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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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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creator Lineberry, Timothy W
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Galardy, Christine W
description 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 (
doi_str_mv 10.1016/j.comppsych.2009.01.004
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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 (&lt;.0001, .02) with 77.1% and 55.9%, respectively, being current smokers compared to other psychiatric inpatient groups. All diagnostic groups smoked at higher rates and had less success stopping than the US general population. Conclusion Our findings clearly demonstrate stratification of current smoking and quit rates in psychiatric inpatient' diagnostic groups vs the US general population and Minnesota. Further research into the association between suicide risk, smoking, and mortality in the seriously mentally ill is necessary. Recognizing and addressing smoking in psychiatric patients in both hospital and outpatient settings is critical to addressing survival differences compared to the general population.</description><identifier>ISSN: 0010-440X</identifier><identifier>EISSN: 1532-8384</identifier><identifier>DOI: 10.1016/j.comppsych.2009.01.004</identifier><identifier>PMID: 19840590</identifier><identifier>CODEN: COPYAV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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 &amp; numerical data ; Substance-Related Disorders - psychology ; Suicide ; Suicide - psychology ; Suicides &amp; suicide attempts ; Tobacco smoking ; Young Adult</subject><ispartof>Comprehensive psychiatry, 2009-11, Vol.50 (6), p.526-532</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c587t-84c9352358dda59e481917a0a4cacdedaa1803bc4534205091e7429e7c991c163</citedby><cites>FETCH-LOGICAL-c587t-84c9352358dda59e481917a0a4cacdedaa1803bc4534205091e7429e7c991c163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1029887829/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1029887829?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,3536,25734,27905,27906,36993,44571,45761,74875</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22076678$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19840590$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lineberry, Timothy W</creatorcontrib><creatorcontrib>Allen, Josiah D</creatorcontrib><creatorcontrib>Nash, Jessica</creatorcontrib><creatorcontrib>Galardy, Christine W</creatorcontrib><title>Population-based prevalence of smoking in psychiatric inpatients: a focus on acute suicide risk and major diagnostic groups</title><title>Comprehensive psychiatry</title><addtitle>Compr Psychiatry</addtitle><description>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 (&lt;.0001, .02) with 77.1% and 55.9%, respectively, being current smokers compared to other psychiatric inpatient groups. All diagnostic groups smoked at higher rates and had less success stopping than the US general population. Conclusion Our findings clearly demonstrate stratification of current smoking and quit rates in psychiatric inpatient' diagnostic groups vs the US general population and Minnesota. Further research into the association between suicide risk, smoking, and mortality in the seriously mentally ill is necessary. 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Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotic Disorders - psychology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Smoking - epidemiology</topic><topic>Smoking cessation</topic><topic>Smoking Cessation - psychology</topic><topic>Smoking Cessation - statistics &amp; numerical data</topic><topic>Substance-Related Disorders - psychology</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Suicides &amp; suicide attempts</topic><topic>Tobacco smoking</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lineberry, Timothy W</creatorcontrib><creatorcontrib>Allen, Josiah D</creatorcontrib><creatorcontrib>Nash, Jessica</creatorcontrib><creatorcontrib>Galardy, Christine W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Comprehensive psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lineberry, Timothy W</au><au>Allen, Josiah D</au><au>Nash, Jessica</au><au>Galardy, Christine W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Population-based prevalence of smoking in psychiatric inpatients: a focus on acute suicide risk and major diagnostic groups</atitle><jtitle>Comprehensive psychiatry</jtitle><addtitle>Compr Psychiatry</addtitle><date>2009-11-01</date><risdate>2009</risdate><volume>50</volume><issue>6</issue><spage>526</spage><epage>532</epage><pages>526-532</pages><issn>0010-440X</issn><eissn>1532-8384</eissn><coden>COPYAV</coden><abstract>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 (&lt;.0001, .02) with 77.1% and 55.9%, respectively, being current smokers compared to other psychiatric inpatient groups. All diagnostic groups smoked at higher rates and had less success stopping than the US general population. Conclusion Our findings clearly demonstrate stratification of current smoking and quit rates in psychiatric inpatient' diagnostic groups vs the US general population and Minnesota. Further research into the association between suicide risk, smoking, and mortality in the seriously mentally ill is necessary. Recognizing and addressing smoking in psychiatric patients in both hospital and outpatient settings is critical to addressing survival differences compared to the general population.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19840590</pmid><doi>10.1016/j.comppsych.2009.01.004</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source Publicly Available Content Database; ScienceDirect Journals; Elsevier
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
title Population-based prevalence of smoking in psychiatric inpatients: a focus on acute suicide risk and major diagnostic groups
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