“Cannabis Use, Depression and Self-Harm: Phenotypic and Genetic Relationships”, K. Hodgson, J. R. I. Coleman, S. P. Hagenaars, K. L. Purves, K. Glanville, S. W. Choi, P. O’Reilly, G. Breen, Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium, C. M. Lewis2019-02-14 (, , ; similar)⁠:

Background & Aims

The use of cannabis has previously been linked to both depression and self-harm, however the role of genetics in this relationship are unclear. We aimed to examine the phenotypic and genetic relationships between these traits.

Design: Genetic and cross-sectional phenotypic data collected through UK Biobank, together with consortia genome-wide association study summary statistics. These data were used to assess the phenotypic and genetic relationship between cannabis use, depression and self harm.

Setting: UK, with additional international consortia data

Participants: N=126,291 British adults aged 40–70 years, recruited into UK Biobank

Measurements: Genome-wide genetic data, phenotypic data on lifetime history of cannabis use, depression and self-harm.

Results

In UK Biobank, cannabis use is associated with increased likelihood of depression (OR=1.64, 95% CI = 1.59–1.70, p = 1.19×10−213) and self-harm (OR=2.85, 95% CI = 2.69–3.01, p = 3.46×10−304). The strength of this phenotypic association is stronger when more severe trait definitions of cannabis use and depression are considered. Additionally, statistically-significant genetic correlations are seen between cannabis use and depression using consortia summary statistics (rg=0.289, SE=0.036, p = 1.45×10−15). Polygenic risk scores for cannabis use and depression both explain a small but proportion of variance in cannabis use, depression and self harm within a UK Biobank target sample. However, two-sample Mendelian Randomization analyses were not.

Conclusion: Cannabis use is both phenotypically and genetically associated with depression and self harm. Future work dissecting the causal mechanism linking these traits may have implications for cannabis users.