Reseach of the association of suicidal behavior and sleep disorders in persons with alcohol addiction

Cover Page

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access


The purpose of the work is to determine the associations of sleep disorders and subjective perception of sleep quality with suicidal behavior and depressive manifestations in individuals with alcohol dependence.

The following methods were used — a method of clinical interviewing, a psychodiagnostic method and the method of processing statistical data. We examined 128 patients with chronic alcohol dependence (100 men and 28 women) aged 18 to 55 years, the average age was 41.66±8.09 (median 41). There were used the following psychodiagnostic scales: Columbia–Suicide Severity Rating Scale (Posner K. et al., 2007); Montgomery–Asberg Depression Rating Scale (MADRS, Montgomery S.A., Asberg M., 1979); The Pittsburgh Sleep Quality Index (PSQI, Buysse D.J. et al., 1989); Insomnia Severity Index (ISI, Morin S. et al., 2011). Statistical methods: Shapiro–Wilk test, Mann–Whitney U-test, Spearman’s Rank correlation, Kruskal–Wallis test, Pearson’s chi-squared test.

Results. No correlation was found between the intensity of suicidal thoughts and sleep disturbances and sleep quality. People with suicidal ideation of insomnia have more pronounced insomnia. Associations were identified in the form of a direct correlation between sleep disorders and subjective sleep quality and the severity of depressive experiences.

Conclusions. It can be assumed that if there are any suicidal ideas regardless of the severity of these, insomnia is more pronounced. It may become an early criterion for diagnosing suicidal risk in the future. Sleep disturbances are associated with depressive symptoms and occur even when the clinical criteria for depressive disorder cannot be confirmed. Findings suggest the presence of more complex relationships of the described phenomena, which is planned to be studied in further clinical studies.

Full Text

Restricted Access

About the authors

Ilya S. Efremov

Bashkir State Medical University

Author for correspondence.
Russian Federation, 450008, Ufa, Lenin str., 3

Azat R. Asadullin

Bashkir State Medical University; Republican Narcological Dispensary №1; St. Petersburg V.M. Bekhterev Psychoneurological Research Institute

Russian Federation, 450008, Ufa, Lenin str., 3; 450005, Ufa, Pushkin str., 119; 192019, St. Petersburg, Bekhterev str., 3

Regina F. Nasyrova

St. Petersburg V.M. Bekhterev Psychoneurological Research Institute

Russian Federation, 192019, St. Petersburg, Bekhterev str., 3

Elvina A. Akhmetova

Bashkir State Medical University; Republican Narcological Dispensary №1; St. Petersburg V.M. Bekhterev Psychoneurological Research Institute

Russian Federation, 450008, Ufa, Lenin str., 3; 450005, Ufa, Pushkin str., 119; 192019, St. Petersburg, Bekhterev str., 3

