Sathian Brijesh, Menezes Ritesh G, Asim Mohammad, Mekkodathil Ahammed, Sreedharan Jayadevan, Banerjee Indrajit, van Teijlingen Edwin R, Roy Bedanta, Subramanya Supram Hosuru, Kharoshah Magdy A, Rajesh Elayedath, Shetty Ullasa, Arun M, Ram Pradhum, Srivastava Vinod K
Surgery Department, Trauma Surgery, Hamad General Hospital, Doha, Qatar.
Forensic Medicine Division, Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Nepal J Epidemiol. 2020 Mar 30;10(1):821-829. doi: 10.3126/nje.v10i1.28277. eCollection 2020 Mar.
Worldwide, tobacco smoking is a major risk factor for morbidity and early mortality among adult population. The present study aimed to find out the association between current smoking and suicidal ideation among young people in Nepal.
A cross-sectional questionnaire-based survey was carried out among 452 youths from Pokhara, Nepal. The present study included both genders (age 18-24 years) who were smokers as well as non-smokers.
Across the study period, 452 participants were identified after matching for age, and sex (226 in the smoking group and 226 in the non-smoking group). The mean age of participants was 21.6±1.2 years and 58.8% were males. The overall rate of suicidal ideation in our cohort was 8.9%. Smokers were slightly more likely to report suicidal ideation than non-smokers (aOR 1.12). The risk of developing suicidal ideation was 3.56 (95% CI 1.26-10.09) times more in individuals who smoked greater than 3.5 cigarettes per week (p=0.01).
The rate of suicidal ideation was slightly higher among smokers and a dose-response relationship was identified with the number of cigarettes smoked per week. Being aware of the link between smoking and suicidal ideation may help health care professionals working with young people to address more effectively the issues of mental well-being and thoughts about suicide.
在全球范围内，吸烟是成年人群发病和过早死亡的主要风险因素。本研究旨在探讨尼泊尔年轻人当前吸烟与自杀意念之间的关联。
对尼泊尔博卡拉的452名青年进行了一项基于问卷调查的横断面研究。本研究纳入了年龄在18 - 24岁之间的吸烟者和非吸烟者，涵盖了男女两性。
在整个研究期间，经过年龄和性别匹配后确定了452名参与者（吸烟组226人，非吸烟组226人）。参与者的平均年龄为21.6±1.2岁，男性占58.8%。我们队列中的自杀意念总体发生率为8.9%。吸烟者报告自杀意念的可能性略高于非吸烟者（调整后比值比为1.12）。每周吸烟超过3.5支的个体出现自杀意念的风险是其他人的3.56倍（95%置信区间为1.26 - 10.09）（p = 0.01）。
吸烟者的自杀意念发生率略高，并且发现与每周吸烟量存在剂量反应关系。了解吸烟与自杀意念之间的联系可能有助于从事青少年工作的医护人员更有效地解决心理健康和自杀念头问题。
