期刊
EUROPEAN PSYCHIATRY
卷 56, 期 -, 页码 8-13出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1016/j.eurpsy.2018.10.006
关键词
Cannabis; Survey; Suicide; Adolescence; Psychiatry; Epidemiology
类别
资金
- Miguel Servet contract [CP13/00150, PI15/00862]
- ISCIII - General Branch Evaluation and Promotion of Health Research
- European Regional Development Fund (ERDF-FEDER)
- Health Education England
- National Institute for Health Research ICA Programme Clinical Lectureship [ICA-CL-2017-03-001]
Background: Evidence suggests that cannabis use may be associated with suicidality in adolescence. Nevertheless, very few studies have assessed this association in low-and middle-income countries (LMICs). In this cross-sectional survey, we investigated the association of cannabis use and suicidal attempts in adolescents from 21 LMICs, adjusting for potential confounders. Method: Data from the Global school-based Student Health Surveywas analyzed in86,254 adolescentsfrom 21 countries [ mean (SD) age = 13.7 (0.9) years; 49.0% girls]. Suicide attempts during past year and cannabis during past month and lifetime were assessed. Multivariable logistic regression analyses were conducted. Results: The overall prevalence of past 30-day cannabis use was 2.8% and the age-sex adjusted prevalence varied from 0.5% (Laos) to 37.6% (Samoa), while the overall prevalence of lifetime cannabis use was 3.9% (range 0.5%-44.9%). The overall prevalence of suicide attempts during the past year was 10.5%. Following multivariable adjustment to potential confounding variables, past 30-day cannabis use was significantly associated with suicide attempts (OR = 2.03; 95% CI: 1.42-2.91). Lifetime cannabis use was also independently associated with suicide attempts (OR = 2.30; 95% CI: 1.74-3.04). Conclusion: Our data indicate that cannabis use is associated with a greater likelihood for suicide attempts in adolescents living in LMICs. The causality of this association should be confirmed/refuted in prospective studies to further inform public health policies for suicide prevention in LMICs. (c) 2018 Elsevier Masson SAS. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据