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

Abstract Objective The aim of the study was to define the extent of current and lifetime smoking by diagnostic groups and suicide risk as reason for admission in a geographically defined psychiatric inpatient cohort. Design The study used a population-based retrospective chart review. Methods Smokin...

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Bibliographic Details
Published in:Comprehensive psychiatry 2009-11, Vol.50 (6), p.526-532
Main Authors: Lineberry, Timothy W, Allen, Josiah D, Nash, Jessica, Galardy, Christine W
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Aged
Anxiety Disorders - psychology
Biological and medical sciences
Chi-Square Distribution
Female
Hospitalization
Humans
Inpatients - psychology
Male
Medical sciences
Mental disorders
Mental Disorders - psychology
Middle Aged
Minnesota - epidemiology
Mood Disorders - psychology
Mortality
Personality Disorders - psychology
Prevalence
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotic Disorders - psychology
Retrospective Studies
Risk Factors
Smoking - epidemiology
Smoking cessation
Smoking Cessation - psychology
Smoking Cessation - statistics & numerical data
Substance-Related Disorders - psychology
Suicide
Suicide - psychology
Suicides & suicide attempts
Tobacco smoking
Young Adult
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Summary:Abstract Objective The aim of the study was to define the extent of current and lifetime smoking by diagnostic groups and suicide risk as reason for admission in a geographically defined psychiatric inpatient cohort. Design The study used a population-based retrospective chart review. Methods Smoking status and discharge diagnoses for Olmsted County, Minnesota, inpatients aged 18 to 65 admitted for psychiatric hospitalization in 2004 and 2005 were abstracted from the electronic medical record. Diagnostic groups were compared to each other using χ2 tests and Fisher exact test to analyze smoking status within the inpatient sample with significance defined as P ≤ .05. Results Eighty percent (80.41) of our sample of 776 patients was hospitalized due to acute suicide risk. Discharge diagnostic group composition included affective disorders (80.3%), substance abuse disorders (36.1%), anxiety disorders (19%), psychotic disorders (16.4%), and personality disorders (10.3%). Of the sample, 72.2% had at least one comorbid disorder. Of the 776 patients, 356 (45.9%) were current smokers. Substance abuse and psychotic disorder diagnoses were significantly correlated with current smoking status (
ISSN:0010-440X
1532-8384
DOI:10.1016/j.comppsych.2009.01.004