Cannabis use and suicidal ideation: Test of the utility of the interpersonal-psychological theory of suicide

Buckner, Julia D.; Lemke, Austin W.; Walukevich, Katherine A.

doi:10.1016/j.psychres.2017.04.001

Cited by 25 publications

(14 citation statements)

References 30 publications

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“… 23 48 Evidence of a recent meta-analysis 48 and an earlier longitudinal study 49 suggests that chronic marijuana use represents a risk factor for death by suicide, while frequent use of marijuana presents as a risk factor for a daily experience of suicidal ideation. 50 51 Suicides among adolescents have a variety of causes. 52 Marijuana has mind-altering compounds (like dopamine) that affect the brain and can potentially worsen the symptoms of any mental disorders including schizophrenia and other forms of psychoses.…”

Section: Discussionmentioning

confidence: 99%

Marijuana use and suicidal behaviours among school-going adolescents in Africa: assessments of prevalence and risk factors from the Global School-Based Student Health Survey

et al. 2021

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BackgroundMarijuana use among adolescents, including high school students, has been consistently reported to be associated with a high incidence of suicidal behaviours. Little empirical research has been conducted on the propensity impact of marijuana use on suicidal behaviours in Africa.AimsTo assess factors associated with marijuana use and further quantify marijuana use as an associated factor of suicidal behaviours, including repeated attempted suicide, suicidal ideation and suicide planning, among high school students in Africa.MethodsA cross-sectional study was conducted among 32 802 school-going adolescents using the Global School-Based Student Health Survey data from 10 African countries grouped into West Africa, North Africa, South-East Africa, South Africa and East Africa subregions. Marijuana use and repeated attempted suicide were the main outcome variables. We employed double selection least absolute shrinkage and selection operator poisson regression model to assess risk factors associated with marijuana use and dominance analysis to establish ranked important and common risk factors. Inverse probability weighting poisson regression adjustment was applied to assess impact.ResultsThe prevalence of marijuana use and repeated attempted suicide were 3.7% (95% CI: 3.1 to 4.3) and 6.6% (95% CI: 5.9 to 7.4), respectively. The most important risk factor for marijuana use generally across the countries and specifically in three subregions was alcohol consumption, which constituted approximately 40% of the impact. The average treatment effect on the treated (ATT) indicated that marijuana use significantly increased the risk of suicidal ideation, suicide planning and repeated attempted suicide by 12% (ATT=0.12 (95% CI: 0.02 to 0.22)), 18% (ATT=0.18 (95% CI: 0.13 to 0.22)) and 31% (ATT=0.31 (95% CI: 0.20 to 0.41)), respectively.ConclusionsMarijuana use was significantly associated with suicidal behaviours (suicidal ideation, planning and repeated attempted suicide) among the students. To achieve Sustainable Development Goal 3.5 (to strengthen prevention and treatment of substance abuse), school-based psychosocial interventions should be streamlined to adequately assess and manage marijuana use. Targeting the most dominant risk factors in this population could translate into the reduction of suicidal behaviours in countries within Africa.

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Section: Discussionmentioning

confidence: 99%

Marijuana use and suicidal behaviours among school-going adolescents in Africa: assessments of prevalence and risk factors from the Global School-Based Student Health Survey

et al. 2021

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“…In outpatients participating in substance abuse treatment, the combination of TB and frequent alcohol use was associated with the greatest risk for suicidal ideation (Waesche, Clark, & Cropsey, ). There is also evidence that the effect of cannabis use status on suicidal ideation was no longer significant after controlling for PB, TB, and their interaction in cannabis smokers (Buckner, Lemke, & Walukevich, ). Fewer studies examined the association of substance misuse with acquired capability for suicide.…”

