Page last updated: 2024-11-05

zolpidem and Suicidal Ideation

zolpidem has been researched along with Suicidal Ideation in 6 studies

Zolpidem: An imidazopyridine derivative and short-acting GABA-A receptor agonist that is used for the treatment of INSOMNIA.
zolpidem : An imidazo[1,2-a]pyridine compound having a 4-tolyl group at the 2-position, an N,N-dimethylcarbamoylmethyl group at the 3-position and a methyl substituent at the 6-position.

Suicidal Ideation: A risk factor for suicide attempts and completions, it is the most common of all suicidal behavior, but only a minority of ideators engage in overt self-harm.

Research Excerpts

ExcerptRelevanceReference
"The REST-IT study found the addition of zolpidem-controlled release (CR) provided a significant reduction in observer-rated measurement of suicidal ideation (the Columbia Suicide Severity Rating Scale) in 103 depressed outpatients with insomnia and suicidal ideation, but without significant change in a self-report measure of suicidal ideation (the Scale for Suicide Ideation)."8.31The effect of zolpidem-CR on the suicide item of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia and suicidal ideation: Lessons learned. ( Benca, RM; Dzurny, TN; Krystal, AD; Looney, SW; McCall, WV; McCloud, LL; Mercado, K; Rosenquist, PB, 2023)
"REST-IT, a, 8-week double-blind RCT, compared zolpidem extended-release (ER) versus placebo at bedtime in 103 adults with major depressive disorder with insomnia and suicidal ideation, and who received open label selective serotonin reuptake inhibitors."5.41Blinding and bias in a hypnotic clinical trial. ( Benca, RM; Krystal, AD; McCall, WV; Rumble, ME, 2021)
"We examined the association of insomnia, eveningness, seasonality, and rhythmicity with suicidal ideation in 103 participants with depression, insomnia, and suicidality within a larger 8-week double-blinded randomized control trial primarily examining whether cautious use of zolpidem extended-release or placebo reduced suicidal ideation."5.34An exploratory analysis of the association of circadian rhythm dysregulation and insomnia with suicidal ideation over the course of treatment in individuals with depression, insomnia, and suicidal ideation. ( Benca, RM; Dickson, DA; Krystal, AD; McCall, WV; Rosenquist, PB; Rumble, ME, 2020)
"The authors sought to determine whether targeted treatment of insomnia with controlled-release zolpidem (zolpidem-CR) in suicidal adults with insomnia would provide a reduction in suicidal ideation superior to placebo."5.30Reducing Suicidal Ideation Through Insomnia Treatment (REST-IT): A Randomized Clinical Trial. ( Benca, RM; Case, D; Krystal, AD; McCall, WV; McCloud, L; Newman, JC; Phillips, M; Rosenquist, PB; Rumble, ME; Szabo, ST; Youssef, NA, 2019)
"The REST-IT study found the addition of zolpidem-controlled release (CR) provided a significant reduction in observer-rated measurement of suicidal ideation (the Columbia Suicide Severity Rating Scale) in 103 depressed outpatients with insomnia and suicidal ideation, but without significant change in a self-report measure of suicidal ideation (the Scale for Suicide Ideation)."4.31The effect of zolpidem-CR on the suicide item of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia and suicidal ideation: Lessons learned. ( Benca, RM; Dzurny, TN; Krystal, AD; Looney, SW; McCall, WV; McCloud, LL; Mercado, K; Rosenquist, PB, 2023)
"Zolpidem is a clinically effective hypnotic medication for treating chronic insomnia."4.02Impetuous suicidality with zolpidem use: a case report and minireview. ( Brady, M; Cunningham, MG, 2021)
" Dose-response analysis also revealed a significantly increased risk of suicide in patients receiving ≥ 180cDDD (cumulative defined daily doses) of zolpidem (124 times), followed by 90-179cDDD (113 times) and <90cDDD (93 times) of zolpidem compared to non-users."2.82Zolpidem use and risk of suicide: A systematic review and meta-analysis. ( Agarwal, NB; Ashif Khan, M; Garg, A; Hussain, S; Khan, H; Yadav, DK, 2022)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (16.67)24.3611
2020's5 (83.33)2.80

Authors

AuthorsStudies
Khan, H1
Garg, A1
Agarwal, NB1
Yadav, DK1
Ashif Khan, M1
Hussain, S1
McCall, WV4
Mercado, K1
Dzurny, TN1
McCloud, LL1
Krystal, AD4
Benca, RM4
Rosenquist, PB3
Looney, SW1
Youssef, NA1
McCloud, L1
Newman, JC1
Case, D1
Rumble, ME3
Szabo, ST1
Phillips, M1
Dickson, DA1
Brady, M1
Cunningham, MG1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Reducing Suicidal Ideation Through Insomnia Treatment[NCT01689909]Phase 4103 participants (Actual)Interventional2012-12-06Completed
Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults (ANSWERS-OA): A Pilot, Open-Label, Randomized Controlled Trial of Digital Cognitive Behavioral Therapy for Insomnia[NCT04986007]70 participants (Anticipated)Interventional2021-09-01Enrolling by invitation
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Actigraphy

"This device measures arm motion over time, reported as average actigraphic activity Level. The scale is reported as a continuous measure ranging from 0-200, and reported as the average score for each hour for all 24-hours of the day. Higher score represent greater c=activity at that point in time" (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Mean)
Scale for Suicide Ideation Score Greater Than or Equal to 6150
Scale for Suicide Ideation Score Less Than 6170

