Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-22T18:07:38.191Z Has data issue: false hasContentIssue false
  • English
  • Français

Heavy daily smoking among under 18-year-old psychiatric inpatients is associated with increased risk for suicide attempts

Published online by Cambridge University Press:  16 April 2020

Kaisa Riala ,
Kaisa Viilo ,
Helinä Hakko  and
Pirkko Räsänen
Kaisa Riala*
Affiliation:
Department of Psychiatry, University of Oulu, Box 5000, 90014 University of Oulu, Finland Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Kaisa Viilo
Affiliation:
Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Helinä Hakko
Affiliation:
Department of Psychiatry, Oulu University Hospital, Box 26, 90029OYS, Finland
Pirkko Räsänen
Affiliation:
Department of Psychiatry, University of Oulu, Box 5000, 90014 University of Oulu, Finland
*
*Corresponding author. Department of Psychiatry, Oulu University Hospital, Box 26, 90029 OYS, Finland. Tel.: +358 8 3156808; fax: +358 8 3157256. E-mail address:[email protected] (K. Riala).
Get access

Abstract

Purpose

To investigate the relationship between heavy daily smoking and suicidality among adolescent psychiatric inpatients in Finland.

Methods

Data were collected from 411 patients (age 12–17 years) admitted to inpatient psychiatric hospitalization between April 2001 and July 2005. The number of daily cigarettes (>15) and the time of first cigarette after waking up (within 30 min) were used as indicators of heavy daily smoking.

Results

After adjusting for psychiatric diagnoses an over twofold risk for suicide attempts was found among adolescents who smoked over 15 cigarettes a day. Additionally, if an adolescent also smoked the first cigarette immediately after waking up the risk was over threefold. Suicidal ideation was not associated with smoking behaviour.

Discussion and conclusions

Among adolescents with severe psychiatric illnesses, heavy daily smoking may increase the risk of suicidal behaviour independently of current psychiatric diagnosis. The degree of nicotine dependence of an adolescent should therefore be carefully assessed as part of psychiatric evaluation.

Keywords

SmokingNicotine consumptionSuicideAdolescentPsychiatric disorder
Type
Original article
Information
European Psychiatry , Volume 22 , Issue 4 , May 2007 , pp. 219 - 222
Copyright
Copyright © Elsevier Masson SAS 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Breslau, N.Schultz, L.R.Johnson, E.O.Peterson, E.L.Davis, G.C.Smoking and the risk of suicidal behavior. Arch Gen Psychiatry 2005;62:328–334.CrossRefGoogle ScholarPubMed
Chabrol, H.Niezborala, M.Chastan, E.De Leon, J.Comparison of the Heavy Smoking Index and of the Fagerstrom test for nicotine dependence in a sample of 749 cigarette smokers. Addictive Behaviors 2005;30:1474–1477.CrossRefGoogle Scholar
Diaz, F.J.Jane, M.Salto, E.Pardell, H.Salleras, L.Pinet, C.de Leon, J.A brief measure of high nicotine dependence for busy clinicians and large epidemiological surveys. Aust N Z J Psychiatry 2005;39:161–168.CrossRefGoogle ScholarPubMed
Heatherton, T.F.Kozlowski, L.T.Frecker, R.C.Rickert, W.Robinson, J.Measuring the heaviness of smoking: using self-reported time to the first cigarette of the day and number of cigarettes smoked per day. Br J Addict 1989;84:791–800.CrossRefGoogle ScholarPubMed
Iwasaki, M.Akechi, T.Uchitomi, Y.Tsugane, S.Cigarette smoking and completed suicide among middle-aged men: a population-based cohort study in Japan. Ann Epidemiol 2005;4:286–292.CrossRefGoogle Scholar
Kaufman, J.Birmaher, B.Brent, D.Rao, U.Flynn, C.Moreci, P.et al.Schedule for Affective Disorders and Schizophrenia for School-Age Children—Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997;36:980–988.CrossRefGoogle ScholarPubMed
Mäkikyrö, T.H.Hakko, H.H.Timonen, M.J.Lappalainen, J.A.Ilomäki, R.S.Marttunen, M.J.et al.Smoking and suicidality among adolescent psychiatric patients. J Adolesc Health 2004;34:250–253.CrossRefGoogle ScholarPubMed
Malone, K.M.Waternaux, C.Haas, G.L.Cooper, T.B.Li, S.Mann, J.J.Cigarette smoking, suicidal behavior, and serotonin function in major psychiatric disorders. Am J Psychiatry 2003;160:773–779.CrossRefGoogle ScholarPubMed
Mann, J.J.Waternaux, C.Haas, G.L.Malone, K.M.Toward a clinical model of suicidal behavior in psychiatric patients. Am J Psychiatry 1999;156:181–189.Google Scholar
McGee, R.Williams, S.Nada-Raja, S.Is cigarette smoking associated with suicidal ideation among young people? Am J Psychiatry 2005;162:619–620.CrossRefGoogle ScholarPubMed
Miller, M.Hemenway, D.Rimm, E.Cigarettes and suicide: a prospective study of 50,000 men. Am J Public Health 2000;90:768–773.Google ScholarPubMed
Prokhorov, A.V.Pallonen, U.E.Fava, J.L.Ding, L.Niaura, R.Measuring nicotine dependence among high-risk adolescent smokers. Addict Behav 1996;21:117–127.CrossRefGoogle ScholarPubMed
Reich, D.B.Zannarini, M.C.Developmental aspects of borderline personality disorder. Harv Rev Psychiatry 2001;9:294–301.CrossRefGoogle ScholarPubMed
Roggenbach, J.Muller-Oerlinghausen, B.Franke, L.Suicidality, impulsivity and aggression—is there a link to 5HIAA concentration in the cerebrospinal fluid? Psychiatry Res 2002;113:193–205.CrossRefGoogle Scholar
Rossi, S.Singer, S.Shearman, E.Sershen, H.Lajtha, A.The effects of cholinergic and dopaminergic antagonists on nicotine-induced cerebral neurotransmitter changes. Neurochem Res 2005;30:541–558.CrossRefGoogle ScholarPubMed
Schneider, B.Schnabel, A.Weber, B.Frölich, L.Maurer, K.Wetterling, T.Nicotine use in suicides: a case-control study. Eur Psychiatry 2005;20:129–136.CrossRefGoogle ScholarPubMed
Tanskanen, A.Viinamäki, H.Hintikka, J.Koivumaa-Honkanen, H.-T.Lehtonen, J.Smoking and suicidality among psychiatric patients. Am J Psychiatry 1998;155:129–130.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.