At what age is sleep training safe and does it work?
For most healthy babies, sleep training is considered safe and effective starting around 4-6 months of age, and good evidence shows no long-term harm to attachment or emotional wellbeing.
Randomized trials following children for one to five years after sleep training found no differences in emotional, behavioral, or attachment outcomes compared to controls.
Good
Evidence includes multiple randomized controlled trials and expert-reviewed summaries; long-term follow-up data (1-5 years) exist, though most trials come from a handful of research groups and may not generalize to every population.
What the evidence says
Most experts say it's reasonable to start sleep training around 4 to 6 months, once babies have more regular sleep cycles and typically no longer need night feeds. An expert-reviewed source notes that a good idea is to get the go ahead from your pediatrician to make sure your baby's weight is on track and they are getting enough calories during the day before starting.
On whether it works: research says yes. A psychology summary of the evidence states that sleep training is highly effective, though it can be controversial because parents worry about potential negative consequences of prolonged crying.
On safety: this is the part parents worry about most, and the best evidence is reassuring. Two randomized controlled trials found no significant differences in emotional or behavioral problems or attachment styles either one year or five years following a sleep training intervention. An expert summarized it simply: the evidence suggests that sleep training is safe, but ultimately it's the family's decision.
That said, not every method has to involve letting a baby cry alone for long stretches. Gentler approaches exist, and if a family isn't comfortable with a particular method, waiting things out or trying a gentler approach are also reasonable options, according to the same expert.
Sources
-
Guideline
Getting Your Baby to Sleep
HealthyChildren.org (AAP), 2022
AAP guidance on infant sleep patterns and self-soothing
-
Guideline
CE corner: Helping children get a good night's sleep
American Psychological Association (apa.org), 2020
Summarizes two RCTs showing no harm to attachment at 1 and 5 years
-
Expert organisation
Choosing a Sleep Training Method That Works for Your Family
Child Mind Institute, 2026
Practical guidance on typical starting age and method options
-
Expert organisation
Sleep Challenges: Why It Happens, What to Do
ZERO TO THREE, 2023
Explains developmental readiness for self-soothing from 4-6 months
-
Systematic review
Effectiveness of behavioral sleep interventions on children's and mothers' sleep quality and maternal depression: a systematic review and meta-analysis
PMC (peer-reviewed), 2022
Reviews multiple RCTs; notes some conflicting findings across studies
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked July 23, 2026