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1
The study enrolled 2,343 adolescents aged 12–18 with depressive disorders to investigate smoking's association with suicidal behavior and self-harm.
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2
The prevalence of self-harm among participants was 76.0%, while 44.2% reported suicidal behavior, highlighting significant mental health concerns.
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3
Current smokers had 2.74 times higher odds of suicidal behavior, and past quitters had 2.32 times higher odds compared to never smokers.
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4
Current smoking was associated with a 2.31 times increased risk of self-harm, indicating a strong link between smoking and self-injury.
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5
No other demographic or clinical variables, including age and psychiatric diagnosis, were independently associated with suicidal behavior or self-harm.