Association between illegal use of substances and suicidal behavior in school students: An integrative review of empirical data

Karanikola, Maria; Zisimou, Prodromoula; Nystazaki, Maria; Koutrouba, Anna; Severinsson, Elisabeth

doi:10.1111/jcap.12228

Cited by 5 publications

(5 citation statements)

References 71 publications

(112 reference statements)

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“…SP involves making plans about how to kill oneself. SA are the actions undertaken to complete suicide (Karanikola et al ., 2019 ). The estimated worldwide lifetime prevalence for SI ranged from 12.1 to 31.5% and that for SA ranged from 4.1 to 23.5% (Chiu et al ., 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Mediation of Internet addiction on association between childhood maltreatment and suicidal behaviours among Chinese adolescents

Peng

Wang

Cheng

et al. 2021

Epidemiol Psychiatr Sci

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Aims The associations between suicidal behaviours and childhood maltreatment (CM), as well as Internet addiction (IA) have been extensively examined. However, few studies pay attention to different types of CM and all stages of suicidality, including suicidal ideation (SI), suicidal plans (SP) and suicidal attempts (SA). Moreover, little is known regarding the mediation of IA on the relationship between CM and suicidal behaviours. The study aims to explore the direct effect of CM and IA on three stages of suicidal behaviours, and the indirect effect of CM on suicidality via IA. Methods A total of 16 130 high-school students aged 12–18 were recruited using a stratified cluster sampling strategy across five representative provinces in China. Relevant information was collected by a self-administered anonymous questionnaire. Multinomial logistic regression analysis and structural equation model were used to examine the associations. Results During the last year, 16.0% of participants reported suicidal behaviours. Specifically, 7.9% reported SI only, 4.6% reported SP but no SA, and 3.5% reported SA. The prevalence of neglect, physical abuse and IA in moderate to severe were 28.9, 19.9 and 33.1%, respectively. After controlling for demographic characteristics and confounding factors, such as loneliness, psychological resilience, and social support, moderate and severe neglect, physical abuse and IA were associated with an increased risk of SI, SP and SA (p < 0.01). The total effect of neglect and physical abuse on suicidal behaviours were 0.152 and 0.172, respectively (p < 0.001). The mediation proportion of IA on the association between neglect and suicidal behaviours, as well as physical abuse and suicidal behaviours were 22.4 and 18.0%, respectively. Conclusions CM and IA are independently associated with suicidal behaviours among Chinese adolescents. Moreover, IA plays a mediating role on the relationship between CM and suicidality. Targeted interventions for adolescents’ suicidal behaviours should focus on those who have experience of CM and IA.

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Section: Introductionmentioning

confidence: 99%

Mediation of Internet addiction on association between childhood maltreatment and suicidal behaviours among Chinese adolescents

Peng

Wang

Cheng

et al. 2021

Epidemiol Psychiatr Sci

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“… 2022 ), others demonstrated a predominance in males (Karanikola et al. 2019 ; Turna and MacKillop 2021 ) or females (Tourjman et al. 2023 ).…”

Section: Resultsmentioning

confidence: 98%

“…One review on adolescents reported that suicidal attempts and ideations had higher ORs in both genders who started cannabis use before the age of 13 compared to older counterparts (Karanikola et al. 2019 ). Additionally, a meta-regression revealed that age was negatively associated with the suicide attempt (Fresán et al.…”

Section: Resultsmentioning

confidence: 99%

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Suicidality risk after using cannabis and cannabinoids: An umbrella review

Shamabadi

Ahmadzade

Pirahesh

et al. 2023

Dialogues in Clinical Neuroscience

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The increasing prevalence and burden of suicide have led to numerous studies to identify its risk factors. Cannabis is the most common illicit substance detected in suicide victims’ toxicology tests. This study aims to identify and appraise systematic reviews investigating suicidality after using cannabis and cannabinoids. Seven databases and two registries were searched without restrictions for systematic reviews investigating cannabis effects on suicidality. AMSTAR-2 was used for quality assessment and corrected covered area and citation matrix were used to determine overlap. Twenty-five studies were included, of which 24 were on recreational use and one was on therapeutic use. Only three of the studies on recreational use reported no effect or inconsistent results. Evidence generally showed a positive association between cannabis use and suicidal ideation and attempt among the general population, military veterans, and bipolar or major depression patients. A bidirectional causal association between cannabis and suicidal ideation was also mentioned. Moreover, a younger age of initiation, long-term use, and heavy consumption were reported to be associated with even worse suicidal outcomes. On the contrary, current evidence indicates that the therapeutic cannabis is safe. In conclusion, the literature supports the cannabis-suicidality association in recreational use but considers cannabidiol safe for treatment. Further studies with quantitative and interventional approaches are recommended.

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“…To prevent subsequent suicide attempts and suicide dearth, it is urgent to identify risk factors for suicidal ideation and to develop targeted prevention strategies for suicidal ideation ( 7 ). The literature has found that some psychosocial factors are significantly related to suicidal ideation in youth, such as depression ( 8 ), anxiety ( 9 ), substance abuse ( 10 , 11 ), sleep problems ( 12 , 13 ), childhood maltreatment ( 14 , 15 ), and bullying victimization ( 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

Social anxiety and suicidal ideation among middle-school students in China: a mediation model of internet addiction

Tan,

Deng,

Zhang

et al. 2024

Front. Psychiatry

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BackgroundSuicide is a fatal public health issue for adolescents, and it is of great significance to explore the precursors of suicidal behaviors, especially suicidal ideation. However, the relationship between social anxiety and suicidal ideation and its mechanism are still unclear. The study aims to examine the association between social anxiety and suicidal ideation and the mediating effect through Internet addiction.MethodsA total of 2,278 middle-school students aged 12 to 16 years were recruited through a multistage cluster sampling method in this cross-sectional study. Logistical regression analysis and structural equation modeling (SEM) were conducted to examine the direct and indirect effects of social anxiety.ResultsDuring the past year, 262 (11.50%) participants reported suicidal ideation. Females had a higher prevalence of suicidal ideation than males (12.9% vs. 10.0%, p = 0.034), and urban adolescents reported a higher prevalence than their rural counterparts (13.4% vs. 9.6%, p = 0.006). In the total sample, social anxiety and Internet addiction were independently associated with suicidal ideation (p < 0.05). In the subgroup analysis, the association between social anxiety and suicidal ideation was significant only among rural females and urban males (p < 0.05). SEM demonstrated that social anxiety had direct and indirect effects on suicidal ideation, and Internet addiction partially mediated the relationship, with a mediating ratio of 30.53%. The partial mediating effect was also significant only in rural females and urban males.ConclusionAdolescents may overuse the Internet to cope with social anxiety and further have suicidal ideation. Limiting Internet use and improving interpersonal skills in real life may be efficient for suicide prevention. In addition, targeted interventions should be tailored by different sexes across urban and rural regions.

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Association between illegal use of substances and suicidal behavior in school students: An integrative review of empirical data

Cited by 5 publications

References 71 publications

Mediation of Internet addiction on association between childhood maltreatment and suicidal behaviours among Chinese adolescents

Mediation of Internet addiction on association between childhood maltreatment and suicidal behaviours among Chinese adolescents

Suicidality risk after using cannabis and cannabinoids: An umbrella review

Social anxiety and suicidal ideation among middle-school students in China: a mediation model of internet addiction

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