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Investigating the Quality of Sleep and the Prevalence of Insomnia Among Adolescents with Self-Injury and Suicidal Behaviors.

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Title: Investigating the Quality of Sleep and the Prevalence of Insomnia Among Adolescents with Self-Injury and Suicidal Behaviors.
Authors: Yazdani, Mostafa (AUTHOR), Shahba, Ladan (AUTHOR), Shahrbabak, Shiva Vojdani (AUTHOR), Jahanbakhsh, Farzaneh (AUTHOR)
Source: Journal of Turkish Sleep Medicine / Türk Uyku Tıbbı Dergisi. Jun2026, Vol. 13 Issue 2, p1-60. 60p.
Subjects: Self-injurious behavior, Risk assessment, Self-evaluation, Substance abuse, Academic medical centers, Risk-taking behavior, Stress management, Suicidal ideation, T-test (Statistics), Sleep latency, Insomnia, Interviewing, Questionnaires, Hospital care, Sex distribution, Logistic regression analysis, Severity of illness index, Age distribution, Descriptive statistics, Chi-squared test, Path analysis (Statistics), Chronic diseases, Suicidal behavior, Sleep duration, Suicide, Research methodology, Inferential statistics, Sleep quality, Cognitive therapy, Data analysis software, Hospital care of teenagers, Educational attainment, Sleep hygiene, Evaluation, Disease risk factors, Adolescence
Geographic Terms: Iran
Abstract: Objective Sleep disorders and insomnia are major health problems that significantly impact mental health, quality of life, and risky behaviors such as self-harm in adolescents. This study aimed to investigate sleep quality, insomnia severity, and demographic and clinical factors affecting sleep quality among adolescents in Kerman, Iran. Materials and Methods In 2023, 80 adolescents aged 12—20 years with self-harming behaviors were recruited from the psychiatry and counseling centers of Kerman University of Medical Sciences. Data were collected using the Pittsburgh Sleep Quality Index and Insomnia Severity Index questionnaires, structured interviews, and self-report questionnaires. The questionnaires were scored using standardized rules, and various statistical tests were used in the analysis. Results The mean age of the participants was 16.36, and 56.2% were male. Poor sleep quality was detected in 96.25% of adolescents. Insomnia severity was determined as mild (13.75%), moderate (23.75%), severe (40%), and very severe (22.5%). A significant negative correlation was found between age and insomnia severity, with poorer sleep quality in males. Insomnia severity was higher in those with higher education levels and sleep quality was significantly lower in those with chronic illnesses. Associations were also found between a history of hospitalization and substance abuse. Conclusion In conclusion, factors such as age, gender, education, chronic illness, and harmful behaviors were shown to play significant roles in sleep quality and insomnia severity in adolescents. The importance of multidimensional interventions (cognitive-behavioral therapy for insomnia, stress management, and sleep hygiene education) is emphasized. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Turkish Sleep Medicine / Türk Uyku Tıbbı Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubTypeId: academicJournal
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  Data: Investigating the Quality of Sleep and the Prevalence of Insomnia Among Adolescents with Self-Injury and Suicidal Behaviors.
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  Data: <searchLink fieldCode="AR" term="%22Yazdani%2C+Mostafa%22">Yazdani, Mostafa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shahba%2C+Ladan%22">Shahba, Ladan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shahrbabak%2C+Shiva+Vojdani%22">Shahrbabak, Shiva Vojdani</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jahanbakhsh%2C+Farzaneh%22">Jahanbakhsh, Farzaneh</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Stress+management%22">Stress management</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+ideation%22">Suicidal ideation</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+latency%22">Sleep latency</searchLink><br /><searchLink fieldCode="DE" term="%22Insomnia%22">Insomnia</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Path+analysis+%28Statistics%29%22">Path analysis (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+diseases%22">Chronic diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Suicidal+behavior%22">Suicidal behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+duration%22">Sleep duration</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Inferential+statistics%22">Inferential statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care+of+teenagers%22">Hospital care of teenagers</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+hygiene%22">Sleep hygiene</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
– Name: SubjectGeographic
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  Data: <searchLink fieldCode="DE" term="%22Iran%22">Iran</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective Sleep disorders and insomnia are major health problems that significantly impact mental health, quality of life, and risky behaviors such as self-harm in adolescents. This study aimed to investigate sleep quality, insomnia severity, and demographic and clinical factors affecting sleep quality among adolescents in Kerman, Iran. Materials and Methods In 2023, 80 adolescents aged 12—20 years with self-harming behaviors were recruited from the psychiatry and counseling centers of Kerman University of Medical Sciences. Data were collected using the Pittsburgh Sleep Quality Index and Insomnia Severity Index questionnaires, structured interviews, and self-report questionnaires. The questionnaires were scored using standardized rules, and various statistical tests were used in the analysis. Results The mean age of the participants was 16.36, and 56.2% were male. Poor sleep quality was detected in 96.25% of adolescents. Insomnia severity was determined as mild (13.75%), moderate (23.75%), severe (40%), and very severe (22.5%). A significant negative correlation was found between age and insomnia severity, with poorer sleep quality in males. Insomnia severity was higher in those with higher education levels and sleep quality was significantly lower in those with chronic illnesses. Associations were also found between a history of hospitalization and substance abuse. Conclusion In conclusion, factors such as age, gender, education, chronic illness, and harmful behaviors were shown to play significant roles in sleep quality and insomnia severity in adolescents. The importance of multidimensional interventions (cognitive-behavioral therapy for insomnia, stress management, and sleep hygiene education) is emphasized. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Turkish Sleep Medicine / Türk Uyku Tıbbı Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194702622
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.4274/jtsm.galenos.2025.80269
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 60
        StartPage: 1
    Subjects:
      – SubjectFull: Self-injurious behavior
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Stress management
        Type: general
      – SubjectFull: Suicidal ideation
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Sleep latency
        Type: general
      – SubjectFull: Insomnia
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Path analysis (Statistics)
        Type: general
      – SubjectFull: Chronic diseases
        Type: general
      – SubjectFull: Suicidal behavior
        Type: general
      – SubjectFull: Sleep duration
        Type: general
      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Inferential statistics
        Type: general
      – SubjectFull: Sleep quality
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Hospital care of teenagers
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Sleep hygiene
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Iran
        Type: general
    Titles:
      – TitleFull: Investigating the Quality of Sleep and the Prevalence of Insomnia Among Adolescents with Self-Injury and Suicidal Behaviors.
        Type: main
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            NameFull: Yazdani, Mostafa
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            NameFull: Shahba, Ladan
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            NameFull: Shahrbabak, Shiva Vojdani
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            – D: 01
              M: 06
              Text: Jun2026
              Type: published
              Y: 2026
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              Value: 13
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          Titles:
            – TitleFull: Journal of Turkish Sleep Medicine / Türk Uyku Tıbbı Dergisi
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