Tobacco use disorder and the risk of suicide mortality

Bohnert, Kipling M.; Ilgen, Mark A.; McCarthy, John F.; Ignacio, Rosalinda V.; Blow, Frederic C.; Katz, Ira R.

doi:10.1111/add.12381

Cited by 47 publications

(39 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We appreciate the comments on our paper by Aubin and colleagues [1], and agree that tobacco use disorder is a potentially important risk factor for suicide. Nonetheless, given preliminary evidence suggesting potential male-female differences with respect to other substance use disorders (SUDs) and the risk of suicide, the primary objectives of our most recent paper [2] were to estimate and compare other SUD-suicide associations between men and women in the US Veterans Health Administration (VHA).…”

Section: Response To Aubin Et Al (2017)mentioning

confidence: 73%

“…

The journal publishes both invited and unsolicited letters.

ASSOCIATIONS BETWEEN SUBSTANCE USE DISORDERS AND SUICIDE MORTALITY RISK SHOULD BE ADJUSTED FOR TOBACCO USE DISORDERIn January 2014, Bohnert et al [1] reported in Addiction an excess risk of death by suicide in individuals diagnosed with tobacco use disorder. Their findings derived from a cohort of the US Veterans Health Administration (VHA) records and included all individuals who received VHA services in fiscal year (FY) 2005 and who were alive at the beginning of FY 2006 (n = 4 863 086).

…”

mentioning

confidence: 99%

See 1 more Smart Citation

Associations between substance use disorders and suicide mortality risk should be adjusted for tobacco use disorder

et al. 2017

View full text Add to dashboard Cite

The journal publishes both invited and unsolicited letters. ASSOCIATIONS BETWEEN SUBSTANCE USE DISORDERS AND SUICIDE MORTALITY RISK SHOULD BE ADJUSTED FOR TOBACCO USE DISORDERIn January 2014, Bohnert et al. [1] reported in Addiction an excess risk of death by suicide in individuals diagnosed with tobacco use disorder. Their findings derived from a cohort of the US Veterans Health Administration (VHA) records and included all individuals who received VHA services in fiscal year (FY) 2005 and who were alive at the beginning of FY 2006 (n = 4 863 086). In an unadjusted, bivariate model, tobacco use disorder was associated significantly with an increased risk of suicide [hazard ratio (HR) = 1.88; 95% confidence interval (CI) = 1.76-2.02). After adjustment for a number of confounders-including substance use disorders-the association, although attenuated, remained significant (HR = 1.36; 95% CI = 1.27-1.46). This paper added strong evidence to the already well-demonstrated increased independent risk of suicide death among smokers [2][3][4][5].The reading of the recent paper of Bohnert et al.[6] in the same journal triggered some level of surprise. The authors, reportedly using the same database of individuals who received VHA services in FY 2005 and who were alive at the beginning of FY 2006 (n = 4 863 086), aimed to estimate associations between substance use disorders and suicide. The authors specified HRs between each alcohol, cocaine, cannabis, opioid, amphetamine, psychostimulant and sedatives use disorders, but not tobacco use disorder and death by suicide, in unadjusted and adjusted models. In the adjusted models, adjustment was made for many possible confounders (age, Charlson comorbidity index, co-occurring psychiatric conditions such as depression, schizophrenia, bipolar disorder, post-traumatic stress disorder and other anxiety disorders) but, astonishingly, not for tobacco use disorder or smoking.Thus, the authors demonstrated in 2014 [1] that tobacco use disorder was associated significantly with suicide mortality after adjusting for substance use disorders. The 2017 paper by the same authors [2] using the same database seems to ignore their own previous finding. Declarations of interestNone. RESPONSE TO AUBIN ET AL. (2017)We appreciate the comments on our paper by Aubin and colleagues [1], and agree that tobacco use disorder is a potentially important risk factor for suicide. Nonetheless, given preliminary evidence suggesting potential male-female differences with respect to other substance use disorders (SUDs) and the risk of suicide, the primary objectives of our most recent paper [2] were to estimate and compare other SUD-suicide associations between men and women in the US Veterans Health Administration (VHA). Within the paper, we acknowledged that incomplete adjustment for confounding factors, measured or unmeasured, was a potential study limitation. We elaborated further that,

show abstract

Section: Response To Aubin Et Al (2017)mentioning

confidence: 73%

“…

The journal publishes both invited and unsolicited letters.

