The association between cannabis use and suicidality among men and women
sciencedirect.com
sciencedirect.com
Maybe it shows a tendency for women to seek professional help where men do not? Especially in cases regarding depression or other "non-physical" illnesses?
I haven't read the full-text, but how well have you figured out the causation? The study seems to show that in women suicidal ideation causes cannabis use. In men it seems to be the other way around (cannabis use causes suicide ideation). However I'm wondering if even in men the desire to use cannabis is influenced by some kind of mental instability, which would have caused suicidal ideation even in the absence of cannabis. Perhaps you address this in the full-text.
Also, I'd suggest paying the $3k open-access fee to make this article available to everyone. It's a small price to pay for increased exposure, more citations, etc.
The barrier to entry is still quite high, unfortunately.
A lot of the time, wikipedia editors can do better peer review than the actual journals (although it's against wikipedia rules to do such original research). I can't count the number of times I've seen absolute shit science in the supposedly top journals.
They pay editorial staff and tech dudes. I guess a metric shit-ton.
They pay janitorial staff and retail assistants. I guess a metric shit-ton.
Yes, it's an imperfect metaphor, but it's showing that you can still provide value without being the origin of the object.
I've posted a link which should allow for full-text access for the next few weeks.
What's the basis for this?
Depression being the cause for increased cannabis is intuitively a more likely assumption.
With these topics, I think it is very hard to get good data. It might very well be that men do not admit to being depressed before starting to smoke up regularily.
Can anyone comment on the quality of the data used? (National Epidemiologic Survey on Alcohol and Related Conditions)
I read the abstract and conclusions closely and I didn't think they were implying that, although this is the sort of result that is classically misreported along the lines you are articulating.
The conclusion is simply that there is an association between cannabis use and suicide ideation (in other words, when you first have thoughts of suicide) among men (let's just leave the women out of it for now). So not only do the authors not claim that cannabis causes suicide, they don't even claim cannabis is associated with suicide, they claim it's associated with suicide ideation. That no link was made between suicide incidence and cannabis is explicitly stated. ("No significant association was found for the bidirectional association between cannabis use and suicide attempts in either sex.")
From that one paragraph conclusion they seem to focus more on the differences this study turned up between the sexes than on some fantastic new conclusion along the lines of "pot leads to suicide".
I wasn't criticizing, just curios.
Women wait much longer to self medicate, it sounds like. This may be from women being given other social support options, or because they face a larger stigma around handling their problems themselves. Nevertheless, women who are hurting do begin to self-medicate as a last resort.
It sounds like men have more opportunity to develop a solo coping mechanism, with women not developing this because they aren't isolated early, and instead have other resources to try first.
Disclaimer: I've been a functional daily cannabis smoker for 7 years. I use it to cope with loneliness, depression, and social anxiety. I work for a major cloud and ISP company.
You said "AMA" hours ago, and haven't returned (as of my comment timestamp) to answer the questions that have been posted here. On HN, the story may fall off the homepage before you have a chance to come back, which would limit the audience that would see your answers.
I've upvoted it, because I think it's an important study and the conversation that could be had here in the comments may help someone. But I'd urge you (and anyone who says "AMA" on a popular site) to check in every 5-15 minutes for a few hours, just to keep momentum going.
Good luck, and thanks (in advance) for any answers you may offer to the other comments!
How is this correlated with legalization? From an intuitive standpoint, it seems like someone who thinks they have "less to lose" would try illegal drugs which carry risk of incarceration, and that same kind of person might consider suicide.
To me, the fact that the effects happen in reverse order (whether suicidal ideation precedes cannabis use or vice versa) indicates that there could be some kind of common cause for the two effects, and that it just manifests differently for men and women. Unfortunately the full paper is paywalled.
It is interesting that unlike ideation suicide attempts were not associated with cannabis use. How is this to be understood? Suicidal ideation is often a precursor to suicide attempts. Is the number of suicide attempts in cannabis users equivalent to the general population or to a population with the same level of suicidal ideation?
I only smoke it to stop me from wanting to kill everybody else :)
I smoked it for about 3 years as a teen, between 1976 and 1978. In those days about zero 'horticultural engineering' was done to the stuff -- the potency was low.
But the effects were dramatic. And negative.
Now? The stuff out there now simply MUST be highly 'engineered' after 40 years of time from when I used it recreationally. The odor is so overwhelming, so strong. The 'skunk' odor.
Back in my day the stuff consisted of stems, leaves, and a bud here and there. The buds had seeds. The seeds would sometimes explode like popcorn. All the pictures of the stuff I see nowadays -- it looks like all buds, and seedless.
In the 1970s, what made me stop it was this. Recall that if you're riding a bike on the right side of the road, cars pass by. Okay, imagine a huge truck passing you and suddenly it swerves to the right -- the huge truck almost hits you but you escape being hit/run over by steering your bike into a ditch.
You are quite shaken, lots of anxiety.
It's NORMAL to feel anxiety at a time like that.
The "I'm in trouble" indicator is -- feeling anxiety for no such reason. No imminent threat, no "I'm late for my final exam", etc. Just smoking the stuff and then feeling anxiety.
You know you're in trouble with that stuff when you cannot seem to shake off the anxiety.
Contrary to what 99.99% of pot users say, the drug -- like most drugs -- HAS SIDE EFFECTS.
I stopped because I felt anxiety and could not shake it.
Stopping the recreational use solved that problem.
Suicidal tendencies from pot use? I had friends back then going to psyche wards and rehab to try getting off that stuff. In the 1970s. When it was FAR LESS potent than today. I don't know if any of my friends/acquaintances back then ever got low enough to off themselves.
I never argue with anyone these days when they discuss how 'wonderful' pot is. My only wish would be -- remember, it's a drug and drugs have side effects.
You'll know you're in trouble when you have anxiety for no reason -- other than the pot use -- and you cannot shake it.
http://archpsyc.jamanetwork.com/article.aspx?articleid=24880...
Our findings in no way imply cannabis use causes suicidality. There are many other factors we couldn't analyze which could be the cause of this association. The reality is that these two behaviors (cannabis use and suicidality) are very complex, and this study is just one small step in the understanding of how these complex behaviors interact.
I believe proponents of cannabis legalization should look at all the data regarding long-term effects of cannabis with as little bias as possible - there are enough good reasons for legalization, it is dangerous to ignore scientific data regarding risks.
More often, people are looking to blame the moral failures of others rather than acknowledging and addressing the complexity in life that results in unfortunate situations.