Type 2 & other diabetes

Effect of smoking cessation and post-cessation weight change on suicide mortality in type 2 diabetes: A nationwide cohort study

Diabetes Res Clin PractPublished Nationwide cohort study

Main finding · Suicide deathResult — go to the resultHazard ratio 0.82 95 % CI 0.72–0.94

Authors' conclusion

Smoking cessation was associated with a reduced risk of suicide mortality in people with T2DM. This effect persisted even among those who gained or maintained weight after quitting.

Study context

Population
Adults with T2D who underwent health examinations in 2015–2016, South Korean National Health Insurance Service database
Participants
456,936 adults
Exposure
Recent smoking quitters vs current smokers
  • Recent quittersn = 96,797
  • Current smokersn = 360,139reference
Outcome
Suicide mortality
Follow-up
Mean 5.7 years
Methodological detailsSouth Korean National Health Insurance Service database
  • South Korean National Health Insurance Service database

Main finding

Suicide death

Hazard ratio

0.82

95 % CI 0.72–0.94

Recent quittersvs Current smokers
HR 0.82 (95 % CI 0.72–0.94)

As reported in the abstract

Total suicide deaths
1,397

Observational data: associations, not effects.

Further findings

OutcomeHR (95 % CI)
Suicide mortality by post-cessation weight change, quitters vs current smokersQuitters with stable weightvs Current smokers0.83 (0.70–0.99)
Suicide mortality by post-cessation weight change, quitters vs current smokersQuitters with increased weightvs Current smokers0.75 (0.59–0.95)
Suicide mortality by post-cessation weight change, quitters vs current smokersQuitters with significant weight lossvs Current smokersNo risk reduction0.96 (0.70–1.31)

Original publication

Effect of smoking cessation and post-cessation weight change on suicide mortality in type 2 diabetes: A nationwide cohort study. Diabetes Res Clin Pract. Published 26 October 2025. doi:10.1016/j.diabres.2025.112967

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