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"idValue" : "85088401612", "realUrl" : "http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85088401612", "published" : false, "snippet" : true } ], "journal" : { "otype" : "Journal", "mtid" : 10001080, "link" : "/api/journal/10001080", "label" : "SUICIDE AND LIFE-THREATENING BEHAVIOR 0363-0234 1943-278X", "pIssn" : "0363-0234", "eIssn" : "1943-278X", "reviewType" : "REVIEWED", "noIF" : false, "sciIndexed" : true, "scopusIndexed" : true, "lang" : "FOREIGN", "hungarian" : false, "published" : true, "oldId" : 10001080, "snippet" : true }, "volume" : "50", "issue" : "6", "firstPage" : "1189", "lastPage" : "1197", "firstPageOrInternalIdForSort" : "1189", "pageLength" : 9, "publishedYear" : 2020, "abstractText" : "Objective To elucidate processes contributing to continuing self-harm in youth at very high risk for suicide, focusing on sleep disturbance, a putative warning sign of imminent suicide risk. Method 101 youth (ages 12-18) selected for high risk of suicide/suicide attempts based on suicidal episodes plus repeated self-harm (suicide attempts and/or nonsuicidal self-injury [NSSI]). Youth were assessed at baseline, 6-, and 12-month follow-ups on measures of self-harm, suicidality, sleep, and depression. Results Youth showed high rates of baseline sleep disturbance: 81.2% scored in the clinical range on the Pittsburgh Sleep Quality Index (PSQI); 81.2% reported an evening (night owl) circadian preference. PSQI score was associated with elevated levels of self-harm (suicide attempts and NSSI) contemporaneously and predicted future self-harm within 30 days. Rates of self-harm were high during follow-up: 45.0% and 33.7% at 6 and 12 months, respectively. 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