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The S<\/jats:styled-content>tructural C<\/jats:styled-content>linical I<\/jats:styled-content>nterview for DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> was used for DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> diagnosis and identification of episodes of illness. Earlier suicide attempts were recorded. Manic, depressive and psychotic symptoms were rated using the Y<\/jats:styled-content>oung M<\/jats:styled-content>ania R<\/jats:styled-content>ating S<\/jats:styled-content>cale, I<\/jats:styled-content>nventory of D<\/jats:styled-content>epressive S<\/jats:styled-content>ymptoms and P<\/jats:styled-content>ositive and N<\/jats:styled-content>egative S<\/jats:styled-content>yndrome S<\/jats:styled-content>cale correspondingly. Cannabis use within the six last months was recorded.<\/jats:p><\/jats:sec>Results<\/jats:title>After controlling for confounders, recent cannabis use was significantly associated with lower age at onset of first manic and psychotic episode, but not with onset of first depressive episode (both P<\/jats:italic>\u2009<\u20090.05). Recent use was also associated with more lifetime suicide attempts (P<\/jats:italic>\u2009<\u20090.01). No group differences were found on symptom levels.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The present study confirms earlier findings of an association between cannabis use and a lower age at onset. Recent cannabis use was also associated with more lifetime suicide attempts. 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