ArticleAddictive behaviors2018
Early-onset tobacco use and suicide-related behavior - A prospective study from adolescence to young adulthood.
Article in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 42 citations in OpenAlex.
- Physical education and psychosocial vulnerability in adolescent suicide-related risk: a transnational cross-sectional explainable machine-learning analysis of student health survey data.Frontiers in psychiatry · 2026Article
- Associations between cannabis use frequency and suicidal thoughts and behaviors: A clinical longitudinal sibling study.Addictive behaviors reports · 2025Article
- Self-harming behavior linked to earlier onset of cardiovascular disease in severe mental disorders.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Proinflammatory gene expression is associated with prospective risk for adolescent suicidal thoughts and behaviors over twelve months.Development and psychopathology · 2025Article
- Article
- Sleep problems, decision-making, and suicide attempts during adolescence: a longitudinal birth cohort study.Sleep advances : a journal of the Sleep Research Society · 2025Article
- Sex differences in the roles of nicotine use and puberty on youth C-reactive protein levels: Effects above and beyond adversity.Brain, behavior, & immunity - health · 2024Article
- Article
- A moderated mediation analysis of the association between smoking and suicide attempts among adolescents in 28 countries.Scientific reports · 2023Article
- Dual-harm in adolescence and associated clinical and parenting factors.Social psychiatry and psychiatric epidemiology · 2022Article
- Substance use in childhood and adolescence and its associations with quality of life and behavioral strengths and difficulties.BMC public health · 2022Article
- Early Age of Cannabis Initiation and Its Association With Suicidal Behaviors.Substance abuse : research and treatment · 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
- A genetically informed study on the association of cannabis, alcohol, and tobacco smoking with suicide attempt.Molecular psychiatry · 2021Article
- Suicide among cancer patients: adolescents and young adult (AYA) versus all-age patients.Annals of translational medicine · 2019Article
- FinnTwin12 Cohort: An Updated Review.Twin research and human genetics : the official journal of the International Society for Twin Studies · 2019Review
- The role of substance use, smoking, and inflammation in risk for suicidal behavior.Journal of affective disorders · 2019Article
- Smoking and suicidal ideation among college students: Smoking expectancies as potential moderators.Journal of American college health : J of ACHArticle
Corrections and comments
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Authors and funding
8 authors at 7 institutions in 2 countries.
Funding
Abstract
backgroundDevelopmental relationships between tobacco use and suicide-related behaviors (SRB) remain unclear. Our objective was to investigate the longitudinal associations of tobacco use in adolescence and SRB in adulthood.
methodsUsing a prospective design, we examined whether tobacco use in adolescence is associated with SRB (intentional self-injury, suicide ideation) in young adulthood in a population-based sample of 1330 twins (626 males, 704 females). The baseline and follow-up data were collected by professionally administered semi-structured poly-diagnostic interviews at ages 14 and 22, respectively.
resultsAfter adjusting for multiple potential confounders, those who reported early-onset of regular tobacco use had a significantly increased risk for intentional self-injury, such as cutting or burning, at age 22 (adjusted odds ratio [AOR] 4.57, 95% CI 1.93-10.8) in comparison to those who had not at all initiated tobacco use. Also, daily cigarette smoking at baseline was associated with future intentional self-injury (AOR 4.45, 95% CI 2.04-9.70). Early-onset tobacco use was associated with suicidal ideation in females (AOR 3.69, 95% CI 1.56-8.72) but not in males. Considering any SRB, baseline daily smokers (AOR 2.13, 95% CI 1.12-4.07) and females with early onset of regular tobacco use (AOR 3.97, 95% CI 1.73-9.13) had an increased likelihood. Within-family analyses among twin pairs discordant for exposure and outcome controlling for familial confounds showed similar, albeit statistically non-significant, associations.
conclusionEarly-onset tobacco use in adolescence is longitudinally associated with SRB (intentional self-injury and/or suicide ideation) in young adulthood, particularly among females. Further investigation may reveal whether this association has implications for prevention of SRB in adolescence and young adulthood.
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