Objective

Burgeoning research suggests a link between suicidality (i.e., ideation, attempts) and cannabis use; however, little is known about which demographic groups are at increased risk of co-occurring suicidality and cannabis use disorders (CUD). This study tested differences in suicidality, CUD, and their co-occurrence by gender, age, race/ethnicity, and sexual orientation in a nationally representative U.S. sample.

Method

Five years (2015–2019) of National Survey of Drug Use and Heath surveys were combined. Multinomial logistic regressions tested demographic differences in odds of suicidality only, CUD only, and co-occurring CUD and suicidality, relative to neither suicidality nor CUD. Covariates included survey year, major depressive episode, and other substance use disorders.

Results

Men had higher odds of co-occurring suicidal ideation and CUD than women (AOR = 2.06). All older age groups reported lower odds of co-occurring suicidal ideation and CUD and co-occurring suicide attempts and CUD than emerging adults (AORs = 0.06-0.39). Black/African American (AOR = 1.42) and Native (AOR = 2.16) adults reported higher odds of co-occurring suicidal ideation and CUD than White adults. Black/African American (AOR = 4.05) and Hispanic/Latinx (AOR = 2.49) adults reported higher odds of co-occurring CUD and suicide attempts than White adults. Gay/lesbian (AOR = 2.04) and bisexual (AOR = 3.16) adults reported higher odds of co-occurring suicidal ideation and CUD than heterosexual adults.

Conclusions

Men, emerging adults, Black/African American, Native, and sexual minority groups had elevated risk of co-occurring suicidal ideation and CUD. Emerging adults, Black/African American, and Hispanic/Latinx groups had elevated risk of co-occurring suicide attempts and CUD.

中文翻译：

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同时发生自杀和大麻使用障碍的人口统计学风险因素：来自具有全国代表性的美国样本的调查结果

客观的

新兴的研究表明自杀（即意念、企图）与大麻使用之间存在联系；然而，人们对哪些人口群体同时发生自杀和大麻使用障碍 (CUD) 的风险增加知之甚少。这项研究在具有全国代表性的美国样本中测试了自杀率、CUD 及其同时发生的性别、年龄、种族/民族和性取向的差异。

方法

五年（2015-2019）全国药物使用调查和健康调查相结合。多项逻辑回归测试了仅自杀、仅 CUD 以及同时发生 CUD 和自杀的几率的人口统计学差异，相对于既不是自杀也不是 CUD。协变量包括调查年份、重度抑郁发作和其他物质使用障碍。

结果

男性同时发生自杀意念和 CUD 的几率高于女性（AOR = 2.06）。与新出现的成年人相比，所有老年组报告的同时发生自杀意念和 CUD 以及同时发生自杀企图和 CUD 的几率较低（AOR = 0.06-0.39）。黑人/非裔美国人 (AOR = 1.42) 和原住民 (AOR = 2.16) 成年人报告的同时发生自杀意念和 CUD 的几率高于白人成年人。黑人/非裔美国人 (AOR = 4.05) 和西班牙裔/拉丁裔 (AOR = 2.49) 成年人报告的同时发生 CUD 和自杀未遂的几率高于白人成年人。男同性恋/女同性恋 (AOR = 2.04) 和双性恋 (AOR = 3.16) 成年人报告的同时发生自杀意念和 CUD 的几率高于异性恋成年人。

结论

男性、新兴成年人、黑人/非裔美国人、土著和性少数群体同时发生自杀意念和反刍的风险增加。新兴成年人、黑人/非裔美国人和西班牙裔/拉丁裔群体同时发生自杀未遂和 CUD 的风险增加。