Evidence map›Paper›PMID 29656915›Full record

ArticleAmerican journal of preventive medicine2018

Substance Use and Suicide in Pacific Islander, American Indian, and Multiracial Youth.

Andrew M Subica, Li-Tzy Wu

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
20.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Systematic Review and Meta-analysis: International Prevalence of Suicidal Ideation and Attempt in Youth.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
    Pooled it
  4. Mirrors for Pacific Islander Children: Teaching Resilience Through Culturally Adapted Bibliotherapy.International journal of environmental research and public health · 2025
    Trial
  5. Article
  6. Article
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  9. Examining racial identity invalidation and well-being among Biracial adolescents using the identity capital model.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025
    Article
  10. Article
  11. Article
  12. BiSocial sciences (Basel, Switzerland) · 2025
    Article
  13. Article
  14. Article
  15. Trauma and mental health in Pacific Islanders.The International journal of social psychiatry · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Andrew M SubicaUniversity of California, Riverside Center for Healthy Communities, School of Medicine, Riverside, California. Electronic address: subica@gmail.com.
Li-Tzy WuDepartment of Psychiatry and Behavioral Sciences, Department of Medicine, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina.
Duke University · USUniversity of California, Riverside · US

Funding

Project-003UG1DA040317 · NIDA · DUKE UNIVERSITY · PI WU, LI-TZY · 2015 to 2019
$9.0M
MDMA and Other Hallucinogen Use: Onset and Abuse/DependenceR01DA019623 · NIDA · DUKE UNIVERSITY · PI WU, LI-TZY · 2007 to 2013
$1.1M
Engaging Pacific Islander Perspectives on Mental Illness and Mental Health ServicesR21MH110814 · NIMH · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI AITAOTO, NIA, SUBICA, ANDREW MAKOTO · 2017 to 2018
$452k
NIDA NIH HHS R01 DA019623NIDA NIH HHS UG1 DA040317NIMH NIH HHS R21 MH110814
6 · The paper itself

Abstract

introductionNational estimates of U.S. Native Hawaiian and other Pacific Islander (NHPI), American Indian/Alaskan Native (AIAN), and multiracial adolescent substance use and suicidality are scarce because of their small population sizes. The aim was to estimate the national prevalence of, and disparities in, substance use and suicidality among these understudied adolescents.

methodsAnalyses conducted in 2017 of U.S. adolescents (grades ninth to 12th) from the 1991-2015 Combined National Youth Behavioral Risk Surveys estimated (1) prevalence of lifetime and current (past 30-day) substance use, past 12-month depressed mood, and suicidality by racial group; and (2) AORs for depressed mood and suicidality regressed on current alcohol, cigarette, and marijuana use.

resultsAmong 184,494 U.S. adolescents, alcohol, cigarettes, and marijuana were commonly used with lifetime prevalence of 75.32%, 58.11%, and 40.55%, respectively, and current prevalence of 44.51%, 24.58%, and 22.01%, respectively. Past 12-month prevalence of suicidal thoughts, suicide planning, and attempted suicide were 18.87%, 14.75%, and 7.98%, respectively. Relative to non-Hispanic whites, NHPI, AIAN, and multiracial adolescents had higher prevalence of using many illicit substances (e.g., marijuana, heroin), depressed mood, and suicidal thoughts, planning, and attempts (p<0.05). Except for NHPIs and current alcohol use, current alcohol and cigarette use were independently associated with 2.0-2.3 times greater AORs (p<0.05) for attempted suicide among the target adolescents.

conclusionsU.S. NHPI, AIAN, and multiracial adolescents are disproportionately burdened by illicit substance use, depressed mood, and suicidality. Current alcohol and cigarette use may predispose these adolescents toward suicidality, offering potential pathways to alleviate suicide risk.

Indexed as

Alcohol DrinkingAmerican Indian or Alaska NativeCigarette SmokingIllicit DrugsMarijuana SmokingNative Hawaiian or Pacific IslanderSuicideAdolescentCross-Sectional StudiesEthnicityFemaleHumansMalePrevalenceRisk-TakingSurveys and QuestionnairesIllicit Drugs

Identifiers

PMID29656915
PMCPMC6706273
OpenAlexW2801365252

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.