Kirstin Macdonald, Nikki Milne, Rodney Pope, Robin Orr
Directly Observed Physical Activity of Year 1 Children during School Class Time: A Cross-Sectional Study
International journal of environmental research and public health
use tobacco products including ecigarettes vaping rapidly increased among children however despite consistent associations found smoking cigarettes suicidal behaviors among adolescents adults limited data associations emerging tobacco products suicidal behaviors especially among preadolescent children examine whether use tobacco products associated nonsuicidal selfinjury nssi suicidal ideation si suicide attempts sas among preadolescent children cohort study conducted september 1 2022 september 5 2023 included participants adolescent brain cognitive development study populationbased cohort 11 868 us children enrolled 9 10 years age crosssectional investigation focused 3year periods starting baseline year 2 followup statistical analysis performed october 1 2022 june 30 2023 childrens use tobacco products assessed based youth reports including lifetime experiences various nicotinerelated products supplemented hair toxicologic tests main outcomes childrens lifetime experiences nssi si sas assessed using ksads5 kiddie schedule affective disorders schizophrenia dsm5 multivariate logistic regression conducted examine associations use tobacco products nssi si sas among study participants sociodemographic familial childrens behavioral temperamental clinical outcomes adjusted analyses 8988 unrelated study participants median age 98 years range 89110 years 4301 girls 479 101 children 11 151 children 17 acknowledged lifetime use tobacco products baseline 18month followup respectively accounting various suicide risk factors potential confounders children reporting use tobacco products 3 5 times increased risk sas baseline n 153 adjusted odds ratio 467 95 ci 235928 false discovery rate fdrcorrected p 001 year 1 n 227 adjusted 425 95 ci 233774 fdrcorrected p 001 year 2 n 321 adjusted 285 95 ci 158513 fdrcorrected p 001 facets impulsivity measures significant correlates use tobacco products negative urgency independent risk factor sas adjusted 152 95 ci 131178 fdrcorrected p 001 contrast childrens alcohol cannabis prescription drug use associated sas study us children suggests increased risk sas consistently reported adolescents adults smoke cigarettes extends range emerging tobacco products manifests among elementary schoolaged children investigations imperative clarify underlying mechanisms implement effective preventive policies children