Association of heated tobacco product use and secondhand smoke exposure with suicidal ideation, suicide plans and suicide attempts among Korean adolescents: A 2019 national survey

Soyoon Park, Kang Sook Lee

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

INTRODUCTION The consumption of heated tobacco products (HTPs) is increasing among adolescents worldwide. Although suicide and HTP use are linked, the association between suicide-related behavior, HTP use, and indirect smoking exposure are not yet properly studied. This study examined the association of HTP use and exposure to secondhand smoke (SHS) with suicidal ideation, suicide plans, and suicide attempts among South Korean adolescents. METHODS Data from 57303 respondents (95.3% response rate) were obtained from the 2019 Korean Youth Risk Behavior Web-based Survey. Chi-squared tests and multivariable logistic regression analyses were used to examine the association of HTP use and SHS exposure with suicidal ideation, suicide plans, and suicide attempts among adolescents. Multivariable logistic regression analyses included: Model 1, which was adjusted for demographic characteristics such as sex, school type, perceived school performance, economic status, and residence type; and Model 2, which was adjusted for demographics, depression, and drug use. RESULTS The risk of suicidal ideation was 1.37 (95% CI: 1.10-1.70) and 1.44 (95% CI: 1.18-1.75) times higher among HTP users who were exposed to SHS at home and at public places, respectively, compared to non-users. The risk of suicide attempts was 1.88 (95% CI: 1.37-2.57), 1.45 (95% CI: 1.63-2.00), and 2.21 (95% CI: 1.63-3.00) times higher among HTP users exposed to SHS at home, school, and at public places, respectively. CONCLUSIONS HTP use, and SHS exposure are likely indicators of risk behaviors. Our findings suggest possible directions for initiating, implementing, and evaluating programs and services to monitor HTP use and SHS exposure among Korean adolescents.

Original languageEnglish
Article number140824
JournalTobacco Induced Diseases
Volume19
DOIs
StatePublished - Sep 2021

Bibliographical note

Publisher Copyright:
© 2021 International Society for the Prevention of Tobacco Induced Diseases. All rights reserved.

Keywords

  • Adolescents
  • Heated tobacco product
  • SHS
  • Smoking
  • Suicide

Fingerprint

Dive into the research topics of 'Association of heated tobacco product use and secondhand smoke exposure with suicidal ideation, suicide plans and suicide attempts among Korean adolescents: A 2019 national survey'. Together they form a unique fingerprint.

Cite this