Vladimir L. Yuldashev

Bashkir State Medical University

Russian Federation, 450008, Ufa, Lenin str., 3


  1. Положий Б.С. Суицидальная ситуация в современной России. Научно-практическая конференция «Психическое здоровье человека и общества. Актуальные междисциплинарные проблемы». 2018; 567–574. [Polozhiy B.S. Suitsidalʹnaya situatsiya v sovremennoy Rossii. (Suicidal situation in modern Russia.) Nauchno-prakticheskaya konferentsiya «Psikhicheskoe zdorovʹe cheloveka i obshchestva. Aktualʹnye mezhdistsiplinarnye problem». 2018; 567–574. (In Russ.)]
  2. Единый государственный реестр записей актов гражданского состояния (ЕГР ЗАГС). 2018. (дата обращения: 04.12.2019). [Edinyy gosudarstvennyy reestr zapisey aktov grazhdanskogo sostoyaniya (EGR ZAGS). (Unified State Register of Civil Status Records.) (access date: 04.12.2019). (In Russ.)]
  3. Асадуллин А.Р., Асадуллина Г.М., Газизова Н.Р., Ахметова Э.А. Анализ суицидального поведения у потребителей «дизайнерских» наркотических средств. Педагогический ж. Башкортостана. 2017; (1): 112–117. [Asadullin A.R., Asadullina G.M., Gazizova N.R., Ahmetova E.A. Analysis of suicidal behavior among consumers “designer” drugs. Pedagogicheskiy zhurnal Bashkortostana. 2017; (1): 112–117. (In Russ.)] doi: 10.21510/1817-3292-2017-1-112-118.
  4. Радкевич Л.А., Кабанкин А.С., Радкевич Д.А. Смертность от суицида и алкоголизма, зависимая от уровня потребления алкогольных напитков. Res. Pract. Med. J. 2017; 4 (1): 33–39. [Radkevich L.A., Kabankin A.S., Radkevich D.A. Mortality from suicide and alcoholism, depending on the level of alcohol consumption. Res. Pract. Med. J. 2017; 4 (1): 33–39. (In Russ.)] doi: 10.17709/2409-2231-2017-4-1-4.
  5. World Health Organization et al. Preventing suicide: a global imperative. Geneva: World Health Organization; 2014; 42.
  6. Dambrauskiene K., Adomaitiene V., Zalinkevicius R. et al. Can suicide attempt be related to problem drinking: cohort study. Alcohol and Alcoholism. 2018; 54 (1): 104–111. doi: 10.1093/alcalc/agy080. PMID: 30452537.
  7. Roche S.P., Rogers M.L., Pridemore W.A. A cross-national study of the population-level association between alcohol consumption and suicide rates. Drug and Alcohol Dependence. 2018; 188: 16–23. doi: 10.1016/j.drugalcdep.2018.02.036.
  8. Russell K., Allan S., Beattie L. et al. Sleep problem, suicide and self-harm in university students: A systematic review. Sleep Med. Rev. 2019; 44: 58–69. doi: 10.1016/j.smrv.2018.12.008.
  9. Wong M.M., Brower K.J., Zucker R.A. Sleep problems, suicidal ideation, and self-harm behaviors in adolescence. J. Psychiatric Res. 2011; 45 (4): 505–511. doi: 10.1016/j.jpsychires.2010.09.005.
  10. Nadorff M.R., Salem T., Winer E.S. et al. Explaining alcohol use and suicide risk: a moderated mediation model involving insomnia symptoms and gender. J. Clin. Sleep Med. 2014; 10 (12): 1317–1323. doi: 10.5664/jcsm.4288.
  11. Зотов П.Б. Суицидальное поведение: роль «внешнего ключа», как элемента суицидальной динамики и объекта психотерапии. Рос. мед.-биол. вестн. им. акад. И.П. Павлова. 2015 (4): 133–137. [Zotov P.B. Suicidal behavior: the role of “foreign key”, as an element of the suicidal dynamics and object of psychotherapy. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova. 2015; (4): 133–137. (In Russ.)]
  12. Posner K., Oquendo M.A., Gould M. et al. Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants. Am. J. Psychiatry. 2007; 164 (7): 1035–1043. doi: 10.1176/ajp.2007.164.7.1035/
  13. Montgomery S.A., Åsberg M. A new depression scale designed to be sensitive to change. Brit. J. Psychiatry. 1979; 134 (4): 382–389. doi: 10.1192/bjp.134.4.382.
  14. Buysse D.J., Reynolds C.F., Monk T.H. et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28 (2): 193–213. doi: 10.1016/0165-1781(89)90047-4.
  15. Morin C.M., Belleville G., Bélanger L., Ivers H. The insomnia severity index: Psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011; 34 (5): 601–608. doi: 10.1093/sleep/34.5.601.



Abstract: 316

PDF (Russian): 5


Article Metrics

Metrics Loading ...



  • There are currently no refbacks.

Copyright (c) 2020 Efremov I.S., Asadullin A.R., Nasyrova R.F., Akhmetova E.A., Yuldashev V.L.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies