Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study

  • Brijesh Sathian Hamad General Hospital, Doha Qatar
  • Ritesh G Menezes Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  • Mohammad Asim Hamad General Hospital, Doha, Qatar
  • Ahammed Mekkodathil Hamad General Hospital, Doha, Qatar
  • Jayadevan Sreedharan Gulf Medical University, Ajman, United Arab Emirates
  • Indrajit Banerjee SSR Medical College, Belle Rive, Mauritius
  • Edwin R van Teijlingen Bournemouth University, Bournemouth, UK
  • Bedanta Roy Quest International University Perak (QIUP), city Campus, Ipoh, Perak Darul Ridzuan, Malaysia
  • Supram Hosuru Subramanya Manipal College of Medical Sciences, Pokhara, Nepal
  • Magdy A Kharoshah Forensic Medicine Centre, Dammam, Saudi Arabia
  • Elayedath Rajesh Mahatma Gandhi University, India
  • Ullasa Shetty A. J. Institute of Medical Sciences, Mangalore, India
  • M Arun JSS Medical College, JSS Academy of Higher Education and Research, Mysore, India
  • Pradhum Ram Emory University Hospital, Atlanta, GA, USA
  • Vinod K Srivastava Prasad Institute of Medical Sciences, Lucknow, India
Keywords: Suicidal ideation, Cigarette smoking, Youth, Nepal

Abstract

Background: Worldwide, tobacco smoking is a major risk factor for morbidity and early mortality among adult population. The present study aimed to find out the association between current smoking and suicidal ideation among young people in Nepal.

Materials and Methods: A cross-sectional questionnaire-based survey was carried out among 452 youths from Pokhara, Nepal. The present study included both genders (age 18-24 years) who were smokers as well as non-smokers.

Results: Across the study period, 452 participants were identified after matching for age, and sex (226 in the smoking group and 226 in the non-smoking group). The mean age of participants was 21.6±1.2 years and 58.8% were males. The overall rate of suicidal ideation in our cohort was 8.9%. Smokers were slightly more likely to report suicidal ideation than non-smokers (aOR 1.12). The risk of developing suicidal ideation was 3.56 (95% CI 1.26-10.09) times more in individuals who smoked greater than 3.5 cigarettes per week (p=0.01).

Conclusion: The rate of suicidal ideation was slightly higher among smokers and a dose-response relationship was identified with the number of cigarettes smoked per week. Being aware of the link between smoking and suicidal ideation may help health care professionals working with young people to address more effectively the issues of mental well-being and thoughts about suicide.

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Author Biographies

Brijesh Sathian, Hamad General Hospital, Doha Qatar

Surgery Department, Trauma Surgery

Ritesh G Menezes, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

Forensic Medicine Division, Department of Pathology, College of Medicine

Mohammad Asim, Hamad General Hospital, Doha, Qatar

Surgery Department, Trauma Surgery

Ahammed Mekkodathil, Hamad General Hospital, Doha, Qatar

Surgery Department, Trauma Surgery

Jayadevan Sreedharan, Gulf Medical University, Ajman, United Arab Emirates

College of Medicine

Edwin R van Teijlingen, Bournemouth University, Bournemouth, UK

Centre for Midwifery, Maternal and Perinatal Health

Bedanta Roy, Quest International University Perak (QIUP), city Campus, Ipoh, Perak Darul Ridzuan, Malaysia

Department of Physiology

Supram Hosuru Subramanya, Manipal College of Medical Sciences, Pokhara, Nepal

Department of Medical Microbiology

Elayedath Rajesh, Mahatma Gandhi University, India

School of Behavioural Sciences

Ullasa Shetty, A. J. Institute of Medical Sciences, Mangalore, India

Department of Forensic Medicine

M Arun, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, India

Department of Forensic Medicine

Pradhum Ram, Emory University Hospital, Atlanta, GA, USA

Division of Cardiovascular Medicine

Published
2020-03-30
How to Cite
Sathian, B., Menezes, R., Asim, M., Mekkodathil, A., Sreedharan, J., Banerjee, I., van Teijlingen, E., Roy, B., Subramanya, S., Kharoshah, M., Rajesh, E., Shetty, U., Arun, M., Ram, P., & Srivastava, V. (2020). Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study. Nepal Journal of Epidemiology, 10(1), 821-829. https://doi.org/10.3126/nje.v10i1.28277
Section
Original Articles