The DSM-5-TR makes an important note to specify the connection that sleep-wakes disorders, such as insomnia, have to suicidal thoughts, behavior, and death. Multiple studies, even when adjusting for depression, have correlated sleep-wake disorders and nightmares, increasing the risk of suicidal thoughts and behaviors. Some data collected on college students showed that 31.3% of those with sleep problems had suicidal thoughts, and inversely, 82.7% of those with suicidal thoughts, had sleep problems. Additionally, the American Academy of Sleep Medicine has also concluded that for teenagers, less than 8 hours of sleep is associated with increased risk for self-harm and suicidal thoughts and/or behaviors.