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Int J Adolesc Med Health. 2017 Jun 09;31(2). doi: 10.1515/ijamh-2016-0161.

Associations among daytime sleepiness, depression and suicidal ideation in Korean adolescents.

International journal of adolescent medicine and health

Boksun Yang, Kwisoon Choe, Youngrye Park, Youngmi Kang

Affiliations

  1. College of Nursing, Jesus University, Jeonju, Jeonbuk,Republic of Korea.
  2. Department of Nursing, Chung-Ang University, Seoul, Republic of Korea.
  3. Department of Nursing, Kunsan National University, Jeonbuk,Gusan, Republic of Korea.
  4. East-West Nursing Research Institute, College of Nursing Science, Kyung Hee University, 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 130-701, Republic of Korea, Phone: +82-2-961-9175, Fax: +82-02-961-9398.

PMID: 28598800 DOI: 10.1515/ijamh-2016-0161

Abstract

The aim of this study was to examine the effects of daytime sleepiness on depression and suicidal ideation in adolescent high-school students. A survey of 538 high school students aged 16-17 years attending two academic schools was conducted. The Epworth Sleepiness Scale (ESS), the Beck Depression Inventory and the Scale for Suicide Ideation were used to assess subjects' daytime sleepiness, depression and suicidal ideation. The mean score for daytime sleepiness was 8.52, which indicates a sleep deficit. Significant positive correlations were found between daytime sleepiness and depression, between daytime sleepiness and suicidal ideation and between depression and suicidal ideation. Gender and depression were significant predictors of suicidal ideation, accounting for 48% of the variance in this measure. Depression acts as a mediator of the relationship between daytime sleepiness and suicidal ideation. High school students in Korea generally have insufficient sleep time and feel sleepy during the day; insufficient sleep during adolescence may be associated with depression and suicidal ideation.

Keywords: Korea; adolescents; depression; sleepiness; suicidal ideation

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