Association of heated tobacco product use and secondhand smoke exposure
with suicidal ideation, suicide plans and suicide attempts
among Korean adolescents: A 2019 national survey

Park, Tae Sun; Lee, Kang‐Sook

doi:10.18332/tid/140824

Cited by 8 publications

(5 citation statements)

References 33 publications

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“…In recent years, e-cigarettes, vapes, and flavored nicotine products have gained wide popularity, in part because they are often marketed as safe alternatives to conventional cigarettes. 18 , 33 , 34 However, several nationwide surveys have reported an increased risk of SAs among middle school and high school students with a lifetime use of e-cigarettes 16 , 35 , 36 and vaping devices. 37 , 38 , 39 , 40 Additional work suggests that the association between smoking and SAs may be largest for smoking initiation, 41 which is consistent with the relatively early developmental patterns observed in the present work.…”

Section: Discussionmentioning

confidence: 99%

Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children

Lee,

Tervo-Clemmens,

Liu

et al. 2024

JAMA Netw Open

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ImportanceThe use of tobacco products, including e-cigarettes and vaping, has rapidly increased among children. However, despite consistent associations found between smoking cigarettes and suicidal behaviors among adolescents and adults, there are limited data on associations between emerging tobacco products and suicidal behaviors, especially among preadolescent children.ObjectiveTo examine whether the use of tobacco products is associated with nonsuicidal self-injury (NSSI), suicidal ideation (SI), and suicide attempts (SAs) among preadolescent children.Design, Setting, and ParticipantsThis cohort study, conducted from September 1, 2022, to September 5, 2023, included participants in the Adolescent Brain Cognitive Development study, a population-based cohort of 11 868 US children enrolled at 9 and 10 years of age. The cross-sectional investigation focused on 3-year periods starting from the baseline to year 2 of follow-up. Statistical analysis was performed from October 1, 2022, to June 30, 2023.Main Outcomes and MeasuresChildren’s use of tobacco products was assessed based on youth reports, including lifetime experiences of various nicotine-related products, supplemented with hair toxicologic tests. Main outcomes were children’s lifetime experiences of NSSI, SI, and SAs, assessed using the K-SADS-5 (Kiddie Schedule for Affective Disorders and Schizophrenia for the DSM-5). Multivariate logistic regression was conducted to examine the associations of the use of tobacco products with NSSI, SI, and SAs among the study participants. Sociodemographic, familial, and children’s behavioral, temperamental, and clinical outcomes were adjusted in the analyses.ResultsOf 8988 unrelated study participants (median age, 9.8 years [range, 8.9-11.0 years]; 4301 girls [47.9%]), 101 children (1.1%) and 151 children (1.7%) acknowledged lifetime use of tobacco products at baseline and at 18-month follow-up, respectively. After accounting for various suicide risk factors and potential confounders, children reporting use of tobacco products were at a 3 to 5 times increased risk of SAs (baseline: n = 153 [adjusted odds ratio (OR), 4.67; 95% CI, 2.35-9.28; false discovery rate (FDR)–corrected P &lt; .001]; year 1: n = 227 [adjusted OR, 4.25; 95% CI, 2.33-7.74; FDR-corrected P &lt; .001]; and year 2: n = 321 [adjusted OR, 2.85; 95% CI, 1.58-5.13; FDR-corrected P = .001]). Of all facets of impulsivity measures that were significant correlates of use of tobacco products, negative urgency was the only independent risk factor for SAs (adjusted OR, 1.52 [95% CI, 1.31-1.78]; FDR-corrected P &lt; .001). In contrast, children’s alcohol, cannabis, and prescription drug use were not associated with SAs.Conclusions and RelevanceThis study of US children suggests that the increased risk of SAs, consistently reported for adolescents and adults who smoke cigarettes, extends to a range of emerging tobacco products and manifests among elementary school–aged children. Further investigations are imperative to clarify the underlying mechanisms and to implement effective preventive policies for children.

