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Smoking, parent smoking, depressed mood, and suicidal ideation in teens.

Hockenberry JM, Timmons EJ, Vander Weg M. Smoking, parent smoking, depressed mood, and suicidal ideation in teens. Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco. 2010 Mar 1; 12(3):235-42.

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Abstract:

OBJECTIVES: We address whether smoking is related to suicidal ideation in teens and whether there is evidence of a causal pathway. METHODS: We use data from the 2002 National Annenberg Survey of Youth and employ multivariate logistic regression to model each teen''s risk of suicidal ideation as a function of self-report of depressive symptoms, own smoking, parent smoking, and demographic and household income variables. RESULTS: Individuals reporting depressive symptoms have an increased risk of suicidal ideation (odds ratio [OR] = 13.13; 95% CI = 5.98-28.81). Relative to teens who do not smoke and whose parents do not smoke, teens who smoke and do not have a parent who smokes have increased risk of suicidal ideation (OR = 8.10; 95% CI = 2.88-22.80), whereas those with a parent who smokes do not have a statistically significant increased risk of suicidal ideation regardless of teen smoking behavior. CONCLUSION: Relative to teens who do not smoke and do not have parents who smoke, suicidal ideation risk is increased in teens who smoke only if they do not have a parent who smokes. We find evidence that the smoking and suicidal ideation of the teens is likely due to common psychosocial causes rather than a causal pathway from smoking to suicidal ideation.




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