{"id":19637,"date":"2025-07-12T17:04:45","date_gmt":"2025-07-12T16:04:45","guid":{"rendered":"https:\/\/drugprevent.org.uk\/ppp\/?p=19637"},"modified":"2025-07-12T17:04:45","modified_gmt":"2025-07-12T16:04:45","slug":"the-role-of-depression-in-the-relationship-between-cannabis-use-and-suicidal-behaviours","status":"publish","type":"post","link":"https:\/\/drugprevent.org.uk\/ppp\/2025\/07\/the-role-of-depression-in-the-relationship-between-cannabis-use-and-suicidal-behaviours\/","title":{"rendered":"The role of depression in the relationship between cannabis use and suicidal behaviours"},"content":{"rendered":"<div id=\"publication\" class=\"Publication\">\n<div class=\"publication-brand u-display-block-from-sm\"><span class=\"anchor-text-container\" style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\"><span class=\"anchor-text\"><img decoding=\"async\" class=\"publication-brand-image\" src=\"https:\/\/ars.els-cdn.com\/content\/image\/D03768716.gif\" alt=\"Drug and Alcohol Dependence\" \/><\/span><\/span><\/div>\n<div class=\"publication-volume u-text-center\">\n<h2 id=\"publication-title\" class=\"publication-title u-h3\"><span style=\"color: #0000ff;\"><span class=\"anchor-text-container\" style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span class=\"anchor-text\">Drug and Alcohol Dependence &#8211; <\/span><\/span><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif;\"><span class=\"anchor-text-container\"><span class=\"anchor-text\">Volume 273<\/span><\/span>,\u00a01 August 2025, 112714<\/span><\/span><\/h2>\n<\/div>\n<p><span style=\"color: #0000ff;\">by Gustave Maffre Maviel,\u00a0 Camilla Somma, Camille Davisse-Paturet, Guillaume Airagnes,\u00a0 Maria Melchior.<\/span><\/div>\n<h1 id=\"screen-reader-main-title\" class=\"Head u-font-serif u-h2 u-margin-s-ver\"><span class=\"title-text\" style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">A systematic review and meta-analysis<\/span><\/h1>\n<div id=\"banner\" class=\"Banner\">\n<div class=\"wrapper truncated\"><\/div>\n<\/div>\n<div class=\"PageDivider\"><span style=\"color: #0000ff;\"><strong><span style=\"font-family: verdana, geneva, sans-serif; font-size: 10pt;\">Highlights<\/span><\/strong><\/span><\/div>\n<div id=\"abstracts\" class=\"Abstracts u-font-serif\">\n<div id=\"ab0010\" class=\"abstract author-highlights\">\n<div id=\"abs0025\">\n<div id=\"sp0050\" class=\"u-margin-s-bottom\">\n<ul class=\"list\">\n<li class=\"react-xocs-list-item\"><span class=\"list-label\" style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">\u2022<\/span>\n<div id=\"p0005\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Studies reveal a significant association between cannabis use and suicidality, independent of depression.<\/span><\/div>\n<\/li>\n<li class=\"react-xocs-list-item\"><span class=\"list-label\" style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">\u2022<\/span>\n<div id=\"p0010\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Existing research is inconsistent regarding whether the association differs between individuals with and without depression.<\/span><\/div>\n<\/li>\n<li class=\"react-xocs-list-item\"><span class=\"list-label\" style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">\u2022<\/span>\n<div id=\"p0015\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">More research is needed to identify the pathways linking cannabis use to suicidality.<\/span><\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"ab0005\" class=\"abstract author\">\n<h2 class=\"section-title u-h4 u-margin-l-top u-margin-xs-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Abstract<\/span><\/h2>\n<div id=\"abs0005\">\n<h3 id=\"sect0010\" class=\"u-h4 u-margin-m-top u-margin-xs-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Background<\/span><\/h3>\n<div id=\"sp0030\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Depression has been cited as a possible confounder, moderator, and mediator of the relationship between cannabis use and suicidal behaviours. We aimed to assess the role of depression in the relationship between cannabis use and suicidal behaviours by systematically reviewing existing literature in the general population.<\/span><\/div>\n<\/div>\n<div id=\"abs0010\">\n<h3 id=\"sect0015\" class=\"u-h4 u-margin-m-top u-margin-xs-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Methods<\/span><\/h3>\n<div id=\"sp0035\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">We systematically searched PubMed, Science Direct and Psych Articles from database inception to May 20th 2024, for quantitative observational studies investigating the role of depression in the association between cannabis use and suicidal behaviours. We conducted a meta-analysis to examine the confounding role of depression and search for qualitative arguments in favour of moderating and\/or mediating roles of depression.