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However, limited research has examined the role of poor sleep in mental health among people experiencing suicidal distress. This study tested whether symptoms of sleep disturbance were prospectively associated with increased severity of depression symptoms, psychological distress, suicidal ideation (\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      ) and functional impairment in a large population\u2010based sample of adults with suicidal ideation\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:styled-content style=\"fixed-case\">LifeTrack<\/jats:styled-content>\n                      longitudinal study involves a cohort of Australian adults experiencing recent\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      recruited from the general population. Symptoms of sleep disturbance (\n                      <jats:styled-content style=\"fixed-case\">PROMIS<\/jats:styled-content>\n                      \u2010sleep disturbance) were reported at baseline. Complete baseline and 6\u2010month follow\u2010up data were provided by 776 (84%) participants, including symptoms of depression, psychological distress,\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      severity and functional impairment, while 668 (72%) also completed 12\u2010month assessments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In regression analyses, baseline sleep disturbance symptoms were significantly associated with depression, distress, and functioning at 6\u2010 and 12\u2010months, accounting for baseline symptom severity, age, and gender. However, associations between baseline sleep disturbance and subsequent\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      were observed only at 12 months. Gender and health\u2010related variables significantly moderated the effects of sleep disturbance on functional impairment at 12 months but not 6 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Sleep disturbance may play an important role in the maintenance of mental ill health among people experiencing suicidal distress, although effects on\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      may be delayed. Most associations were not moderated by demographic or health factors. Findings suggest that treating sleep disturbance may lead to improved mental health among people with\n                      <jats:styled-content style=\"fixed-case\">SI<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjc.70021","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T10:53:44Z","timestamp":1762858424000},"page":"811-823","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Longitudinal role of sleep disturbance in mental health and functioning among adults with suicidal ideation"],"prefix":"10.1111","volume":"65","author":[{"given":"Aliza","family":"Werner\u2010Seidler","sequence":"first","affiliation":[{"name":"Black Dog Institute University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3126-1141","authenticated-orcid":false,"given":"Brittany","family":"Corkish","sequence":"additional","affiliation":[{"name":"Black Dog Institute University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Gendi","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Research The Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise M.","family":"Farrer","sequence":"additional","affiliation":[{"name":"Centre for Mental Health Research The Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison L.","family":"Calear","sequence":"additional","affiliation":[{"name":"Black Dog Institute University of New South Wales  Sydney New South Wales Australia"},{"name":"Centre for Mental Health Research The Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan","family":"Borschmann","sequence":"additional","affiliation":[{"name":"Oxford Health NHS Foundation Trust  Oxford UK"},{"name":"Department of Psychiatry, Medical Sciences Division University of Oxford  Oxford UK"},{"name":"Centre for Adolescent Health Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Justice Health Group, School of Population Health Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaby","family":"Illingworth","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Medical Sciences Division University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridianne","family":"O'Dea","sequence":"additional","affiliation":[{"name":"Flinders University Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work Flinders University  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4547-6876","authenticated-orcid":false,"given":"Philip J.","family":"Batterham","sequence":"additional","affiliation":[{"name":"Black Dog Institute University of New South Wales  Sydney New South Wales Australia"},{"name":"Centre for Mental Health Research The Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.04.025"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2020.101352"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.01.011"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psycom.2025.100210"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010023\u201005335\u20101"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2015.10.005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002835"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/ndt.s1248"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.08.011"},{"key":"e_1_2_11_12_1","first-page":"246","article-title":"To Bonferroni or not to Bonferroni: When and how are the questions","volume":"81","author":"Cabin R. 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