Cannabis smoking increases the risk of suicide ideation and suicide attempt in young individuals of 11–21 years: A systematic review and meta-analysis
Por:
Fresán A., Dionisio-García D.M., González-Castro T.B., Ramos-Méndez M.Á., Castillo-Avila R.G., Tovilla-Zárate C.A., Juárez-Rojop I.E., López-Narváez M.L., Genis-Mendoza A.D., Nicolini H.
Publicada:
1 ene 2022
Resumen:
Background: Cannabis is the most frequently consumed drug around the world. Its use has been associated with increased suicide behaviors; nonetheless, the association of cannabis smoking and suicide behaviors in adolescents has not yet been established. The aim of this systematic review and meta-analysis was to evaluate the risk of suicide attempt, suicidal ideation or suicide planning in individuals of 11–21 years of age who smoke cannabis. Methods: We performed an online searched using PubMed, EBSCO and Science Direct databases, up to July 2021. We calculated odds ratio with 95% confidence intervals to evaluate the association between suicide attempt, suicidal ideation or suicide planning and cannabis smoking in individuals of 11–21 years of age. Results: Twenty studies reported suicide attempts in 34,859 young individuals, suicidal ideation in 26, 937 individuals, and suicide planning in 9054 young individuals. We found an increased risk of suicide attempt in cannabis smokers than in non-cannabis users (OR: 2.33; 95% CI: 1.78–3.05; Z p value; <0.0001; I2 = 97.12%), as well as a significant association between cannabis smoking and suicidal ideation (OR: 2.04; 95%CI: 1.64–2.53; Z p value: <0.001; I2: 94.88) and suicide planning (OR: 1.674; 95% CI: 1.554–1.804; Z p value: 0.000; I2: 92.609). Subgroup analyses showed that American teens have an increased risk of suicidal ideation; the meta-regression analysis revealed that age was negatively associated with the risk of suicide attempt. Conclusions: This meta-analysis shows that cannabis smoking increased the risk of suicide attempt, suicidal ideation and suicide planning in young individuals of 11–21 years of age. The high risk of suicide behaviors could vary depending on the population studied; therefore, more studies are necessary to corroborate the risk of presenting suicide behaviors in individuals of 11–21 years of age who smoke cannabis. © 2022 Elsevier Ltd
Filiaciones:
Fresán A.:
Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Ciudad de México, Mexico
Dionisio-García D.M.:
Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud, Tabasco, Villahermosa, Mexico
González-Castro T.B.:
Universidad Juárez Autónoma de Tabasco, División Académica Multidisciplinaria de Jalpa de Méndez, Tabasco, Jalpa de Méndez, Mexico
Ramos-Méndez M.Á.:
Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud, Tabasco, Villahermosa, Mexico
Castillo-Avila R.G.:
Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud, Tabasco, Villahermosa, Mexico
Tovilla-Zárate C.A.:
Universidad Juárez Autónoma de Tabasco, División Académica Multidisciplinaria de Comalcalco, Tabasco, Comalcalco, Mexico
Juárez-Rojop I.E.:
Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud, Tabasco, Villahermosa, Mexico
López-Narváez M.L.:
Hospital General de Yajalón “Dr. José Manuel Velasco Siles”, Secretaría de Salud, Chiapas, Yajalón, Mexico
Genis-Mendoza A.D.:
Instituto Nacional de Medicina Genómica (INMEGEN), Servicios de Atención Psiquiátrica (SAP), Secretaría de Salud, Ciudad de México, Mexico
Nicolini H.:
Laboratorio de Enfermedades Psiquiátricas, Neurodegenerativas y Adicciones, Instituto Nacional de Medicina Genómica (INMEGEN), Ciudad de México, Mexico
|