Effects of Alcohol Consumption and Smoking Dual Use Experience on Culturally Diverse Adolescents’ Suicidal Behaviors: Using Date from the 15~17th Korean Youth Risk Behavior Web-based Survey

Purpose: This study aims to investigate the relationship between smoking and alcohol consumption on the risk of suicide among culturally diverse adolescents.Methods: This is a secondary data analysis study using data derived from the 15~17th (2019~2021) Youth Health Behavior Online Survey. Data from 2,922 culturally diverse adolescents were analyzed using descriptive statistics, the Rao-Scott x2 test, and hierarchical logistic regression.Results: After controlling for demographic and individual, family, and social factors as compounding variables, the suicide attempt of culturally diverse adolescents with smoking and alcohol consumption dual use experience was a 1.91 odds ratio (95% CI: 1.02~3.55) compared to culturally diverse adolescents without smoking and alcohol consumption experiences.Conclusion: Our study findings indicate a need to prevent suicide among culturally diverse adolescents with smoking and alcohol consumption experiences. Suicidal prevention programs would greatly benefit from the experiences from culturally diverse adolescents who are smoking and consuming alcohol to better their programs on decreasing suicide attempts.