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

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

Research output: Contribution to journalArticle

28 Citations (Scopus)

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
StatePublished - Feb 15 2008

Fingerprint

Suicidal Ideation
Obstructive Sleep Apnea
Sleep
Psychiatry
Depression
Therapeutics
Continuous Positive Airway Pressure
Polysomnography
Sleep Initiation and Maintenance Disorders
Primary Care Physicians
Apnea
Arousal
Suicide
Antidepressive Agents
Hospitalization
Emergencies
Outpatients
Referral and Consultation
Oxygen

Keywords

  • Depression
  • Obstructive sleep apnea
  • Suicidal ideation

ASJC Scopus subject areas

  • Clinical Neurology
  • Pulmonary and Respiratory Medicine
  • Neurology

Cite this

Rapid resolution of intense suicidal ideation after treatment of severe obstructive sleep apnea. / Krahn, Lois Elaine; Miller, Bernard W.; Bergstrom, Larry R.

In: Journal of Clinical Sleep Medicine, Vol. 4, No. 1, 15.02.2008, p. 64-65.

Research output: Contribution to journalArticle

@article{19fddc8cc7714c3a824f786871c2d8da,
title = "Rapid resolution of intense suicidal ideation after treatment of severe obstructive sleep apnea",
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.",
keywords = "Depression, Obstructive sleep apnea, Suicidal ideation",
author = "Krahn, {Lois Elaine} and Miller, {Bernard W.} and Bergstrom, {Larry R.}",
year = "2008",
month = "2",
day = "15",
language = "English (US)",
volume = "4",
pages = "64--65",
journal = "Journal of Clinical Sleep Medicine",
issn = "1550-9389",
publisher = "American Academy of Sleep Medicine",
number = "1",

}

TY - JOUR

T1 - Rapid resolution of intense suicidal ideation after treatment of severe obstructive sleep apnea

AU - Krahn, Lois Elaine

AU - Miller, Bernard W.

AU - Bergstrom, Larry R.

PY - 2008/2/15

Y1 - 2008/2/15

N2 - 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.

AB - 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.

KW - Depression

KW - Obstructive sleep apnea

KW - Suicidal ideation

UR - http://www.scopus.com/inward/record.url?scp=43549124134&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=43549124134&partnerID=8YFLogxK

M3 - Article

C2 - 18350966

AN - SCOPUS:43549124134

VL - 4

SP - 64

EP - 65

JO - Journal of Clinical Sleep Medicine

JF - Journal of Clinical Sleep Medicine

SN - 1550-9389

IS - 1

ER -