Health Day - ONLINE EDITION

Suicides More Likely After Midnight, Study Finds

Treating chronic insomnia may help reduce risk, researchers add

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TUESDAY, June 3, 2014 (HealthDay News) -- Suicides are more likely to occur during the dark hours between midnight and sunrise, a new study shows.

The researchers said their findings have important implications for people with chronic insomnia that lasts for at least three months. This sleep disorder affects about 10 percent of adults. Treating insomnia may help lower suicide risk, the study authors said.

"This appears to be the first data to suggest that circadian factors may contribute to suicidality and help explain why insomnia is also a risk factor for suicidal ideation and behavior," lead investigator Michael Perlis, director of the Penn Behavioral Sleep Medicine Program at the University of Pennsylvania in Philadelphia, said in a news release.

"These results suggest that not only are nightmares and insomnia significant risk factors for suicidal ideation and behavior, but just being awake at night may in and of itself be a risk factor for suicide," he said.

Although previous studies have found that suicides occur more often during the day, the researchers pointed out these studies didn't adjust for the proportion of people awake at certain times of the day.

Using the National Violent Death Reporting System, the researchers were able to analyze the estimated times of suicides. They also obtained information on the proportion of Americans awake at any given hour from the American Time Use Survey.

The times that suicides occurred were divided into one-hour groups, weighted by the proportion of people awake at that time.

After analyzing information on more than 35,000 suicides, the researchers found the frequency of suicides between midnight and 5:59 a.m. was 3.6 times higher than expected.

The study revealed the mean suicide rate was 10.27 percent per hour after midnight. It peaked between 2 a.m. and 3 a.m., at 16.27 percent. Throughout the day, the mean suicide rate per hour was 2.13 percent.

The study was published in an online supplement of Sleep, and was to be presented Tuesday at the Associated Professional Sleep Societies annual meeting in Minneapolis. The findings should be considered preliminary until published in a peer-reviewed journal.

More than 38,000 people die by suicide each year, making it the 10th leading cause of death in the United States.

More information

The American Foundation for Suicide Prevention provides more information on risk factors for suicide.

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