Population-based prevalence of smoking in psychiatric inpatients: a focus on acute suicide risk and major diagnostic groups

Lineberry, Timothy W.; Allen, Josiah D.; Nash, Jessica A.; Galardy, Christine

doi:10.1016/j.comppsych.2009.01.004

Cited by 26 publications

(20 citation statements)

References 50 publications

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“…Suicide smokers had more heavy smokers compared to control smokers (29% of control smokers vs. 47% of suicide smokers were heavy smokers, Chi-squared=13.72, p =0.003). These rates are consistent with smoking incidence reported in live populations (Lasser et al, 2000; Lineberry, Allen, Nash, & Galardy, 2009). …”

Section: Resultssupporting

confidence: 90%

Cigarette Smoking and Tryptophan Hydroxylase 2 mRNA in the Dorsal Raphe Nucleus in Suicides

Bach

Arango

Kassir

et al. 2016

Archives of Suicide Research

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Cigarette smoking is associated with suicide and mood disorders and stimulates serotonin release. Tryptophan hydroxylase (TPH2) synthesizes serotonin and is over-expressed in suicides. We determined whether smoking is associated with TPH2 mRNA in suicides and controls. TPH2 mRNA was measured postmortem in the dorsal raphe nucleus (DRN) of controls (N=26, 17 nonsmokers and nine smokers) and suicides (N=23, 5 nonsmokers and 18 smokers). Psychiatric history was obtained by psychological autopsy. TPH2 mRNA was greater in suicide nonsmokers than suicide smokers, control smokers and control nonsmokers (p=0.006). There was more TPH2 mRNA throughout the DRN. Smoking interferes with the TPH2 mRNA increase observed in suicide nonsmokers. The absence of altered TPH2 expression in non-suicide smokers suggests no pharmacological effect of smoking.

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Section: Resultssupporting

confidence: 90%

Cigarette Smoking and Tryptophan Hydroxylase 2 mRNA in the Dorsal Raphe Nucleus in Suicides

Bach

Arango

Kassir

et al. 2016

Archives of Suicide Research

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“…Conversely, severe psychiatric disorders such as schizophrenia and mood disorders have been strongly associated with nicotine dependence: smoking rates have been reported to be two to four times higher among psychiatric patients when compared with subjects with no comorbidities. 34,35 These findings are in line with our data, pointing to higher smoking prevalence rates among patients with mood disorders and with a history of psychiatric hospitalization.…”

Section: Discussionsupporting

confidence: 82%

Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil

Lopez

Jansen

Souza

et al. 2012

Trends Psychiatry Psychother.

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Prevalência e perfil dos fumantes diários usuários de três unidades básicas de saúde de Pelotas, sul do Brasil Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil Abstract Objectives: To estimate the prevalence of daily smoking among users of three primary health care units affiliated with a university hospital in the municipality of Pelotas, southern Brazil, and to identify factors associated with daily tobacco consumption.

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“…Smokers with mental illness are also more dependent on nicotine (Australian Institute of Health and Welfare, 2007), less likely to quit smoking (Diaz, Rendon, Velasquez, Susce, & de Leon, 2006; Hagman, Delnevo, Hrywna, & Williams, 2008), and more likely to suffer smoking-related illnesses and increased medical morbidity (Davidson, Judd, Jolley, Hocking, & Thompson, 2001; Jones et al, 2004) than other smokers. The highest rates of smoking and nicotine dependence have been found among mental health inpatients (Lineberry, Allen, Nash, & Galardy, 2009) with smoking prevalence reported to be as high as 42%–78% (Carosella, Ossip-Klein, & Owens, 1999; Lineberry et al, 2009; Prochaska, Gill, & Hall, 2004; Solty, Crockford, White, & Currie, 2009). Despite this burden of illness, little else is known about the smoking characteristics of this vulnerable subgroup of smokers, including their quitting motivations and behaviors.…”

Section: Introductionmentioning

confidence: 99%

Readiness to Quit Smoking and Quit Attempts Among Australian Mental Health Inpatients

Stockings

Bowman

McElwaine

et al. 2012

Nicotine & Tobacco Research

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Introduction:Mental health inpatients smoke at higher rates than general population smokers. However, provision of nicotine-dependence treatment in inpatient settings is low, with barriers to the provision of such care including staff views that patients do not want to quit. This paper reports the findings of a survey of mental health inpatients at a psychiatric hospital in New South Wales, Australia, assessing smoking and quitting motivations and behaviors.Methods:Smokers (n = 97) were surveyed within the inpatient setting using a structured survey tool, incorporating the Fagerström Test for Nicotine Dependence, Reasons for Quitting Scale, Readiness and Motivation to Quit Smoking Questionnaire, and other measures of smoking and quitting behavior.Results:Approximately 47% of smokers reported having made at least one quit attempt within the past 12 months, despite nearly three quarters (71.2%) being classified as in a “precontemplative” stage of change. Multinomial logistic regressions revealed that self-reporting “not enjoying being a smoker” and having made a quit attempt in the last 12 months predicted having advanced beyond a precontemplative stage of change. A high self-reported desire to quit predicted a quit attempt having been made in the last 12 months. Conclusions:The majority of smokers had made several quit attempts, with a large percentage occurring recently, suggesting that the actual quitting behavior should be considered as an important indication of the “desire to quit.” This paper provides further data supporting the assertion that multimodal smoking cessation interventions combining psychosocial and pharmacological support should be provided to psychiatric inpatients who smoke.

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Population-based prevalence of smoking in psychiatric inpatients: a focus on acute suicide risk and major diagnostic groups

Cited by 26 publications

References 50 publications

Cigarette Smoking and Tryptophan Hydroxylase 2 mRNA in the Dorsal Raphe Nucleus in Suicides

Cigarette Smoking and Tryptophan Hydroxylase 2 mRNA in the Dorsal Raphe Nucleus in Suicides

Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil

Readiness to Quit Smoking and Quit Attempts Among Australian Mental Health Inpatients

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