Population-based prevalence of smoking in psychiatric inpatients

a focus on acute suicide risk and major diagnostic groups

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

Research output: Contribution to journalArticle

19 Citations (Scopus)

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 χ 2 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 (<.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.

Original languageEnglish (US)
Pages (from-to)526-532
Number of pages7
JournalComprehensive Psychiatry
Volume50
Issue number6
DOIs
StatePublished - Nov 2009

Fingerprint

Suicide
Psychiatry
Inpatients
Smoking
Population
Psychotic Disorders
Substance-Related Disorders
Electronic Health Records
Personality Disorders
Mentally Ill Persons
Anxiety Disorders
Mood Disorders
Hospitalization
Outpatients
Survival
Mortality
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

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; Galardy, Christine W.

In: Comprehensive Psychiatry, Vol. 50, No. 6, 11.2009, p. 526-532.

Research output: Contribution to journalArticle

Lineberry, Timothy W. ; Allen, Josiah D. ; Nash, Jessica ; Galardy, Christine W. / Population-based prevalence of smoking in psychiatric inpatients : a focus on acute suicide risk and major diagnostic groups. In: Comprehensive Psychiatry. 2009 ; Vol. 50, No. 6. pp. 526-532.
@article{a711212384034b9398489d3dc001ecd2,
title = "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: 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 χ 2 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 (<.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.",
author = "Lineberry, {Timothy W.} and Allen, {Josiah D.} and Jessica Nash and Galardy, {Christine W.}",
year = "2009",
month = "11",
doi = "10.1016/j.comppsych.2009.01.004",
language = "English (US)",
volume = "50",
pages = "526--532",
journal = "Comprehensive Psychiatry",
issn = "0010-440X",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Population-based prevalence of smoking in psychiatric inpatients

T2 - a focus on acute suicide risk and major diagnostic groups

AU - Lineberry, Timothy W.

AU - Allen, Josiah D.

AU - Nash, Jessica

AU - Galardy, Christine W.

PY - 2009/11

Y1 - 2009/11

N2 - 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 χ 2 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 (<.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.

AB - 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 χ 2 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 (<.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.

UR - http://www.scopus.com/inward/record.url?scp=70349902777&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349902777&partnerID=8YFLogxK

U2 - 10.1016/j.comppsych.2009.01.004

DO - 10.1016/j.comppsych.2009.01.004

M3 - Article

VL - 50

SP - 526

EP - 532

JO - Comprehensive Psychiatry

JF - Comprehensive Psychiatry

SN - 0010-440X

IS - 6

ER -