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Section: Discussionmentioning

confidence: 99%

Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children

Lee,

Tervo-Clemmens,

Liu

et al. 2024

JAMA Netw Open

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“…There is ongoing controversy regarding whether smoking increases the risk of depression (6,15) or not (16)(17)(18)(19). The present study first examined the association between smoking status and depression by analyzing data in the NHANES database (2005-2018).…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study of smoking and depression among US adults: NHANES (2005–2018)

Zhao

et al. 2023

Front. Public Health

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BackgroundThe relationship between smoking and depression remains controversial. This study aimed to investigate the association between smoking and depression from three aspects: smoking status, smoking volume, and smoking cessation.MethodsData from adults aged ≥20 who participated in the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2018 were collected. The study gathered information about the participants' smoking status (never smokers, previous smokers, occasional smokers, daily smokers), smoking quantity per day, and smoking cessation. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9), with a score ≥10 indicating the presence of clinically relevant symptoms. Multivariable logistic regression was conducted to evaluate the association of smoking status, daily smoking volume, and smoking cessation duration with depression.ResultsPrevious smokers [odds ratio (OR) = 1.25, 95% confidence interval (CI): 1.05–1.48] and occasional smokers (OR = 1.84, 95% CI: 1.39–2.45) were associated with a higher risk of depression compared with never smokers. Daily smokers had the highest risk of depression (OR = 2.37, 95% CI: 2.05–2.75). In addition, a tendency toward a positive correlation was observed between daily smoking volume and depression (OR = 1.65, 95% CI: 1.24–2.19) (P for trend < 0.05). Furthermore, the longer the smoking cessation duration, the lower the risk of depression (OR = 0.55, 95% CI: 0.39–0.79) (P for trend < 0.05).ConclusionsSmoking is a behavior that increases the risk of depression. The higher the smoking frequency and smoking volume, the higher the risk of depression, whereas smoking cessation is associated with decreased risk of depression, and the longer the smoking cessation duration, the lower the risk of depression.

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“…One study defined suicidal ideation as a broad term used to describe a range of contemplations/wishes/preoccupations related to death/suicide [16]. Moreover, some studies include the construct of suicide planning within the notion of suicidal ideation, while others do not [17]. Research has shown that suicide prevention for older adults is challenging due to fewer warning signs and the greater use of deadlier methods [16].…”

Section: Is Thriving In Life Related To Quality Of Life and Suicidal ...mentioning

confidence: 99%

The association among thriving in life, quality of life, and suicidal ideation in Chinese urban older adults: the moderating effects of attitude toward own aging

Zhang,

Liu,

Wang

et al. 2024

BMC Psychol

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Background As the global trend of population aging intensifies, the health and well-being of the older population has gradually become a focus of attention for the global community. This study assessed the status of thriving in life among Chinese urban older adults and identified its relationship with attitude toward own aging and quality of life (QoL). It also tested whether attitude toward own aging moderates the association between thriving in life and Qol or between thriving in life and suicidal ideation. Methods Primary data were collected through a cross-sectional survey among urban older adults from three provinces in China. They were invited to complete an anonymous survey using face-to-face interviews from December 2019 to January 2020. Data from 764 older adults were analyzed. Results Approximately 44.39% of participants reported positive responses toward the four domains of thriving in life. Thriving in life and attitude toward own aging had a significant association with QoL. Thriving in life was a protective factor for suicidal ideation for older adults. Moreover, attitude toward own aging moderated the association between thriving in life and QoL and that between thriving in life and suicidal ideation. Conclusions Chinese urban older adults were reportedly thriving in life, which contributed to increased QoL and reduced suicidal ideation. Notably, the study revealed that more positive attitudes towards own aging were associated with higher levels of thriving in life, better QoL, and reduced suicidal ideation. Targeted interventions for older adults should be devised to promote thriving in life and prevent negative attitudes of older people towards their own aging, further raising QoL and reducing suicidal ideation.

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Association of heated tobacco product use and secondhand smoke exposure with suicidal ideation, suicide plans and suicide attempts among Korean adolescents: A 2019 national survey

Cited by 8 publications

References 33 publications

Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children

Use of Tobacco Products and Suicide Attempts Among Elementary School–Aged Children

A cross-sectional study of smoking and depression among US adults: NHANES (2005–2018)

The association among thriving in life, quality of life, and suicidal ideation in Chinese urban older adults: the moderating effects of attitude toward own aging

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