problems after they had returned to the community for six months.
CONCLUSION: This study results implicate that depression may be improved, but bad sleep still disturbs patients in the first 6 months after a suicide attempt. In addition to their depression symptoms, the researchers suggested that all clinicians or psychiatrists should evaluate patients' sleep quality when treating depressive patients in the community.