…”

mentioning

confidence: 99%

Associations between substance use disorders and suicide mortality risk should be adjusted for tobacco use disorder

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Other substances, including cannabis, heroin or nicotine also increase the risk factor for suicide. 41 Unfortunately, Williams also had a history of having used another substance, cocaine.…”

Section: 33mentioning

confidence: 99%

Robin Williams' suicide: a case study

Tohid¹

2016

Trends Psychiatry Psychother.

View full text Add to dashboard Cite

Introduction: The world renowned comedian and four-time Oscar nominated actor Robin Williams died on August 11, 2014. From the outset, the news indicated that his death was believed to be a suicide and this was later confirmed to be true by the autopsy reports. Williams had been suffering from severe depression, which is believed to be the leading contributor to his suicide. In this case study, I will highlight the event of the actor's suicide and the main risk factors along with depression leading to his tragic death. As of the end of 2015, no other case study seemed to have addressed or explored the links between the cause (or causes) and events leading to Robin Williams' suicide. Case description: Robin Williams was suffering from relationship problems, financial problems, drug addiction, and major depression. All of these factors led to his suicide. Comments: The chances of committing suicide drastically increase in the presence of any of the key risk factors. Unfortunately, the actor Robin Williams was dealing with four of the major risk factors all together, which put him at a high risk of committing suicide and eventually led to his tragic death.

show abstract

“…Ao discutir planos de avaliação para grupos populacionais especí-ficos, é possível observar que usuários de drogas constituem um grupo com riscos importantes, principalmente quando estudados os altos índices de suicídio nessa população [7][8][9][10] . Os achados de Harris e Barraclough 7 e Kessler et al 11 , por exemplo, apontam a tentativa de suicídio (TS) como elemento fortemente relacionado à morte entre usuários de crack e cocaí-na.…”

Section: Introductionunclassified

Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento

Silva

Ávila

Yates

et al. 2017

J. bras. psiquiatr.

View full text Add to dashboard Cite

RESUMOObjetivo: O objetivo do estudo foi analisar as características sintomatológicas e sociodemográficas associadas ao histórico de tentativa de suicídio (TS) de usuários de cocaína e crack internados para tratamento. Métodos: Trata-se de um estudo transversal envolvendo 160 participantes que responderam a uma entrevista clínica semiestruturada e ao instrumento Adult Self-Report (ASR). O modelo de Regressão Logística foi utilizado para testar os sintomas psicológicos associados à TS dessa amostra. Resultados: As diferenças entre o grupo com TS e sem TS foram significativas (p < 0,001), e, do total da amostra, 30,6% (n = 49; p = 0,428) possuíam histórico de TS e 30,5% (n = 20) relataram ideação suicida no atual tratamento. A etnia, os sintomas de depressão e os problemas de pensamento estiveram associados à TS, enquanto comportamentos intrusivos, de quebra de regras e problemas internalizantes serviram de proteção à TS. Conclusões: Os achados reforçam a necessidade da avaliação psiquiátrica dos estados emocionais, de comorbidades e do risco de suicídio no ingresso e durante o tratamento para dependência química. ABSTRACTObjective: The objective of this study was to analyze the symptoms and sociodemographic characteristics associated with the history of attempted suicide (TS) of cocaine and crack users hospitalized for treatment. Methods: This is a cross-sectional study involving 160 participants who completed a semi-structured clinical interview and the Adult Self-Report (ASR) instrument. The Logistic Regression model was used to test the psychological symptoms associated with TS of this sample. Results: The differences between the TS and non-TS groups were significant (p < 0.001). Of the total sample, 30.6% (n = 49; p = 0.428) had a history of TS and 30.5% (N = 20) reported suicidal ideation in the current treatment. Ethnicity, symptoms of depression and problems of thinking were associated with TS, whereas intrusive, rule-breaking and internalizing problems served as protection for TS. Conclusions: The findings reinforce the need for psychiatric evaluation of emotional states, comorbidities and risk of suicide at admission and during treatment for chemical dependence.

show abstract

Tobacco use disorder and the risk of suicide mortality

Abstract: Tobacco use disorder may confer a modest excess risk of death by suicide. Psychiatric disorders may partially explain the relationship between tobacco use disorder and suicide.

Cited by 47 publications

References 38 publications

Associations between substance use disorders and suicide mortality risk should be adjusted for tobacco use disorder

Associations between substance use disorders and suicide mortality risk should be adjusted for tobacco use disorder

Robin Williams' suicide: a case study

Sintomas psiquiátricos e características sociodemográficas associados à tentativa de suicídio de usuários de cocaína e crack em tratamento

Contact Info

Product

Resources

About