ArticlePloS one2021
Self-reported history of intensity of smoking is associated with risk factors for suicide among high school students.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Smoking Prevalence among Physicians: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021Pooled it
- Adolescent substance use in Costa Rica: findings from a national survey among secondary school students.Frontiers in public health · 2025Article
- Use of Cigarettes and E-Cigarettes, Impulsivity, and Anxiety: Influences on Suicidal Ideation Among Youth and Young Adults in Texas.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- The impact of health promotion training on university students' health perceptions, healthy lifestyle behaviors, and risky behaviors.Frontiers in psychology · 2024Article
- Identifying disparities in suicidal thoughts and behaviors among US adolescents during the COVID-19 pandemic.Preventive medicine · 2023Article
- A moderated mediation analysis of the association between smoking and suicide attempts among adolescents in 28 countries.Scientific reports · 2023Article
- Use of electronic vaping products and mental health among adolescent high school students in the United States: The moderating effect of sex.Journal of psychiatric research · 2022Article
- Prevalence and determinants of smoking behavior among physicians in emergency department: A national cross-sectional study in China.Frontiers in public health · 2022Article
- Positive Affect and Multiple-tobacco Product Use among Youth: A 3-year Longitudinal Study.American journal of health behavior · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine the relationship between current cigarette smoking patterns and three established risk factors for suicide using nationally representative data of high school students in the United States.
methodsWe analyzed cross-sectional data from the national Youth Risk Behavior Surveillance Survey (YRBSS)-United States, 2017. Multivariable, logistic regressions examined the association between 3 cigarette smoking behaviors [i.e., past 30-day cigarette (n = 13,731), frequent (n = 1,093) and heavy (n = 880) smoking] and 3 risk factors for suicidal outcomes [feeling sad or hopeless, suicidal ideation, suicide plan] assessed over the previous year.
resultsAmong high school cigarette smokers, smoking 11 or more cigarettes per day (i.e., heavy smoking) was associated with 3.43 (95% CI: 1.69, 6.94) greater odds of reporting feeling sad or hopeless, 2.97 (95% CI: 1.60, 5.51) greater odds of reporting suicidal ideations, and 2.11 (95% CI: 1.34, 3.32) greater odds of reporting having ever planned a suicide attempt, controlling for covariates.
conclusionsOur study shows that it is not simply cigarette smoking, but heavy cigarette smoking that is a risk factor for suicidal outcomes among adolescents. PUBLIC HEALTH IMPLICATIONS: A comprehensive plan is needed to accommodate heavy adolescent smokers who are at increased suicidal risk.
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