Cannabis use linked to elevated suicide risk in Colombian high school students

Among 1,462 high school students in Colombia, lifetime cannabis use was associated with nearly twice the odds of high suicide risk after adjusting for other variables.

Campo-Arias, Adalberto et al.·Biomedica : revista del Instituto Nacional de Salud·2020·Preliminary EvidenceCross-Sectional
RTHC-02448Cross SectionalPreliminary Evidence2020RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Preliminary Evidence
Sample
N=1,462

What This Study Found

Lifetime cannabis use prevalence was 11.6% and high suicide risk was 13.3%. Cannabis use was associated with high suicide risk after adjustment (OR = 1.88, 95% CI: 1.23-2.88).

Key Numbers

1,462 students; mean age 14.4 years; 60.3% female; 11.6% lifetime cannabis use; 13.3% high suicide risk; adjusted OR = 1.88 (95% CI: 1.23-2.88).

How They Did This

Cross-sectional study with probabilistic sample of 1,462 high school students aged 13-17 in Santa Marta, Colombia. Suicide risk quantified using the CES-D suicide ideation scale, with scores above 8 categorized as high risk.

Why This Research Matters

This provides data on cannabis-suicide associations in a Latin American adolescent population, where such research has been limited.

The Bigger Picture

While several studies have found associations between adolescent cannabis use and suicidal ideation, cross-sectional designs cannot determine whether cannabis contributes to suicide risk or whether shared underlying factors drive both.

What This Study Doesn't Tell Us

Cross-sectional design prevents causal inference; single Colombian city may not generalize; self-reported measures; did not account for polysubstance use; lifetime cannabis use measure does not distinguish frequency or recency.

Questions This Raises

  • ?Would this association hold after controlling for other substance use?
  • ?Does the relationship reflect shared risk factors rather than a direct cannabis effect?

Trust & Context

Key Stat:
Adjusted OR = 1.88 for high suicide risk among lifetime cannabis users
Evidence Grade:
Single cross-sectional study in one Colombian city with self-reported measures and no control for polysubstance use.
Study Age:
Published in 2020.
Original Title:
Association between the use of Cannabis and elevated suicide risk in high school adolescents from Santa Marta, Colombia.
Published In:
Biomedica : revista del Instituto Nacional de Salud, 40(3), 569-577 (2020)
Database ID:
RTHC-02448

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Does this prove cannabis causes suicidal thoughts in teenagers?

No. This cross-sectional study found an association but cannot determine causation. The relationship could run in either direction, or both cannabis use and suicide risk could stem from shared underlying factors.

How does this compare to findings in other countries?

The association is consistent with similar studies in North American and European populations, though some longitudinal studies have found the link weakens or disappears after controlling for other substance use.

Read More on RethinkTHC

Cite This Study

RTHC-02448·https://rethinkthc.com/research/RTHC-02448

APA

Campo-Arias, Adalberto; Suárez-Colorado, Yuly Paola; Caballero-Domínguez, Carmen Cecilia. (2020). Association between the use of Cannabis and elevated suicide risk in high school adolescents from Santa Marta, Colombia.. Biomedica : revista del Instituto Nacional de Salud, 40(3), 569-577. https://doi.org/10.7705/biomedica.4988

MLA

Campo-Arias, Adalberto, et al. "Association between the use of Cannabis and elevated suicide risk in high school adolescents from Santa Marta, Colombia.." Biomedica : revista del Instituto Nacional de Salud, 2020. https://doi.org/10.7705/biomedica.4988

RethinkTHC

RethinkTHC Research Database. "Association between the use of Cannabis and elevated suicide..." RTHC-02448. Retrieved from https://rethinkthc.com/research/campo-arias-2020-association-between-the-use

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.