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Chunk #18 — Results — Prospective association of tobacco smoking in 1975 on suicide risk to 2011, excluding those with co-morbid psychiatric and medical conditions

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Prospective association between tobacco smoking and death by suicide: a competing risks hazard analysis in a large twin cohort with 35-year follow-up.
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(Kujala et al. 2002) (n = 123 suicides) (Table 3). Excluding those with incident malignancy to 2011 according to the Finnish Cancer Registry (n = 4500, with 2739 deaths, 15 suicides), the risk of suicide among smokers remained elevated in the remaining healthy cohort of 21 520 persons (HR 2.50, 95% CI 1.80–3.49). Table 3.Risk among former and active smokers, compared with never smokers in 1975, for suicide in 1976–2011 under a competing risk model, excluding persons with known psychiatric or somatic illnessaVariableNo antipsychotic medicationbNo mental health disability pensioncNo mental health disability pension or antipsychotic medicationNo excess alcohol use by self-report in 1981dNo mental health disability pension, antipsychotic medication or excess alcohol useNo known tobacco-related somatic illnesseNever smokers: reference1.001.001.001.001.001.00Former smokers1.46 (0.93–2.30)1.46 (0.92–2.33)1.50 (0.93–2.41)1.70 (0.96–3.01)1.92 (0.94–3.94)1.61 (0.89–2.91)Active smokers2.65 (1.88–3.75)2.72 (1.92–3.85)2.77 (1.93–3.99)2.56 (1.62–4.04)2.84 (1.61–5.02)2.30 (1.43–3.68)Suicides, n2112091989462123Total N25 26724 95224 56218 42414 25610 306Data are given as hazard ratio (95% confidence interval).aSmoking status (never, former, active) for these analyses is from the 1975 survey.bModel excluding those who used antipsychotic medications between 1964 and 2004.cModel excluding those who had a disability pension due to any mental health problem between 1976 and 2004.dModel excluding those who reported using on average ⩾42 g of alcohol/day (men,