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A case for identifying smoking in presentations to the emergency department with suicidality
Kay Wilhelm1, Tonelle Handley2, Prasuna Reddy3
1Liaison 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.
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.
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