Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T11:33:27.390Z Has data issue: false hasContentIssue false
  • English
  • Français

Tobacco smoking in young people seeking treatment for mental ill-health: what are their attitudes, knowledge and behaviours towards quitting?

Published online by Cambridge University Press:  22 April 2020

E. Brown Open the ORCID record for E. Brown [Opens in a new window] ,
B. O’Donoghue ,
S. L. White ,
A. Chanen ,
G. Bedi ,
S. Adams ,
C. Schely ,
T. U. Do ,
A. Sterjovska  and
K. Moeller-Saxone
...Show all authors
E. Brown
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
B. O’Donoghue
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
S. L. White
Affiliation:
Quit Victoria, Cancer Council Victoria, 615 St Kilda Road, Melbourne, Victoria3004, Australia
A. Chanen
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
G. Bedi
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
S. Adams
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
C. Schely
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia
T. U. Do
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia
A. Sterjovska
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia
K. Moeller-Saxone
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
F. Kay-Lambkin
Affiliation:
Centre for Brain and Mental Health Research, University of Newcastle, University Dr, Callaghan, New South Wales, Australia
M. Simmons
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
E. Cementon
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia
E. Killackey*
Affiliation:
Orygen, 35 Poplar Road, Parkville, Victoria3052, Australia Centre for Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, Victoria3052, Australia
*
*Address for correspondence: Prof Eoin Killackey, Orygen, Youth Health, 35 Poplar Road, Parkville, Victoria3052, Australia. (Email: [email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction

Tobacco smoking is a leading cause of preventable death and disease worldwide. Adults with mental ill-health smoke tobacco at substantially higher rates than other adults, with public health approaches effective in the population overall having less impact on those with mental ill-health. However, less is known about the tobacco smoking behaviours, attitudes and knowledge of young people with mental ill-health, despite this being the peak period of onset for both mental illness and cigarette smoking.

Methods

Young people attending a youth mental health centre (providing both primary and specialist care) in Melbourne, Australia were approached by youth peer researchers and asked to complete a survey about smoking behaviours, attitudes and knowledge. We examined smoking and associated attitudes in the sample overall, and as a function of the services accessed.

Results

In total, 114 young people completed the survey, with 56.3% reporting lifetime cigarette smoking, 42.0% smoking in the last 12 months and 28.6% in the past week. Of current regular smokers, 75.0% acknowledged they should quit in the future; however, only 23.5% planned to do so in the next month, with 44.4% confident that they could quit. Participants lacked knowledge about interactions between tobacco smoking, mental and physical health.

Conclusions

Youth presenting for mental ill-health had high rates of cigarette smoking relative to population rates. Presentation at youth mental health services may represent a critical window for early intervention to reduce the lifetime impacts of cigarette smoking in mental ill-health. Interventions to support smoking cessation in this group are urgently needed.

