A method is provided for dismissing or altering a user-configured alarm upon detection of the user's sleep state. The method includes associating an alarm device with the user's body by securing a wearable device to the user's wrist, placing the device in a pocket, integrating the device into the user's clothing such as a belt, or otherwise placing the device in contact with or adjacent to the user. The device includes one or more sensors for detecting physiological and/or environmental parameters such as heart, respiration, or pulse rate, body movements, eye movements, ambient light, and the like. If the user is asleep, the alarm is actuated in a typical manner. If the user is awake, the alarm is suppressed. If the user is neither asleep nor fully awake, the alarm is adjusted to provide an appropriate level of stimulation.