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REGULAR ARTICLES

Significance of Cigarette Smoking Among Youths with Bipolar Disorder

, MD, PhD, , MD, , MD, , PhD, , PhD, , PhD, , MD, , MD, , RN, MSN, , PhD, , BA, , MSc, , MD & , MD show all
Pages 364-371 | Received 03 Jan 2008, Accepted 07 Mar 2008, Published online: 10 Jul 2009
 

Abstract

Cigarette smoking among adults with bipolar disorder (BP) correlates with psychosis, substance use disorders (SUD), and suicidality. Little is known regarding smoking among youths with BP. Youths with BP (n = 441) were divided into three smoking groups: Never, Ever, and Daily. Twenty-five percent reported any smoking (11% daily, 14% ever). Ever and Daily subjects had significantly greater lifetime prevalence of suicide attempts, physical abuse, conduct disorder, and SUD compared to Never subjects. Daily heavy smokers had greater prevalence of SUD and suicide attempts, and worse depression versus daily light smokers. Smoking among youths with BP is independently associated with suicide attempts and SUD.

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