<\/span><\/div>\n<\/div>\n<div id=\"abs0015\">\n<h3 id=\"sect0020\" class=\"u-h4 u-margin-m-top u-margin-xs-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Results<\/span><\/h3>\n<div id=\"sp0040\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">We screened 1081 articles, selected 43 for full-text screening and finally included 25. Among adolescents, cannabis use was associated with suicidal ideation (OR = 1.46 [1.17, 1.83]) and suicide attempts (OR = 2.17 [1.56, 3.03]) in studies adjusting for depression. Among adults, cannabis use was associated with suicidal ideation (OR = 1.78 [1.28, 2.46]) in studies adjusting for depression. 12 out of 25 studies found no association between cannabis use and suicidality after adjustment for depression. Six studies investigated a potential moderating role of depression, with four reporting significant but conflicting results. No article investigated the mediating role of depression.<\/span><\/div>\n<\/div>\n<div id=\"abs0020\">\n<h3 id=\"sect0025\" class=\"u-h4 u-margin-m-top u-margin-xs-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Discussion<\/span><\/h3>\n<div id=\"sp0045\" class=\"u-margin-s-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">There is a clear relationship between cannabis use and suicidal behaviours, which is partly confounded by depression. Studies investigating a moderating role of depression did not agree about the direction of moderation. Further research using methodologies that consider the chronology of events is needed.\u00a0<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"Keywords u-font-serif\">\n<div id=\"keys0005\" class=\"keywords-section\" style=\"text-align: justify;\">\n<h2 class=\"section-title u-h4 u-margin-l-top u-margin-xs-bottom\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Keywords<\/span><\/h2>\n<div id=\"key0005\" class=\"keyword\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Cannabis<\/span><\/div>\n<div id=\"key0010\" class=\"keyword\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Cannabis use<\/span><\/div>\n<div id=\"key0015\" class=\"keyword\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Cannabis use disorder<\/span><\/div>\n<div id=\"key0020\" class=\"keyword\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Suicidal behaviours<\/span><\/div>\n<div id=\"key0025\" class=\"keyword\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Suicide<\/span><\/div>\n<div id=\"key0030\" class=\"keyword\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\">Depression<\/span><\/div>\n<div><\/div>\n<\/div>\n<div style=\"text-align: justify;\"><span style=\"font-size: 10pt; font-family: verdana, geneva, sans-serif; color: #0000ff;\"><strong>Source:\u00a0 https:\/\/www.sciencedirect.com\/science\/article\/pii\/S037687162500167X?<\/strong><\/span><\/div>\n<\/div>\n<div><\/div>\n<div><span style=\"color: #0000ff;\">Elsevier Science has two locations: one in New York, United States, and the other in Amsterdam, Netherlands.\u00a0\u00a0<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Drug and Alcohol Dependence &#8211; Volume 273,\u00a01 August 2025, 112714 by Gustave Maffre Maviel,\u00a0 Camilla Somma, Camille Davisse-Paturet, Guillaume Airagnes,\u00a0 Maria Melchior. A systematic review and meta-analysis Highlights \u2022 Studies reveal a significant association between cannabis use and suicidality, independent of depression. \u2022 Existing research is inconsistent regarding whether the association differs between individuals with [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30,68,17,64,120,40,19],"tags":[],"class_list":["post-19637","post","type-post","status-publish","format-standard","hentry","category-cannabis-marijuana","category-drug-use-various-effects","category-europe-uk","category-health","category-mental-health","category-prevention-research","category-usa"],"_links":{"self":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/19637","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/comments?post=19637"}],"version-history":[{"count":0,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/posts\/19637\/revisions"}],"wp:attachment":[{"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/media?parent=19637"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/categories?post=19637"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drugprevent.org.uk\/ppp\/wp-json\/wp\/v2\/tags?post=19637"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}