mentioning

confidence: 99%

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Zhornitsky

Dhingra

et al. 2020

Suicide & Life Threat Behav

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Objective Studies have linked cocaine dependence to suicidality. According to the Interpersonal Theory of Suicide, suicidal behavior becomes likely with the simultaneous presence of perceived burdensomeness (PB), lack of (or thwarted) belongingness (TB), and acquired fearlessness about death (FAD). Here, we examined personality and other variables, including depression, self‐esteem, childhood abuse, and substance use, as predictors of these risk factors in cocaine‐dependent individuals (CDs). Methods Seventy CDs and 70 healthy controls (HCs) participated. We examined group differences in a group‐by‐sex analysis of variance and identified predictors of PB, TB, and FAD in stepwise regressions. Results CDs exhibited elevated PB and TB but not FAD, compared to HCs. CDs also exhibited elevated harm avoidance, novelty seeking, depression, and lower self‐esteem and reward dependence. Females reported elevated sexual abuse, harm avoidance, reward dependence, depression, but lower FAD, relative to males, among CDs and HCs. Among CDs, PB was predicted by lower self‐esteem and greater emotional abuse; TB was predicted by lower self‐esteem and reward dependence, as well as greater emotional and sexual abuse; and FAD was predicted by lower harm avoidance and greater physical abuse. Conclusions Interventions targeting suicidality in cocaine dependence should take into consideration self‐esteem, personality traits, and childhood abuse.

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“…Same-campus normative data was obtained from a sample of approximately 230 undergraduate students who endorsed past-month cannabis use (Buckner, Lemke, & Walukevich, 2017).…”

Section: Intervention Conditionsmentioning

confidence: 99%

“…Normative data regarding past-month use-related problems was obtained using a sample of approximately 230 undergraduates students who endorsed past-month cannabis use (Buckner et al, 2017).…”

Section: Intervention Conditionsmentioning

confidence: 99%

Online personalized feedback intervention reduces cannabis-related problems among college students with high problem distress.

Walukevich-Dienst¹,

Lewis²,

Neighbors³

et al. 2021

Experimental and Clinical Psychopharmacology

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Despite experiencing problems related to using cannabis, very few undergraduate cannabis users are interested in treatment for cannabis-related problems or benefit from cannabis-focused online personalized feedback interventions (PFIs). Thus, it may be important to determine whether individuals perceive their problems as distressing, as only those who are distressed by their problems may be motivated to change their cannabis use or benefit from cannabis-related interventions. The current study examined cannabis-related problem distress, its relation to motivation to change cannabis use, and whether problem distress impacted outcomes of a problem-focused online PFI. Past-month cannabis-using undergraduates who endorsed experiencing at least one cannabis-related problem in the past 3 months were randomized to a PFI (n ϭ 102) or a personalized normative feedback (PNF)-only condition (n ϭ 102). Problem distress was robustly related to readiness, importance, and confidence to change cannabis use at baseline. Among those with high levels of problem distress at baseline, those in the PFI condition reported a greater decrease in problems than those in the PNF-only condition. This was not the case among those with lower levels of problem distress. Further, the number of cannabis-related problems did not moderate intervention outcomes. Cannabis users who perceive their problems as more distressing may be more motivated to change their cannabis use and more likely to benefit from a problem-focused PFI relative to a PNF-only intervention. Results have implications for the personalization of cannabis-focused interventions to maximize the impacts of interventions and decrease cannabis-related problems.

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Cannabis use and suicidal ideation: Test of the utility of the interpersonal-psychological theory of suicide

Cited by 25 publications

References 30 publications

Marijuana use and suicidal behaviours among school-going adolescents in Africa: assessments of prevalence and risk factors from the Global School-Based Student Health Survey

Marijuana use and suicidal behaviours among school-going adolescents in Africa: assessments of prevalence and risk factors from the Global School-Based Student Health Survey

Interpersonal Risk Factors for Suicide in Cocaine Dependence: Association with Self‐Esteem, Personality Traits, and Childhood Abuse

Online personalized feedback intervention reduces cannabis-related problems among college students with high problem distress.

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