@article{ref1,
title="E-cigarette and cannabis use patterns, depression, and suicide behaviors among US youth: analysis of 2019 Youth Risk Behavior Survey data",
journal="American journal of health promotion",
year="2022",
author="Jacobs, Wura and Orozco, Georgina and Villanueva, Guadalupe and Merianos, Ashley L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To examine the associations of current electronic cigarette and cannabis use patterns with depression symptoms and suicidal ideation and behavior overall and stratified by sex among U.S. high school students. <br><br>DESIGN: Quantitative, cross-sectional study. SETTING: The 2019 National Youth Risk Behavior Survey. SUBJECTS: 12,401 high school students in 9th-12th grade. MEASURES: Dependent variables were depression symptoms, suicidal ideation, suicide plan, suicide attempt, and suicide attempt-related injury. Independent variables were past 30 day e-cigarette and cannabis use patterns. Covariates included demographics, grade level, and other tobacco product use. ANALYSIS: Multivariable logistic regression models. <br><br>RESULTS: Approximately 15.7% of students were exclusive e-cigarette users, 4.5% were exclusive cannabis users, and 16.4% were concurrent e-cigarette and cannabis users. Exclusive e-cigarette and cannabis users, and concurrent users were at increased odds (P <.05) of having depression symptoms, seriously considered attempting suicide, planning suicide, suicide attempt, and having suicide attempt-related injury compared to non-users. Female users, especially concurrent users, had higher odds of reporting depression symptoms (P <.01) and all suicidal ideation and behavior outcomes (P <.01) than female non-users, but results varied for male students. <br><br>CONCLUSION: E-cigarette and cannabis use patterns significantly predicted depression symptomatology and suicidal ideation and behavior, with female students having higher odds. <br><br>RESULTS suggest the need for tailored interventions to address mental health and suicidality among U.S. adolescents, and especially female students.<p /> <p>Language: en</p>",
language="en",
issn="0890-1171",
doi="10.1177/08901171221112927",
url="http://dx.doi.org/10.1177/08901171221112927"
}