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Record W4410501703 · doi:10.1093/sleep/zsaf090.1254

1254 Identifying Adolescents at Risk for Suicide Using Observed Classroom Behavior Indicative of Excessive Daytime Sleepiness

2025· article· en· W4410501703 on OpenAlexfundno aff
Reut Gruber, Gail Sommerville, Rosalie Barbeau, Sujata Saha

Bibliographic record

VenueSLEEP · 2025
Typearticle
Languageen
FieldPsychology
TopicResilience and Mental Health
Canadian institutionsnot available
FundersCanadian Institutes of Health Research
KeywordsDaytimeExcessive daytime sleepinessPsychologyPoison controlSuicide preventionInjury preventionOccupational safety and healthHuman factors and ergonomicsClinical psychologyPsychiatryMedicineEnvironmental healthSleep disorderInsomnia

Abstract

fetched live from OpenAlex

Abstract Introduction Suicide is the second leading cause of death among teenagers. Unfortunately, many at-risk adolescents do not seek help, making it challenging for educators and mental health professionals to identify those in need of support. Adolescents at high risk for suicide exhibit higher daytime sleepiness compared to their low-risk counterparts. The present study therefore evaluated the validity of categorizing adolescents into high and low suicide risk groups based on observed classroom behaviors indicative of excessive daytime sleepiness. Methods Participants: 188 adolescents (M= 14.32 years, SD = 1.88; 59 boys). Measures: Suicidality was assessed using Item 9 of the Beck Depression Inventory: Participants responding “I do not have any thoughts of killing myself” were classified as low risk, while those indicating “I have thoughts of killing myself, but I would not carry them out,” “I would like to kill myself,” or “I would kill myself if I had the chance” were classified as high risk. Daytime sleepiness was assessed using the Sleepiness subscale of the School Sleep Habits Survey, which asks respondents to indicate whether they had struggled to remain awake in ten different situations. Results Discriminant function analysis and group classification were used to predict group membership. One discriminant function was extracted, accounting for 100% of the total variance. The function significantly discriminated between the groups (Wilks’ Lambda =.94, χ²(2) = 11.36, p <.003), indicating strong group separation. Falling asleep in a face-to-face conversation with another person and in class were the strongest variables for differentiating between the two groups. Group classification resulted in 82.2% accuracy for predicting the level of adolescent suicidality. Conclusion Classroom behaviors indicative of excessive daytime sleepiness can effectively differentiate between adolescents at high and low risk for suicide. Engaging with students who fall asleep in class may assist educators and clinicians in identifying adolescents at risk for suicide. By recognizing these behaviors, schools can play a pivotal role in early identification and intervention efforts. Understanding the sources of sleepiness and implementing appropriate interventions have the potential to significantly reduce the risk of suicide within this vulnerable population. Support (if any) Charles, Evelyn & Sandra Dolansky Foundation CIHR grant#365284

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.003
Threshold uncertainty score0.008

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.079
GPT teacher head0.428
Teacher spread0.349 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations0
Published2025
Admission routes1
Has abstractyes

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