Suicide and other-cause mortality after early exposure to smoking and second hand smoking: A 12-year population-based follow-Up study

Vincent Chin Hung Chen, Chian Jue Kuo, Tsu Nai Wang, Wen Chung Lee, Wei J. Chen, Cleusa P. Ferri, Duujian Tsai, Te Jen Lai, Meng Chuan Huang, Robert Stewart, Ying Chin Ko

    Research output: Contribution to journalArticle

    8 Citations (Scopus)

    Abstract

    Background The association between smoking and suicide is still controversial, particular for early life cigarette smoking exposure. Few studies have investigated this association in adolescents using population-based cohorts, and the relationship with second hand smoking (SHS) exposure has not been addressed. Methods and Findings In this study, we followed a large population-based sample of younger people to investigate the association between smoking, SHS exposure and suicide mortality. Between October 1995 and June 1996, 162,682 junior high school students ages 11 to 16 years old living in a geographic catchment area in Taiwan were enrolled and then followed till December 2007 (1,948,432 person-years) through linkage to the National Death Certification System. Participants who were currently smoking at baseline had a greater than six-fold higher suicide mortality than those who did not smoke (29.5 vs. 4.8 per 100,000 person-years, p20 cigarettes/per day. The estimated depression- adjusted odds ratio did not change substantially. The population attributable fractions for suicide associated with smoking and heavy SHS exposure (>20 cigarettes/per day) were 9.6% and 10.6%, respectively. Conclusions This study showed evidence of excess suicide mortality among young adults exposed to active or passive early life cigarette smoking.

    Original languageEnglish
    Article numbere0130044
    JournalPLoS One
    Volume10
    Issue number7
    DOIs
    Publication statusPublished - Jul 29 2015

    Fingerprint

    suicide
    compound A 12
    Tobacco Products
    Suicide
    hands
    Hand
    Smoking
    Mortality
    smoking (habit)
    cigarettes
    Population
    middle school students
    Smoke
    Catchments
    smoke
    certification
    young adults
    odds ratio
    Students
    Taiwan

    ASJC Scopus subject areas

    • Agricultural and Biological Sciences(all)
    • Biochemistry, Genetics and Molecular Biology(all)
    • Medicine(all)

    Cite this

    Chen, V. C. H., Kuo, C. J., Wang, T. N., Lee, W. C., Chen, W. J., Ferri, C. P., ... Ko, Y. C. (2015). Suicide and other-cause mortality after early exposure to smoking and second hand smoking: A 12-year population-based follow-Up study. PLoS One, 10(7), [e0130044]. https://doi.org/10.1371/journal.pone.0130044

    Suicide and other-cause mortality after early exposure to smoking and second hand smoking : A 12-year population-based follow-Up study. / Chen, Vincent Chin Hung; Kuo, Chian Jue; Wang, Tsu Nai; Lee, Wen Chung; Chen, Wei J.; Ferri, Cleusa P.; Tsai, Duujian; Lai, Te Jen; Huang, Meng Chuan; Stewart, Robert; Ko, Ying Chin.

    In: PLoS One, Vol. 10, No. 7, e0130044, 29.07.2015.

    Research output: Contribution to journalArticle

    Chen, VCH, Kuo, CJ, Wang, TN, Lee, WC, Chen, WJ, Ferri, CP, Tsai, D, Lai, TJ, Huang, MC, Stewart, R & Ko, YC 2015, 'Suicide and other-cause mortality after early exposure to smoking and second hand smoking: A 12-year population-based follow-Up study', PLoS One, vol. 10, no. 7, e0130044. https://doi.org/10.1371/journal.pone.0130044
    Chen, Vincent Chin Hung ; Kuo, Chian Jue ; Wang, Tsu Nai ; Lee, Wen Chung ; Chen, Wei J. ; Ferri, Cleusa P. ; Tsai, Duujian ; Lai, Te Jen ; Huang, Meng Chuan ; Stewart, Robert ; Ko, Ying Chin. / Suicide and other-cause mortality after early exposure to smoking and second hand smoking : A 12-year population-based follow-Up study. In: PLoS One. 2015 ; Vol. 10, No. 7.
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    N2 - Background The association between smoking and suicide is still controversial, particular for early life cigarette smoking exposure. Few studies have investigated this association in adolescents using population-based cohorts, and the relationship with second hand smoking (SHS) exposure has not been addressed. Methods and Findings In this study, we followed a large population-based sample of younger people to investigate the association between smoking, SHS exposure and suicide mortality. Between October 1995 and June 1996, 162,682 junior high school students ages 11 to 16 years old living in a geographic catchment area in Taiwan were enrolled and then followed till December 2007 (1,948,432 person-years) through linkage to the National Death Certification System. Participants who were currently smoking at baseline had a greater than six-fold higher suicide mortality than those who did not smoke (29.5 vs. 4.8 per 100,000 person-years, p20 cigarettes/per day. The estimated depression- adjusted odds ratio did not change substantially. The population attributable fractions for suicide associated with smoking and heavy SHS exposure (>20 cigarettes/per day) were 9.6% and 10.6%, respectively. Conclusions This study showed evidence of excess suicide mortality among young adults exposed to active or passive early life cigarette smoking.

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