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International Journal of Epidemiology 2003;32:1005-1006
© International Epidemiological Association 2003

Special Theme: Mental Health

Commentary: Questionable premises, overadjustment, and a smoking/suicide association in younger adult men

Bruce Leistikow

Epidemiology and Preventive Medicine, Univeristy of California, 1 Shields Ave, TB 168, Davis, CA 95616, USA. E-mail: bnleistikow@ucdavis.edu

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The analysis of smoking/suicide associations in this edition of the International Journal of Epidemiology risks deceiving rather than informing readers.1 The paper’s calculations and conclusions are highlighted, yet their basic assumptions seem incompletely disclosed, and likely false. The paper violates normal public health precautionary principles like full disclosure of contrary data, supporting stringent drug safety evaluations, and judging people innocent until proven guilty. The paper fails to highlight that smoking precedes and probably causes multiple suicide precursors that the researchers adjusted for, as discussed below. . . . [Full Text of this Article]


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