{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T07:17:44Z","timestamp":1770967064521,"version":"3.50.1"},"reference-count":74,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T00:00:00Z","timestamp":1555459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract:<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to evaluate the links between different sleep parameters and suicidal ideation and behavior in remitted bipolar I patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred eight remitted bipolar I patients were recruited from the psychiatry department of Razi Hospital. The third item of the \u201cHamilton Depression Rating Scale\u201d was used to evaluate current suicidal behaviors. Circadian typology, daytime sleepiness and sleep quality were evaluated using the \u201cHorne and Ostberg Morningness\u2010Eveningness Questionnaire,\u201d the \u201cEpworth Sleepiness Scale,\u201d and the \u201cPittsburgh Sleep Quality Index,\u201d respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Current suicidal ideation and behavior were significantly associated with circadian typology, daytime sleepiness, and sleep quality. After controlling for demographic variables (age and gender) and psychosocial factors (depression and substance use), suicidal ideation significantly contributed to sleep quality. Depression was a significant predictor within the second step when entered with other psychosocial variables; however, once suicide variables were included, depression was no longer a significant predictor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An evaluation of sleep's quality should be included in the suicide risk assessment of bipolar I patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22793","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T20:06:25Z","timestamp":1555531585000},"page":"1643-1657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The link between sleep disturbances and suicidal thoughts and behaviors in remitted bipolar I patients"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2569-8017","authenticated-orcid":false,"given":"Feten","family":"Fekih\u2010Romdhane","sequence":"first","affiliation":[{"name":"Faculty of Medicine of Tunis Tunis El Manar University  Tunisia"},{"name":"Psychiatry Department \"E\" Razi Hospital Mannouba Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihen","family":"Jendoubi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis Tunis El Manar University  Tunisia"},{"name":"Psychiatry Department \"E\" Razi Hospital Mannouba Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0552-7309","authenticated-orcid":false,"given":"Bochra Nourh\u00e8ne","family":"Saguem","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis Tunis El Manar University  Tunisia"},{"name":"Psychiatry Department \"E\" Razi Hospital Mannouba Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rym","family":"Ridha","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis Tunis El Manar University  Tunisia"},{"name":"Psychiatry Department \"E\" Razi Hospital Mannouba Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majda","family":"Cheour","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of Tunis Tunis El Manar University  Tunisia"},{"name":"Psychiatry Department \"E\" Razi Hospital Mannouba Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,17]]},"reference":[{"key":"e_1_2_6_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0191-8869(91)90110-W"},{"key":"e_1_2_6_1_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/07420520903398559"},{"key":"e_1_2_6_1_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/07420521003663827"},{"key":"e_1_2_6_1_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_1_6_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2011.183"},{"issue":"6","key":"e_1_2_6_1_7_1","first-page":"735","article-title":"Sleep disturbances and suicide risk: A review of the literature","volume":"3","author":"Bernert R. 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