Keywords

Early interventiontobacco smokingyouth mental health services
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 38 , Issue 1: Themed Issue: Physical Health in Mental Illness , March 2021 , pp. 30 - 39
Copyright
© College of Psychiatrists of Ireland 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anthenelli, RM, Benowitz, NL, West, R, St Aubin, L, McRae, T, Lawrence, D, Ascher, J, Russ, C, Krishen, A, Evins, AE (2016). Neuropsychiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. The Lancet 387, 2507–2520.CrossRefGoogle ScholarPubMed
Australian Bureau of Statistics (2007). National survey of mental health and wellbeing: summary of results. (Catalogue no. 4326.0).Google Scholar
Australian Institute of Health and Welfare (2017). National Drug Strategy Household Survey 2016: detailed findings. Drug Statistics series no. 31.Google Scholar
Baker, A, Kay-Lambkin, FJ, Richmond, R, Filia, S, Castle, D, Williams, J, Lewin, TJ (2011). Study protocol: a randomised controlled trial investigating the effect of a healthy lifestyle intervention for people with severe mental disorders. BMC Public Health 11, 10.CrossRefGoogle ScholarPubMed
Baker, AL, Borland, R, Bonevski, B, Segan, C, Turner, A, Brophy, L, McCarter, K, Kelly, PJ, Williams, JM, Baird, D, Attia, J, Sweeney, R, White, SL, Filia, S, Castle, D (2019). ‘Quitlink’—A randomized controlled trial of peer worker facilitated quitline support for smokers receiving mental health services: study protocol. Frontiers in Psychiatry 10, 124.CrossRefGoogle ScholarPubMed
Baker, AL, Richmond, R, Kay-Lambkin, FJ, Filia, SL, Castle, D, Williams, JM, Lewin, TJ, Clark, V, Callister, R, Palazzi, K (2018). Randomised controlled trial of a healthy lifestyle intervention among smokers with psychotic disorders: outcomes to 36 months. Australian & New Zealand Journal of Psychiatry 52, 239–252.CrossRefGoogle ScholarPubMed
Brown, RA, Ramsey, S, Strong, D, Myers, M, Kahler, C, Lejuez, C, Niaura, R, Pallonen, U, Kazura, A, Goldstein, M (2003). Effects of motivational interviewing on smoking cessation in adolescents with psychiatric disorders. Tobacco Control 12, iv3–iv10.CrossRefGoogle Scholar
Brunette, MF, Feiron, JC, Aschbrenner, K, Colctti, D, Devitt, T, Greene, MA, Harrington, A, MoHugo, GC, Pratt, S, Robinson, D (2017). Characteristics and predictors of intention to use cessation treatment among smokers with schizophrenia: young adults compared to older adults. Journal of Substance Abuse and Alcoholism 5, 1055.Google Scholar
Catchpole, REH, McLeod, SL, Brownlie, EB, Allison, CJ, Grewal, A (2017). Cigarette smoking in youths with mental health and substance use problems: prevalence, patterns, and potential for intervention. Journal of Child & Adolescent Substance Abuse 26, 41–55.CrossRefGoogle Scholar
Chanen, AM, McCutcheon, L, Kerr, IB (2014). HYPE: A cognitive analytic therapy-based prevention and early intervention programme for borderline personality disorder. In Handbook of Borderline Personality Disorder in Children & Adolescents (eds. Sharp, C. and Tackett, J.), pp. 361–383. Springer: New York, NY.CrossRefGoogle Scholar
Cooper, J, Mancuso, SG, Borland, R, Slade, T, Galletly, C, Castle, D (2012). Tobacco smoking among people living with a psychotic illness: the second Australian Survey of Psychosis. Australian & New Zealand Journal of Psychiatry 46, 851–863.CrossRefGoogle Scholar
Curtis, J, Zhang, C, McGuigan, B, Pavel-Wood, E, Morell, R, Ward, PB, Watkins, A, Lappin, J (2018). Y-QUIT: smoking prevalence, engagement, and effectiveness of an individualized smoking cessation intervention in youth with severe mental illness. Frontiers in Psychiatry 9, 683.CrossRefGoogle ScholarPubMed
Doll, R, Peto, R, Boreham, J, Sutherland, I (2004). Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ 328, 1519.CrossRefGoogle ScholarPubMed
Fanshawe, TR, Halliwell, W, Lindson, N, Aveyard, P, Livingstone‐Banks, J, Hartmann‐Boyce, J (2017). Tobacco cessation interventions for young people. Cochrane Database of Systematic Reviews (11).CrossRefGoogle Scholar
Gilbody, S, Peckham, E, Bailey, D, Arundel, C, Heron, P, Crosland, S, et al. (2019). Smoking cessation for people with severe mental illness (SCIMITAR+): a pragmatic randomised controlled trial. The Lancet Psychiatry 6, 379–390.CrossRefGoogle ScholarPubMed
Giskes, K, van Lenthe, FJ, Turrell, G, Brug, J, Mackenbach, JP (2006). Smokers living in deprived areas are less likely to quit: a longitudinal follow-up. Tobacco Control 15, 485–488.CrossRefGoogle ScholarPubMed
Grant, BF, Hasin, DS, Chou, SP, Stinson, FS, Dawson, DA (2004). Nicotine dependence and psychiatric disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry 61, 1107–1115.CrossRefGoogle ScholarPubMed
Guerin, N, White, V (2018). ASSAD 2017 statistics & trends: Australian secondary students’ use of tobacco, alcohol, over-the-counter drugs, and illicit substances. Cancer Council Victoria.Google Scholar
