Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
권호 표지
DOI QR코드

DOI QR Code

Combined Influence of Smoking Frequency and Intensity on Suicidal Ideation and Attempts in Korean High School Students

고등학생 청소년의 자살생각과 시도에 대한 흡연빈도와 강도의 수준별 결합효과

  • Received : 2015.09.22
  • Accepted : 2015.12.09
  • Published : 2015.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the combined influence of the frequency and the intensity of smoking on suicidal ideation and attempts in Korean high school students. Methods: This cross sectional study used secondary data from the 2014 Adolescent Health Behavior Online Survey. A total of 35,094 high school students were included in the study. The study set up two categories for the frequency of smoking - intermittent and daily - and another two for the intensity of smoking - heavy and light. Complex samples logistic regression was used to analyze the combined influence of smoking frequency and intensity on suicidal ideation and attempts. Results: Regardless of frequency and intensity, smoking was more likely to increase suicidal ideation and attempts than non-smoking. Among smokers, intermittent heavy smokers (suicidal ideation: Adjusted Odds Ratio [AOR]: 1.406, 95% Confidence Interval [CI]: 1.015~2.161, p=.012; suicidal attempts: AOR: 2.977, 95% CI: 1.814~4.886, p<.001) or daily heavy smokers (suicidal ideation: AOR: 1.274, 95% CI: 1.017~1.596, p=.035; suicidal attempts: AOR: 1.717, 95% CI: 1.250~2.359, p=.001) had significantly higher odds of suicidal ideation and attempts than intermittent light smokers. Conclusion: Based on the results, smoking prevention and cessation are essential to preventing suicides in adolescents. Especially, smoking intervention programs are needed to reduce smoking intensity in smokers.

