ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2014
Probing the smoking-suicide association: do smoking policy interventions affect suicide risk?
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Serum lipid levels and suicidality: a meta-analysis of 65 epidemiological studies.Journal of psychiatry & neuroscience : JPN · 2016Pooled it
- Examining the chronicity of suicidal thoughts and behaviors among Australian males.Social psychiatry and psychiatric epidemiology · 2026Article
- Gender differences in gray matter volume of the anterior cingulate cortex and suicidal ideation in patients with major depressive disorder: evidence from the REST-meta-MDD project.Translational psychiatry · 2025Article
- Evidence for Public Policies to Prevent Suicide Death in the United States.Annual review of public health · 2025Review
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- Cannabis Policies, Cannabis, and Opioids in Suicide and Undetermined Intent Death.American journal of preventive medicine · 2025Article
- Uncovering key biopsychosocial risk factors in non-violent suicide attempts: evidence from a Hungarian cross-sectional study.Frontiers in psychiatry · 2025Article
- Does the Path From Cigarette Smoking to Suicide Death Go Through the Hospital? A Causal Mediation Analysis in a National Canadian Sample.Tobacco use insights · 2025Article
- Suicide mortality following the implementation of tobacco packaging and pricing policies in Korea: an interrupted time-series analysis.BMC medicine · 2024Article
- Identifying long-term and imminent suicide predictors in a general population and a clinical sample with machine learning.BMC psychiatry · 2022Article
- Long-term trends in adolescent alcohol, tobacco and cannabis use and emerging substance use issues in Aotearoa New Zealand.Journal of the Royal Society of New Zealand · 2022Review
- Examining the effect of smoking on suicidal ideation and attempts: triangulation of epidemiological approaches.The British journal of psychiatry : the journal of mental science · 2020Article
- Integrating local health departments to reduce suicide-related emergency department visits among people with substance use disorders - Evidence from the state of Maryland.Preventive medicine · 2019Article
- Tobacco addiction in the psychiatric population and in the general population.Revista latino-americana de enfermagem · 2017Article
- Prospective association between tobacco smoking and death by suicide: a competing risks hazard analysis in a large twin cohort with 35-year follow-up.Psychological medicine · 2017Article
- Are Smoking Cessation Treatments Associated with Suicidality Risk? An Overview.Substance abuse : research and treatment · 2016Review
- Suicide Prevention Referrals in a Mobile Health Smoking Cessation Intervention.American journal of public health · 2015Article
- Medical Marijuana Laws and Suicide.American journal of public health · 2015Article
- A reexamination of medical marijuana policies in relation to suicide risk.Drug and alcohol dependence · 2015Article
- Characterizing Social Interaction in Tobacco-Oriented Social Networks: An Empirical Analysis.Scientific reports · 2015Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
introductionSmokers exhibit elevated risk for suicide, but it is unknown whether smoking interventions reduce suicide risk. We examined whether state-level policy interventions-increases in cigarette excise taxes and strengthening of smoke-free air laws-corresponded to a reduction in suicide risk during the 1990s and the early 2000s. We also examined whether the magnitude of such reductions correlated with individuals' predicted probability of smoking, which would be expected if the associations stemmed from changes in smoking behavior.
methodsWe paired individual-level data on suicide deaths from the U.S. Multiple Cause of Death files, years 1990-2004, with living population data from the same period. These were linked with state data on cigarette excise taxes and smoke-free air policies. Utilizing a quasiexperimental analytical approach, we estimated the association between changes in policy and suicide risk. To examine whether associations correlated with individuals' probability of smoking, we used external survey data to derive a predicted probability of smoking function from demographic variables, which was then used to stratify the population by predicted smoking prevalence.
resultsCigarette excise taxes, smoke-free air policies, and an index combining the two policies all exhibited protective associations with suicide. The associations were strongest in segments of the population where predicted smoking prevalence was the highest and weaker in segments of the population where predicted smoking prevalence was the lowest, suggesting that the protective associations were related to changes in smoking behavior.
conclusionThese results provide support for the proposition that population interventions for smoking could reduce risk for suicide.
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