학술논문

A high sense of coherence can mitigate suicidal ideation associated with insomnia
Document Type
article
Source
Health Psychology Report, Vol 11, Iss 4, Pp 309-320 (2023)
Subject
suicidal ideation
insomnia
employees
salutogenesis
multi-level analysis
Medicine
Psychology
BF1-990
Language
English
ISSN
2353-4184
2353-5571
Abstract
Background The present study aimed to investigate whether insomnia is associated with suicidal ideation (SI) among Japanese workers by conducting a multi-level analysis with sense of coherence (SOC) as a random effect. Participants and procedure A cross-sectional survey was conducted among 19,481 workers in Tsukuba, Japan. Data from 7,175 participants aged 20-65 years were included in the analysis. The Athens Insomnia Scale (AIS) was used as the independent variable, and SI over the past year was used as the dependent variable. SOC was measured using the five-point SOC-13 scale, and socioeconomic and health factors were investigated as covariates. Participants were divided into three groups (low, medium, and high) based on their SOC scores. Multilevel logistic regression analysis was performed to calculate odds ratios (OR) and 95% con-fidence intervals (95% CI). Results In the high-SOC group, only one person had SI. In a multi-level logistic analysis that excluded the high SOC group, insom-nia was found to be associated with SI (OR = 2.26, 95% CI [1.75, 2.93]). Furthermore, the AIS sub-items “Final awakening earlier than desired” (OR = 1.26, 95% CI [1.05, 1.50]) and “Sense of well-being during the day” (OR = 1.63, 95% CI [1.34, 1.99]) were associated with SI. 8.95% or 11% of the variation in the presence or absence of SI was found to be explained by differences between SOC groups. Conclusions The study highlights that insomnia is associated with SI, and that high SOC may reduce SI even under insomnia. Future longitudinal studies are needed to confirm whether high SOC reduces SI due to insomnia.