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Australas Psychiatry. 2018 Apr;26(2):176-180. doi: 10.1177/1039856218757638. Epub 2018 Feb 8.

A case for identifying smoking in presentations to the emergency department with suicidality.

Author information

1
Liaison Psychiatrist, St Vincent's Hospital, Darlinghurst, NSW, and; Professor of Psychiatry, University of Notre Dame Australia, Fremantle, WA, and; Conjoint Professor, University of New South Wales, Sydney, NSW, Australia.
2
Research Fellow, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
3
Professor of Mental Health and Implementation Science, University of Technology Sydney, Sydney, NSW, Australia, and; Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Abstract

OBJECTIVES:

The aim of this study was to identify mental health and lifestyle factors predicting smoking among people at high risk of suicidal behaviour.

METHODS:

Participants ( n = 363) completed self-report mental health and lifestyle measures at first appointment in a hospital clinic following presentation to the emergency department for deliberate self-harm or suicidal ideation.

RESULTS:

The rate of daily smoking in this group, 61.4%, is more than four times the rate observed in the general population. Those with a history of previous deliberate self-harm were twice as likely to be smokers. Each one-point increase in poor health behaviours increased the odds of smoking by 22%.

CONCLUSIONS:

Identifying and managing smoking and related lifestyle behaviours are important considerations in routine clinical assessments.

KEYWORDS:

ED clinic intervention; deliberate self-harm; smoking

PMID:
29417825
DOI:
10.1177/1039856218757638

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