Basis-32 - the Daily Living and Role Functioning (DLRF) Subscale

This is one of the subscales of the Basis 32. It is self-administered. This subscale has 7 items, each scored 0-4. The totals score is an average of the scores of these 7 items. Higher scores indicate more difficulty with daily living and role functioning. (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR1.51
Placebo1.60

Beck Hopelessness Scale (BHS)

The Beck Hopelessness Scale is self administered and has 20 'true/false' choices. Some items are reversed scored. The range of scores for the total is 0-20, with higher scores indicating greater hopelessness (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR9.40
Placebo9.63

Columbia Suicide Severity Rating Scale (C-SSRS): the Suicidal Ideation Scale

"The suicide ideation scale of the C-SSRS is rated 0-5, with 0 meaning no suicidal ideation, 1 meaning a wish t be dead, 2 meaning non-specific active suicidal thoughts, 3 meaning active suicidal ideation with any methods but no plan or intent, 4 meaning active suicidal ideation with some intent but no specific plan, and 5 meaning active suicidal ideation with intent and a specific plan" (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR0.5447
Placebo0.8067

Disturbing Dreams and Nightmares Severity Index (DDNSI)

This self-rated scale has 5 items, with asymmetric weighting of each item. The range of the total score is 0-37, with higher scores indicating worse nightmares (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR5.74
Placebo6.44

Dysfunctional Beliefs and Attitudes About Sleep

The Dysfunctional Beliefs and Attitudes About Sleep scale has 16 items and is self administered. Each item is scored 0-10. The total score is an average of the scores of the 16 items. Hence the range of the total score is also 0-10, with higher scores indicating greater dysfunctional beliefs about sleep (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR6.03
Placebo6.07

Hamilton Rating Scale for Depression (HAM-D)

This version of the Hamilton Rating Scale for Depression uses 24 items, with a possible total score ranging from 0-74, with higher scores indicating worse depression (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR14.93
Placebo15.89

Insomnia Severity Index (ISI)

The Insomnia Severity Index is self rated. It has 7 items, each scored 0-4. Therefore the range of scores is 0-28, with higher scores indicating worse insomnia (NCT01689909)
Timeframe: 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR11.28
Placebo13.72

Scale for Suicide Ideation Index (SSI)

This is the total score for the Scale for Suicide Ideation. It has 19 items, each scored 0-2, for a maximum of 38 points. Higher scores indicate worse suicidal ideation (NCT01689909)
Timeframe: Over 8 weeks of treatment

Interventionunits on a scale (Least Squares Mean)
Zolpidem-CR4.66
Placebo5.25

Reviews

1 review available for zolpidem and Suicidal Ideation

ArticleYear
Zolpidem use and risk of suicide: A systematic review and meta-analysis.
    Psychiatry research, 2022, Volume: 316

    Topics: Humans; Risk Assessment; Sleep Initiation and Maintenance Disorders; Suicidal Ideation; Suicide, Att

2022

Trials

3 trials available for zolpidem and Suicidal Ideation

ArticleYear
Reducing Suicidal Ideation Through Insomnia Treatment (REST-IT): A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Adolescent; Adult; Aged; Delayed-Action Preparations; Double-Blind Method; Drug Therapy, Combination

2019
Reducing Suicidal Ideation Through Insomnia Treatment (REST-IT): A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Adolescent; Adult; Aged; Delayed-Action Preparations; Double-Blind Method; Drug Therapy, Combination

2019
Reducing Suicidal Ideation Through Insomnia Treatment (REST-IT): A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Adolescent; Adult; Aged; Delayed-Action Preparations; Double-Blind Method; Drug Therapy, Combination

2019
Reducing Suicidal Ideation Through Insomnia Treatment (REST-IT): A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Adolescent; Adult; Aged; Delayed-Action Preparations; Double-Blind Method; Drug Therapy, Combination

2019
An exploratory analysis of the association of circadian rhythm dysregulation and insomnia with suicidal ideation over the course of treatment in individuals with depression, insomnia, and suicidal ideation.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020, 08-15, Volume: 16, Issue:8

    Topics: Circadian Rhythm; Depression; Humans; Sleep Initiation and Maintenance Disorders; Suicidal Ideation;

2020
Blinding and bias in a hypnotic clinical trial.
    Human psychopharmacology, 2021, Volume: 36, Issue:1

    Topics: Adolescent; Adult; Bias; Depressive Disorder, Major; Double-Blind Method; Female; Humans; Hypnotics

2021

Other Studies

2 other studies available for zolpidem and Suicidal Ideation

ArticleYear
The effect of zolpidem-CR on the suicide item of the Hamilton Rating Scale for Depression in outpatients with depression, insomnia and suicidal ideation: Lessons learned.
    Psychiatry research, 2023, Volume: 330

    Topics: Depression; Humans; Outpatients; Psychiatric Status Rating Scales; Sleep Initiation and Maintenance

2023
Impetuous suicidality with zolpidem use: a case report and minireview.
    Sleep medicine, 2021, Volume: 81

    Topics: Female; Humans; Hypnotics and Sedatives; Sleep Initiation and Maintenance Disorders; Suicidal Ideati

2021