Hermens, DF, Scott, EM, White, D, Lynch, M, Lagopoulos, J, Whitwell, BG, Naismith, SL, Hickie, IB (2013). Frequent alcohol, nicotine or cannabis use is common in young persons presenting for mental healthcare: a cross-sectional study. BMJ Open 3, e002229.CrossRefGoogle ScholarPubMed
Kisely, S, Campbell, LA (2008). Use of smoking cessation therapies in individuals with psychiatric illness. CNS Drugs 22, 263–273.CrossRefGoogle ScholarPubMed
Lasser, K, Boyd, JW, Woolhandler, S, Himmelstein, DU, McCormick, D, Bor, DH (2000). Smoking and mental illness: a population-based prevalence study. JAMA 284, 2606–2610.CrossRefGoogle ScholarPubMed
Lawrence, D, Mitrou, F, Zubrick, SR (2009). Smoking and mental illness: results from population surveys in Australia and the United States. BMC Public Health 9, 285.CrossRefGoogle ScholarPubMed
Mayfield Arnold, E, Greco, E, Desmond, K, Rotheram-Borus, MJ (2014). When life is a drag: depressive symptoms associated with early adolescent smoking. Vulnerable Children and Youth Studies 9, 1–9.CrossRefGoogle Scholar
McGorry, PD, Edwards, J, Mihalopoulos, C, Harrigan, SM, Jackson, HJ (1996). EPPIC: an evolving system of early detection and optimal management. Schizophrenia Bulletin 22, 305–326.CrossRefGoogle ScholarPubMed
McManus, S, Meltzer, H, Campion, J (2010). Cigarette smoking and mental health in England: data from the Adult Psychiatric Morbidity Survey 2007. London, UK: National Centre for Social Research.Google Scholar
Mendelsohn, CP, Kirby, DP, Castle, DJ (2015). Smoking and mental illness. An update for psychiatrists. Australasian Psychiatry 23, 37–43.CrossRefGoogle ScholarPubMed
Mendelsohn, CP, Montebello, ME (2013). Smokers with mental illness: breaking down the myths. Medicine Today 14(8), 53–56.Google Scholar
Morgan, W, Jablensky, M, McGrath, C, Bush, C, Cohen, H, Gelletly, S, Neil, M, Hocking, S (2011). People living with psychotic illness 2010, Report on the second Australian national survey of psychotic illness. Canberra: Australian Government Department of Health and Ageing.Google Scholar
Prochaska, JJ (2010). Integrating tobacco treatment into mental health settings. JAMA 304, 2534–2535.CrossRefGoogle ScholarPubMed
Prochaska, JJ, Das, S, Young-Wolff, KC (2017). Smoking, mental illness, and public health. Annual Review of Public Health 38, 165–185.CrossRefGoogle ScholarPubMed
Prochaska, JJ, Hall, SM, Bero, LA (2007). Tobacco use among individuals with schizophrenia: what role has the tobacco industry played?*. Schizophrenia Bulletin 34, 555–567.CrossRefGoogle Scholar
Ratschen, E, Britton, J, Doody, GA, Leonardi-Bee, J, McNeill, A (2009). Tobacco dependence, treatment and smoke-free policies: a survey of mental health professionals’ knowledge and attitudes. General Hospital Psychiatry 31, 576–582.CrossRefGoogle ScholarPubMed
Rejineveld, SA (1998). The impact of individual and area characteristics on urban socioeconomic differences in health and smoking. International Journal of Epidemiology 27, 33–40.CrossRefGoogle Scholar
Reynolds, S, Brown, E, Geros, H, Sizer, H, Eaton, S, Tindall, R, McGorry, P, O’Donoghue, B (2019). The association between community and service level factors and rates of disengagement in individuals with first episode psychosis. Schizophrenia Research 210, 122–127.CrossRefGoogle Scholar
Rice, SM, Halperin, S, Cahill, S, Cranston, I, Phelan, M, Hetrick, SE, Blaikie, S, Edwards, J, Koutsogiannis, J, Davey, CG (2017). The youth mood clinic: an innovative service for the treatment of severe and complex depression. Australasian Psychiatry 25, 112–116.CrossRefGoogle ScholarPubMed
Scollo, M, Winstanley, M (2008). Tobacco in Australia: Facts and Issues, 3rd edn., Cancer Council Victoria: Melbourne.Google Scholar
Siru, R, Hulse, GK, Tait, RJ (2009). Assessing motivation to quit smoking in people with mental illness: a review. Addiction 104, 719–733.CrossRefGoogle ScholarPubMed
Slade, T, Johnston, A, Oakley Browne, MA, Andrews, G, Whiteford, H (2009). 2007 National Survey of Mental Health and Wellbeing: methods and key findings. Australian and New Zealand Journal of Psychiatry 43, 594–605.CrossRefGoogle ScholarPubMed
Spring, B, Moller, AC, Colangelo, LA, Siddique, J, Roehrig, M, Daviglus, ML, Polak, JF, Reis, JP, Sidney, S, Liu, K (2014). Healthy lifestyle change and subclinical atherosclerosis in young adults: coronary artery risk development in young adults (CARDIA) study. Circulation 130(1), 10–17.CrossRefGoogle ScholarPubMed
Thornton, LK, Baker, AL, Johnson, MP, Kay-Lambkin, FJ (2011). Perceptions of anti-smoking public health campaigns among people with psychotic disorders. Mental Health and Substance Use 4, 105–115.CrossRefGoogle Scholar
World Health Organization (2013). WHO report on the global tobacco epidemic, 2013: Enforcing bans on tobacco advertising, promotion and sponsorship. Geneva, Switzerland.Google Scholar
Yung, AR, McGorry, PD, Francey, SM, Nelson, B, Baker, K, Phillips, LJ, Berger, G, Amminger, GP (2007). PACE: a specialised service for young people at risk of psychotic disorders. The Medical Journal of Australia 187, S43–S46.CrossRefGoogle ScholarPubMed