Back to Journals » Adolescent Health, Medicine and Therapeutics » Volume 6

Is there an association between insomnia symptoms, aggressive behavior, and suicidality in adolescents?

Authors Zschoche M, Schlarb A

Received 28 October 2014

Accepted for publication 11 December 2014

Published 2 March 2015 Volume 2015:6 Pages 29—36


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Professor Steven Youngentob

Maria Zschoche, Angelika Anita Schlarb

Faculty of Psychology and Sports Science, University of Bielefeld, Bielefeld, Germany

Purpose: Sleep disturbances are a common problem during adolescence. Often there is a relationship with the mental health of the affected person. The existing literature concerning the link between sleep disturbances and aggressive behavior and sleep disturbances and suicidality during adolescence shows no clear results. The present study tested a mediation model to prove the relation between sleep problems, aggressive behavior, and suicidality during adolescence. To take the link between suicidality and depression into account, the amount of depressive symptoms was included into the mediation model.
Methods: A sample of 93 adolescents aged 14–18 years (30% male) was studied. A survey was conducted to interview the adolescents about their mental health, sleep-related behaviors, aggressive behavior, and suicidality.
Results: Sleep problems and suicidality measures were significantly related to each other. Furthermore, aggressive behavior and suicidality showed a significant relationship. The expected link between sleep problems and aggressive behavior was not significant. For the mediation model, no significant influence of aggressive behavior on the relationship between the amount of sleep problems and suicidality was found. However, the impact of depressive symptoms on the relationship between sleep problems and suicidality was significant.
Conclusion: Sleep problems and overall suicidality in adolescents are significantly connected, even after adjusting for several possible influencing factors. Aggressive behavior could not be confirmed as a mediator for the association between sleep problems and suicidality in adolescents. Further studies to examine the link between insomnia symptoms, aggressive behavior, and suicidality in adolescents are necessary.

Keywords: adolescents, aggressive behavior, sleep problems, suicidality, depression

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]


Other articles by this author:

Sleep and somatic complaints in university students

Schlarb AA, Claßen M, Hellmann SM, Vögele C, Gulewitsch MD

Journal of Pain Research 2017, 10:1189-1199

Published Date: 18 May 2017

Occurrence of ADHD in parents of ADHD children in a clinical sample

Starck M, Grünwald J, Schlarb AA

Neuropsychiatric Disease and Treatment 2016, 12:581-588

Published Date: 3 March 2016

Sleep characteristics, sleep problems, and associations of self-efficacy among German university students

Schlarb AA, Kulessa D, Gulewitsch MD

Nature and Science of Sleep 2012, 4:1-7

Published Date: 9 February 2012

JuSt – a multimodal program for treatment of insomnia in adolescents: a pilot study

Angelika A Schlarb, Christina C Liddle, Martin Hautzinger

Nature and Science of Sleep 2011, 3:13-20

Published Date: 22 December 2010

First effects of a multicomponent treatment for sleep disorders in children

Angelika A Schlarb, Kerstin Velten-Schurian, Christian F Poets, et al

Nature and Science of Sleep 2011, 3:1-11

Published Date: 22 December 2010

Readers of this article also read:

Emerging and future therapies for hemophilia

Carr ME, Tortella BJ

Journal of Blood Medicine 2015, 6:245-255

Published Date: 3 September 2015

A new recombinant factor VIII: from genetics to clinical use

Santagostino E

Drug Design, Development and Therapy 2014, 8:2507-2515

Published Date: 12 December 2014

Second case report of successful electroconvulsive therapy for a patient with schizophrenia and severe hemophilia A

Saito N, Shioda K, Nisijima K, Kobayashi T, Kato S

Neuropsychiatric Disease and Treatment 2014, 10:865-867

Published Date: 16 May 2014

Green synthesis of water-soluble nontoxic polymeric nanocomposites containing silver nanoparticles

Prozorova GF, Pozdnyakov AS, Kuznetsova NP, Korzhova SA, Emel’yanov AI, Ermakova TG, Fadeeva TV, Sosedova LM

International Journal of Nanomedicine 2014, 9:1883-1889

Published Date: 16 April 2014

Cross-linked acrylic hydrogel for the controlled delivery of hydrophobic drugs in cancer therapy

Deepa G, Thulasidasan AK, Anto RJ, Pillai JJ, Kumar GS

International Journal of Nanomedicine 2012, 7:4077-4088

Published Date: 27 July 2012

The use of PEGylated liposomes in the development of drug delivery applications for the treatment of hemophilia

Rivka Yatuv, Micah Robinson, Inbal Dayan-Tarshish, et al

International Journal of Nanomedicine 2010, 5:581-591

Published Date: 6 August 2010

Crystallization after intravitreal ganciclovir injection

Pitipol Choopong, Nattaporn Tesavibul, Nattawut Rodanant

Clinical Ophthalmology 2010, 4:709-711

Published Date: 14 July 2010