|Titre :||A study about bad dreams and nightmares preceding suicidal behaviors|
|Auteurs :||Pierre-Alexis Geoffroy, Aut. ; Rodolphe Borand, Aut. ; Marine Akkaoui Ambar, Aut. ; Séverine Yung, Aut. ; Yasmine Atoui, Aut. ; Emeline Fontenoy, Aut. ; Julia Maruani, Aut. ; Michel Lejoyeux, Aut.|
|Dans :||JOURNAL OF CLINICAL PSYCHIATRY (84(1), 2023)|
SANTEPSYCAUCHEMAR ; CRISE SUICIDAIRE ; PREVENTION ; REVE ; TENTATIVE DE SUICIDE
Objective: Nightmares seem to predict suicidal behaviors, and this new study aims to explore the chronology and trajectories of these dream contents’ alterations before a suicidal crisis, distinguishing three different experiences: bad dreams, nightmares, and suicidal scenarii during dreams.
Methods: This naturalistic study included individuals hospitalized between January 2021 and May 2021 in a psychiatric post emergency unit for suicidal crisis (thoughts and attempts).
Results: The study observed that 80% (n=32/40) of patients had altered dreams (AD) before the suicidal crisis, including 27 (67.5%) with bad dreams, 21 (52.5%) with nightmares -awakening bad dreams- and 9 (22.5%) with suicidal scenarii during dreams. No differences were observed between the AD group versus no altered dream (ND) regarding sociodemographic characteristics. We observed a progression of dream content alterations: bad dreams appear 111 days (4 months) before the suicidal crisis, then nightmares appear 87.3 days before (3 months), and suicidal scenarii were
reported 45.2 days before (1.5 month). For the AD and ND population in suicidal crisis, 80% met at least one subtype of dream alterations, 40% had bad dreams and nightmares, and 17.5% had the 3 subtypes. The AD group, compared to ND, had significantly more family history of insomnia (p=0.046). Almost all patients (97.5%) had depressive symptoms (MADRS≥7; 82.5% had moderate to severe
symptoms, MADRS≥20), 60% had insomnia (ISI>14), 92.5% had altered sleep quality (PSQI>5), and 57.5% reported sleepiness (ESS>10).
Conclusion: Dream alterations and their progression could be readily assessed and may help to better identify prodromal signs of suicidal behaviors.
|En ligne :||https://go.openathens.net/redirector/ghu-paris.fr?url=https://www.psychiatrist.com/jcp/depression/suicide/bad-dreams-nightmares-preceding-suicidal-behaviors/|