Tobacco and alcohol consumption are strongly associated with the risk of suicide behaviors among adolescents, particularly among girls. Country-level tobacco control strategies may have the potential to reduce risks of suicide behaviors associated with tobacco use among adolescents.

Research consistently indicates that adolescents who use alcohol and tobacco products are at a higher risk of experiencing suicidal thoughts and behaviors compared to those who do not. 

Summary of article:

• Increased Risk: 
  
  
• Research consistently indicates that adolescents who use alcohol and tobacco products are at a higher risk of experiencing suicidal thoughts and behaviors compared to those who do not. 
  
  
• Specific Findings:
  
  
• A study using data from the CDC survey found a significantly higher proportion of suicide attempts among adolescents who reported alcohol and tobacco use. 
• Another study found that adolescents who consumed energy drinks frequently (5 or more times per week) had substantially higher odds of suicide attempts. 
• A study of preadolescent children found statistically significant associations between children's use of tobacco products and suicide attempts. 
  
  
• Mechanisms:
  
  
• Substance use can worsen mood, impulsivity, and aggression, all of which are risk factors for suicide. 
• Nicotine, a substance found in tobacco, is thought to cause these behavioral problems. 
• Alcohol use disorder and acute alcohol use also increase the risk for suicidal behaviors. 
  
  
• Importance of Early Intervention:
  
  
• The findings emphasize the importance of addressing substance use in adolescents as a crucial part of suicide prevention efforts. 
• Primary care physicians should ask their adolescent patients about their substance use to identify and address potential risks. 
  
  
• Other Risk Factors:
  
  
• While substance use is a significant risk factor, it's important to note that suicide is a complex issue with multiple contributing factors, including mental health conditions like depression, substance abuse, and aggressive behavior disorders. 
• Other risk factors include previous suicide attempts, a history of depression or other mental illnesses, serious illnesses, and criminal/legal problems. 

STUDY CONCLUSION:

Tobacco and alcohol consumption are strongly associated with the risk of suicide behaviors among adolescents, particularly among girls. Country-level tobacco control strategies may have the potential to reduce risks of suicide behaviors associated with tobacco use among adolescents.

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