@article{ref1,
title="Suicide, mental health and substance uses among French adolescents in 2014",
journal="Revue d'epidemiologie et de sante publique",
year="2017",
author="Janssen, E. and Spilka, S. and Beck, F.",
volume="65",
number="6",
pages="409-417",
abstract="BACKGROUND: The aim of this study was to describe potential associations between suicidal behaviors and psychoactive substance uses among adolescents. <br><br>METHODS: A cross-sectional, national survey representative of adolescents aged 17, living in continental France, was conducted in 2014. A total of 22,023 adolescents answered an anonymous, self-administered questionnaire about their health and their use of psychoactive substances. Suicidal risk was assessed by means of a 4-level indicator [1. No depression, as stipulated by the Adolescent Depression Rating Scale (ADRS); 2. Depression, no suicidal ideation, no suicidal attempts; 3. Depression with suicidal ideation; 4. Depression with suicidal attempts]. Multivariate logistic regressions were conducted to identify the factors significantly related to frequent substance uses. <br><br>RESULTS: Three percent of adolescents (1.8% of boys vs. 3.7% of girls) were labeled as suffering from severe depression, 10% stated they had suicidal thoughts during the last year and 3% attempted to commit suicide at least once in their lifetime. The results support the view of a gradient between suicidal risk severity and regular use of tobacco and cannabis. The association with regular alcohol use appears somewhat weaker. <br><br>CONCLUSION: Suicidal behaviors and regular substance uses are significantly related but also mediated by adolescents' mental health.<br><br>Copyright © 2017 Elsevier Masson SAS. All rights reserved.<p /> <p>Language: fr</p>",
language="fr",
issn="0398-7620",
doi="10.1016/j.respe.2017.06.004",
url="http://dx.doi.org/10.1016/j.respe.2017.06.004"
}