Evidence map›Paper›PMID 33195989›Full record

ArticleGeneral psychiatry2020

Marijuana use and repeated attempted suicide among senior high school students in Ghana: Evidence from the WHO Global School-Based Student Health Survey, 2012.

John Tetteh, George Ekem-Ferguson, Swithin Mustapha Swaray, Nuworza Kugbey, Emmanuel Nii-Boye Quarshie, Alfred Edwin Yawson

Open access · diamondAbstract read
In one paragraph

Article in General psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 25 citations in OpenAlex.

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  7. Exploring Impact of Marijuana (Cannabis) Abuse on Adults Using Machine Learning.International journal of environmental research and public health · 2021
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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

6 authors at 3 institutions in 1 country.

John TettehDepartment of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.ORCID 0000-0002-1986-4103
George Ekem-FergusonDepartment of Psychiatry, Korle Bu Teaching Hospital, Accra, Greater Accra, Ghana.ORCID 0000-0002-9293-6812
Swithin Mustapha SwarayNational Cardiothoracic Centre, Korle Bu Teaching Hospital, Accra, Greater Accra, Ghana.ORCID 0000-0002-6965-7110
Nuworza KugbeyDepartment of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.
Emmanuel Nii-Boye QuarshieDepartment of Psychology, School of Social Sciences, University of Ghana College of Humanities, Accra, Greater Accra, Ghana.ORCID 0000-0002-8720-2355
Alfred Edwin YawsonDepartment of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
University of Ghana · GHKorle Bu Teaching Hospital · GHUniversity of Health and Allied Sciences · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between substance use including marijuana use and attempted suicide has been well documented. However, little is known about marijuana use and its association with attempted suicide repetition among young people in low-income and middle-income contexts.

aimsThis analysis was conducted to assess the factors associated with marijuana use and ascertain marijuana use as a determinant of repeated attempted suicide among senior high school (SHS) students in Ghana.

methodsData from the 2012 Global School-Based Student Health Survey in Ghana was used for this study. Modified Poisson, Logistic and Probit models weighted with Mahalanobis distance matching within propensity calliper were employed separately to determine the hypothetical association between marijuana use and repeated attempted suicide. All analysis was performed using Stata 16 and p≤0.05 was deemed statistically significant.

resultsThe prevalence estimates of marijuana use and repeated attempted suicide among SHS students in Ghana were 3.4% (95% CI: 2.3 to 5.1) and 11.5% (95% CI: 9.1 to 14.4), respectively. The prevalence of marijuana use was significantly associated with school grade, smoking exposure, parent smoker, alcohol intake and truancy. Marijuana use was positively associated with repeated attempted suicide among SHS in Ghana (φ correlation=0.23, p<0.001). Repeated attempted suicide among students who use marijuana was approximately threefold and fivefold significant compared with non-marijuana use students, based on the Poisson (adjusted prevalence ratio: 3.02; 95% CI: 1.67 to 5.43, p<0.001) and Logistic (adjusted OR:5.06; 95% CI: 3.19 to 11.64, p<0.001) estimates respectively. Also, the Probit model showed that marijuana use significantly increased the log count of repeated attempted suicide by 95% (aβ: 0.95; 95% CI: 0.49 to 1.41, p<0.001).

conclusionMarijuana use does not only influence the onset of suicidal attempts but also repeated attempted suicide among SHS students in Ghana. Special attention is required for suicide attempters with a history of repeated attempts and current marijuana use among SHS students in Ghana. Early identification of the potential risk and protective factors is recommended to inform school-based interventions. National level structured school-based substance abuse interventions and health promotion programmes would be useful.

Indexed as

mental health servicespsychiatrypublic health surveillance

Identifiers

PMID33195989
PMCPMC7607604
OpenAlexW3097226522

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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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.