Programa de Medicina, Facultad de Ciencias de la Salud, Universidad del Magdalena, Santa Marta, Colombia.
Programa de Psicología, Universidad Cooperativa de Colombia, Santa Marta, Colombia.
Biomedica. 2020 Sep 1;40(3):569-577. doi: 10.7705/biomedica.4988.
Introduction: The use of Cannabis continues to increase worldwide, especially among adolescents. This use overlaps with cigarette smoking and other illicit and licit drugs and s associated with depressive symptoms and suicide risk. In our national context, little is known about the relationship between Cannabis use and suicide risk. Objective: To evaluate the association between Cannabis use and elevated suicide risk in high school adolescents in Santa Marta, Colombia. Materials and methods: We conducted a cross-sectional study with a probabilistic sample of high school students between 13 and 17 years of age from official and private schools. We analyzed the use of Cannabis some time in life and suicide risk was quantified using the suicide ideation scale designed by the Center for Epidemiological Studies on Depression. Scores greater than eight were categorized as a high suicide risk. The crude and adjusted opportunity ratio (OR) was estimated. Results: A total of 1,462 students participated. Their mean age was 14.4 years (SD=0.8) and 60.3% were women. The lifetime prevalence of Cannabis use was 11.6% (95%CI: 10.0-13.2) and 13.3% of the students reported high suicide risk (95%CI: 11.6-15.0). Cannabis consumption was associated with high suicide risk adjusted by other variables (OR=1.88; 95%CI: 1.23-2.88). Conclusions: Cannabis use was associated with high suicide risk in high school adolescents in Santa Marta, Colombia. Other variables should be studied in order to further examine this association.
全球范围内，尤其是青少年群体中，大麻的使用呈上升趋势。这种使用行为与吸烟以及其他非法和合法药物的使用相互重叠，与抑郁症状和自杀风险相关。在我们的国家背景下，对于大麻使用与自杀风险之间的关系知之甚少。目的：评估哥伦比亚圣玛尔塔市高中生中大麻使用与自杀风险升高之间的关系。材料和方法：我们进行了一项横断面研究，采用概率抽样方法从公立和私立学校中选取了 13 至 17 岁的高中生。我们分析了一生中大麻的使用情况，使用由抑郁流行病学研究中心设计的自杀意念量表来量化自杀风险。得分大于 8 分被归类为自杀风险高。估计了未经调整和调整后的机会比（OR）。结果：共有 1462 名学生参与了研究。他们的平均年龄为 14.4 岁（标准差=0.8），其中 60.3%为女性。大麻终生使用率为 11.6%（95%CI：10.0-13.2），13.3%的学生报告有较高的自杀风险（95%CI：11.6-15.0）。在校正了其他变量后，大麻消费与较高的自杀风险相关（OR=1.88；95%CI：1.23-2.88）。结论：在哥伦比亚圣玛尔塔的高中生中，大麻使用与较高的自杀风险相关。为了进一步研究这种关联，应该研究其他变量。
