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The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review.

Publication ,  Journal Article
Rumble, ME; Dickson, D; McCall, WV; Krystal, AD; Case, D; Rosenquist, PB; Benca, RM
Published in: J Affect Disord
February 2018

BACKGROUND: Epidemiological data have demonstrated seasonal and circadian patterns of suicidal deaths. Several reviews and meta-analyses have confirmed the relationship between sleep disturbance and suicidality. However, these reviews/meta-analyses have not focused on seasonal and circadian dysfunction in relation to suicidality, despite the common presence of this dysfunction in patients with mood disorders. Thus, the current literature review analyzed studies investigating person-specific chronotype, seasonality, and rhythmicity in relation to suicidal thoughts and behaviors. METHODS: Study authors reviewed articles related to individual-level chronotype, seasonality, and rhythmicity and suicidality that were written in English and not case reports or reviews. RESULTS: This review supports a relationship between an eveningness chronotype, greater seasonality, and decreased rhythmicity with suicidal thoughts and behaviors in those with unipolar depression, as well as in other psychiatric disorders and in children/adolescents. LIMITATIONS: These findings need to be explored more fully in mood disordered populations and other psychiatric populations, in both adults and children, with objective measurement such as actigraphy, and with chronotype, seasonality, and rhythmicity as well as broader sleep disturbance measurement all included so the construct(s) most strongly linked to suicidality can be best identified. CONCLUSIONS: Eveningness, greater seasonality, and less rhythmicity should be considered in individuals who may be at risk for suicidal thoughts and behaviors and may be helpful in further tailoring assessment and treatment to improve patient outcome.

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Published In

J Affect Disord

DOI

EISSN

1573-2517

Publication Date

February 2018

Volume

227

Start / End Page

721 / 730

Location

Netherlands

Related Subject Headings

  • Suicidal Ideation
  • Sleep Wake Disorders
  • Sleep Disorders, Circadian Rhythm
  • Psychiatry
  • Polysomnography
  • Male
  • Humans
  • Female
  • Depressive Disorder, Major
  • Circadian Rhythm
 

Citation

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Chicago
ICMJE
MLA
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Rumble, M. E., Dickson, D., McCall, W. V., Krystal, A. D., Case, D., Rosenquist, P. B., & Benca, R. M. (2018). The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review. J Affect Disord, 227, 721–730. https://doi.org/10.1016/j.jad.2017.11.078
Rumble, Meredith E., Daniel Dickson, W Vaughn McCall, Andrew D. Krystal, Doug Case, Peter B. Rosenquist, and Ruth M. Benca. “The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review.J Affect Disord 227 (February 2018): 721–30. https://doi.org/10.1016/j.jad.2017.11.078.
Rumble ME, Dickson D, McCall WV, Krystal AD, Case D, Rosenquist PB, et al. The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review. J Affect Disord. 2018 Feb;227:721–30.
Rumble, Meredith E., et al. “The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review.J Affect Disord, vol. 227, Feb. 2018, pp. 721–30. Pubmed, doi:10.1016/j.jad.2017.11.078.
Rumble ME, Dickson D, McCall WV, Krystal AD, Case D, Rosenquist PB, Benca RM. The relationship of person-specific eveningness chronotype, greater seasonality, and less rhythmicity to suicidal behavior: A literature review. J Affect Disord. 2018 Feb;227:721–730.
Journal cover image

Published In

J Affect Disord

DOI

EISSN

1573-2517

Publication Date

February 2018

Volume

227

Start / End Page

721 / 730

Location

Netherlands

Related Subject Headings

  • Suicidal Ideation
  • Sleep Wake Disorders
  • Sleep Disorders, Circadian Rhythm
  • Psychiatry
  • Polysomnography
  • Male
  • Humans
  • Female
  • Depressive Disorder, Major
  • Circadian Rhythm