High obstructive sleep apnea risk was not associated with a significantly higher prevalence of suicidal ideation compared to low risk (4.0% vs 3.1%), though depression and anxiety were consistently strong correlates in both groups.
Cross-Sectional (n=3,447)
What are the biopsychosocial correlates of suicidal ideation across obstructive sleep apnea risk groups in Korean adults?
Depression and anxiety are consistent correlates of suicidal ideation regardless of OSA risk, while specific behavioral and social factors like smoking and not sharing meals are uniquely associated in high-risk OSA patients.
Tasa de eventos absoluta: 4% vs 3.1%
valor p: p=0.158
Purpose: Suicidal ideation is associated with multiple biopsychosocial conditions. Obstructive sleep apnea(OSA) is a common sleep-related condition that coexist with psychological, behavioral, and social factors. However, population-based evidence describing correlates of suicidal ideation across OSA risk groups remains limited. Methods: This cross-sectional secondary analysis used data from the 2022-2023 Korea National Health and Nutrition Examination Survey. OSA risk was classified using the STOP-Bang questionnaire as low (0~2) or high (≥3). Past-year suicidal ideation was self-reported. Multivariable logistic regression analyses accounting for complex sampling design were conducted separately within each OSA risk group. Results: Among 3,447 adults aged ≥40 years, suicidal ideation prevalence was 3.1% in the low-risk group and 4.0% in the high-risk group. Absence of depressive symptoms was associated with lower odds in both groups (high-risk: AOR=0.28, low-risk: AOR=0.11), whereas higher anxiety was associated with higher odds(high-risk: AOR=4.95, low-risk: AOR=5.21). In the high-risk group, current smoking (AOR=3.57) and not sharing meals (AOR=2.97) were additionally associated. In the low-risk group, short sleep duration (AOR=2.41), mental health consultation(AOR=4.20), and older age (AOR=0.26) were observed. Biological indicators were not significant after adjustment. Conclusion: Depression and anxiety were consistently associated with suicidal ideation across OSA risk groups. Additional behavioral, social, and sleep-related factors were observed within specific groups, although these findings reflect descriptive patterns rather than statistically confirmed heterogeneity. Incorporating sleep-related health context may enhance population-level suicide risk assessment and support subgroup identification for targeted screening. Longitudinal studies are needed to clarify temporal relationships and mechanisms.
Mikyung et al. (Sun,) conducted a cross-sectional in Suicidal ideation and Obstructive Sleep Apnea (n=3,447). High Obstructive Sleep Apnea (OSA) risk vs. Low OSA risk was evaluated on Prevalence of past-year suicidal ideation (p=0.158). High obstructive sleep apnea risk was not associated with a significantly higher prevalence of suicidal ideation compared to low risk (4.0% vs 3.1%), though depression and anxiety were consistently strong correlates in both groups.