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Depressive symptoms and suicidal behaviours in adolescent non-daily smokers compared to daily smokers and never-smokers in Korea: National cross-sectional study

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  • Jinhee Lee
  • Tae Hui Kim
  • Seongho Min
  • Min-Hyuk Kim
  • Ki Chang Park
  • Jin Sil Moon
  • Joung-Sook Ahn

Abstract

Introduction: We aimed to investigate the association of non-daily smoking with depressive symptoms and suicidal behaviours among adolescents by analysing data from the 2016 Korean Youth Risk Behavior Web-based Survey (KYRBWS), a national school-based survey. Methods: We analysed data from a nationally representative sample of Korean adolescents aged 12–18 years (n = 65,528). We investigated the risks of depressive symptoms, suicide ideation, plan and attempt in adolescent non-daily smokers using multiple logistic regression analyses after adjusting for confounding factors. Taking into account the trajectory of smoking patterns in adolescents, we assessed all analyses with stratification by early (aged 12–15) and late (aged 16–18) adolescents. Results: Among early adolescents, non-daily smokers were more likely to have depressive symptoms, suicide ideation and plan compared with never smokers and even more likely to have depressive symptoms compared with daily smokers. Among late adolescents, non-daily smokers had higher risks of depressive symptoms, suicide ideation, plan and attempt than never smokers, whereas the risk for suicide attempts was lower than daily smokers. Conclusions: Our findings suggest that non-daily smoking in adolescents was associated with risks for depressive symptoms and suicidal behaviours, and the association was more prominent in early adolescents. Careful attention on the mental health of adolescent non-daily smokers is needed because this is an increasing and easily overlooked group.

Suggested Citation

  • Jinhee Lee & Tae Hui Kim & Seongho Min & Min-Hyuk Kim & Ki Chang Park & Jin Sil Moon & Joung-Sook Ahn, 2018. "Depressive symptoms and suicidal behaviours in adolescent non-daily smokers compared to daily smokers and never-smokers in Korea: National cross-sectional study," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0207182
    DOI: 10.1371/journal.pone.0207182
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    References listed on IDEAS

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    1. Jalal Poorolajal & Nahid Darvishi, 2016. "Smoking and Suicide: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-18, July.
    2. Goodman, E. & Slap, G.B. & Huang, B., 2003. "The Public Health Impact of Socioeconomic Status on Adolescent Depression and Obesity," American Journal of Public Health, American Public Health Association, vol. 93(11), pages 1844-1850.
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    1. Saengryeol Park & So-Youn Park & Su Yeon Jang & Gapjin Oh & In-Hwan Oh, 2020. "The Neglected Role of Physical Education Participation on Suicidal Ideation and Stress in High School Adolescents from South Korea," IJERPH, MDPI, vol. 17(8), pages 1-11, April.
    2. Yunna Kwan & Hye Sim Kim & Dae Ryong Kang & Tae Hui Kim, 2020. "Trend in the Prevalence of Non-Daily Smoking and Their Relationship with Mental Health Using the Korea Health and Nutrition Examination Survey," IJERPH, MDPI, vol. 17(10), pages 1-12, May.

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