Rapid resolution of intense suicidal ideation after treatment of severe obstructive sleep apnea

Lois E. Krahn, Bernard W. Miller, Larry R. Bergstrom

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Patients with insomnia may develop suicidal ideation; however, we know of no reports of suicidal ideation associated with obstructive sleep apnea. We report on a 74-year-old man who presented to his primary care physician with excessive daytime sleepiness, poor quality nocturnal sleep, depressed mood, and suicidal ideation with active suicide plans. An emergency outpatient psychiatry consultation was arranged. The patient declined psychiatric hospitalization. He agreed to a trial of continuous positive airway pressure, using a self-titrating machine, followed by an urgent sleep study. Polysomnography revealed an apnea hypopnea index of 64, arousal index of 91 and minimum oxygen saturation of 65%. The patient's sleep and excessive daytime sleepiness responded to nCPAP. The patient declined antidepressant medication but had excellent adherence to nCPAP. Suicidal ideation and depression resolved promptly and at 4-month followup were in remission. Further studies examining the relationship among untreated obstructive sleep apnea, depression, and suicidal ideation are warranted.

Original languageEnglish (US)
Pages (from-to)64-65
Number of pages2
JournalJournal of Clinical Sleep Medicine
Volume4
Issue number1
DOIs
StatePublished - Feb 15 2008

Keywords

  • Depression
  • Obstructive sleep apnea
  • Suicidal ideation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

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