Keywords

References

  1. Baglioni, C., Battagliese, G., Feige, B., Spiegelhalder, K., Nissen, C. Voderholzer, U., et al. (2011). Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. Journal of Affective Disorders, 135(1), 10-19. https://doi.org/10.1016/j.jad.2011.01.011
  2. Boden, J. M., Fergusson, D. M., & Horwood, L. J. (2008). Cigarette smoking and suicidal behavior: Results from a 25-year longitudinal study. Psychological Medicine, 38(3), 433-439.
  3. Breslau, N., Schultz, L. R., Johnson, E. O., Peterson, E. L., & Davis, G. C. (2005). Smoking and the risk of suicidal behavior: A prospective study of a community sample. Archives of General Psychiatry, 62(3), 328-334. https://doi.org/10.1001/archpsyc.62.3.328
  4. Dunn, M. S. (2014). Association between physical activity and substance use behaviors among high school students participating in the 2009 Youth Risk Behavior Survey. Psychological Reports, 114(3), 675-685. https://doi.org/10.2466/18.06.PR0.114k28w7
  5. Eisenmann, J. C., Bartee, R. T., Smith, D. T., Welk, G. J., & Fu, Q. (2008). Combined influence of physical activity and television viewing on the risk of overweight in US youth. International Journal of Obesity, 32(4), 613-618. https://doi.org/10.1038/sj.ijo.0803800
  6. Han, M. A., Kim, K. S., Ryu, S. Y., Kang, M. G., & Park, J. (2009). Associations between smoking and alcohol drinking and suicidal behavior in Korean adolescents: Korea Youth Behavioral Risk Factor Surveillance, 2006. Preventive Medicine, 49(2), 248-252. https://doi.org/10.1016/j.ypmed.2009.06.014
  7. Hemmingsson, T., & Kriebel, D. (2003). Smoking at age 18-20 and suicide during 26 years of follow-up-how can the association be explained?. International Journal of Epidemiology, 32(6), 1000-1004. https://doi.org/10.1093/ije/dyg203
  8. Hockenberry, J. M., Timmons, E. J., & Vander Weg, M. (2010). Smoking, parent smoking, depressed mood, and suicidal ideation in teens. Nicotine & Tobacco Research, 12(3), 235-242. https://doi.org/10.1093/ntr/ntp199
  9. Hong, M. S., & Jung, H. S. (2014). Relationship between the current smoking level and suicidal ideation of youth. The Journal of the Korean Society of School Health, 27(1), 50-57. https://doi.org/10.15434/kssh.2014.27.1.050
  10. Hughes, J. R. (2008). Smoking and suicide: A brief overview. Drug and Alcohol Dependence, 98(3), 169-178. https://doi.org/10.1016/j.drugalcdep.2008.06.003
  11. Iwasaki, M., Akechi, T., Uchitomi, Y., & Tsugane, S. (2005). Cigarette smoking and completed suicide among middle-aged men: a population-based cohort study in Japan. Annals of Epidemiology, 15(4), 286-292. https://doi.org/10.1016/j.annepidem.2004.08.011
  12. Jang, S. I., Lee, K. S., & Park, E. C. (2013). Relationship between current sleep duration and past suicidal ideation or attempt among Korean adolescent. Journal of Preventive Medicine & Public Health, 46(6), 329-335. https://doi.org/10.3961/jpmph.2013.46.6.329
  13. Kessler, R. C., Borges, G., Sampson, N., Miller, N., & Nock, M. K. (2009). The association between smoking and subsequent suicide related outcomes in the National Comorbidity Survey panel sample. Molecular Psychiatry, 14(12), 1132-1142. https://doi.org/10.1038/mp.2008.78
  14. Korea Ministry of Education, Korea Ministry of Health and Welfare, & Korea Center for Disease Control and Prevention. (2012, December 14). The Eighth Korea Youth Risk Behavior Web-Based Survey. Retrieved September 10, 2015, from https://yhs.cdc.go.kr
  15. Korea Ministry of Education, Korea Ministry of Health and Welfare, & Korea Center for Disease Control and Prevention. (2013, December 13). The Ninth Korea Youth Risk Behavior Web-Based Survey. Retrieved September 10, 2015, from https://yhs.cdc.go.kr
  16. Lee, E. H., Park, S. K., Ko, K. P., Cho, I. S., Chang, S. H., Shin, H. R., et al. (2010). Cigarette smoking and mortality in the Korean multi-center cancer cohort(KMCC) study. Journal of Preventive Medicine and Public Health, 43(2), 151-158. https://doi.org/10.3961/jpmph.2010.43.2.151
  17. Li, D., Yang, X., Ge, Z., Hao, Y., Wang, Q., Liu, F., et al. (2012). Cigarette smoking and risk of completed suicide: A metaanalysis of prospective cohort study. Journal of Psychiatric Research, 46(10), 1257-1266. https://doi.org/10.1016/j.jpsychires.2012.03.013
  18. Mathew, S. J., Coplan, J. D., Goetz, R. R., Feder, A., Greenwald, S., Dahl, R. E., et al. (2003). Differentiating depressed adolescent 24h cortisol secretion in light of their adult clinical outcome. Neuropsychoparmacology, 28(7), 1336-1343. https://doi.org/10.1038/sj.npp.1300184
  19. McKlveen, J. M., Wilson, J. M., Rubin, R. T., & Rhodes, M. E. (2010). Sexually diergic, dose-dependent hypothalamicpituitaryadrenal axis responses to nicotine in a dynamic in vitro perfusion system. Journal of Pharmacological and Toxicological Methods, 61(3), 311-318. https://doi.org/10.1016/j.vascn.2010.01.009
  20. Newhouse, P., Sunderland, T., Tariot, P., Blumhardt, C., Weingartner, H., Mellow, A., et al. (1998). Intravenous nicotine in Alzheimer's disease: a pilot study. Psychopharmacology, 95(2), 171-175. https://doi.org/10.1007/BF00174504
  21. Parott, A. C. (2003). Cigarette-derived nicotine is not a medicine. The World Journal of Biological Psychiatry, 4(2), 49-55. https://doi.org/10.3109/15622970309167951
  22. Pedersen, W., & von Soest, T. (2009). Smoking, nicotine dependence and mental health among young adults: A 13-year population-based longitudinal study. Addiction, 104(1), 129-137. https://doi.org/10.1111/j.1360-0443.2008.02395.x
  23. Reitzel, L. R., Buchanan, T. S., Nguyen, N., & Ahluwalia, J. S. (2014). Associations of subjective social status with nondaily and daily smoking. American Journal of Health Behavior, 38(2), 245-253. https://doi.org/10.5993/AJHB.38.2.10
  24. Rhim, Y. T. (2013). Review and suggestion on smoking related problems in adolescents. Journal of Korean Society for the Study of Physical Education, 18(3), 273-283.
  25. Rohleder, N., & Kirschbaum, C. (2006). The hypothalamicpituitary-adrenal(HPA) axis in habitual smokers. International Journal of Psychophysiology, 59(3), 236-243. https://doi.org/10.1016/j.ijpsycho.2005.10.012
  26. Rubinstein, M. L., Rait, M. A., Sen, S., & Shiffman, S. (2014). Characteristics of adolescent intermittent and daily smokers. Addictive Behaviors, 39(9), 1337-1341. https://doi.org/10.1016/j.addbeh.2014.04.021
  27. Sher, L., Oquendo, M. A., Galfalvy, H. C., Grunebaum, M. F., Burke, A. K., Zalsman, G., et al. (2005). The relationship of aggression to suicidal behavior in depressed patients with a history of alcoholism. Addictive Behaviors, 30(6), 1144-1153. https://doi.org/10.1016/j.addbeh.2004.12.001
  28. Statistics Korea & Ministry of Gender Equality and Family. (2015, April 28). 2015 Youth statistics. Retrieved October 20, 2015, from http://kostat.go.kr
  29. Steuber, T. L., & Danner, F. (2006). Teen smoking and depression: Which comes first? Addictive Behaviors, 31(1), 133-136. https://doi.org/10.1016/j.addbeh.2005.04.010
  30. World Health Organization(WHO). (2009, December). WHO report on the global tobacco epidemic 2009: Implementing smoke-free environments. Retrieved September 15, 2015, from http://www.who.int

Cited by

  1. Association and affecting factor between smoking and suicide idea: Focusing on comparison between district vol.35, pp.3, 2018, https://doi.org/10.14367/kjhep.2018.35.3.1
  2. 매일 흡연하는 여고생의 흡연양상, 건강행태 및 가족특성 : 청소년건강행태온라인조사 활용을 통한 융복합 연구 vol.14, pp.5, 2015, https://doi.org/10.14400/jdc.2016.14.5.377