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Tobacco Use and Associated Factors in Patients Presenting to a Psychiatric Emergency Room

机译:精神科急诊室就诊患者的烟草使用及相关因素

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Background. Rates of cigarette smoking among the public and individuals with mental illness have been well documented. Studies have demonstrated that prevalence of smoking among individuals with mental illness remains elevated compared to the general population and as a distinct subgroup, individuals with mental illness consume more than a third of cigarettes sold in the U.S. However, information on rates of smoking among patients presenting to a psychiatric emergency room (ER) is lacking. This study assesses this understudied population for smoking prevalence and associated factors. Methods. A retrospective chart review of 203 distinct psychiatric ER patients was conducted. Demographics, tobacco use, substance use, psychiatric diagnoses, and family history were noted and analyzed with SPSS. Result. Tobacco use rates were noted to be nearly fifty percent and significant associations were found with active suicidal ideation, alcohol use disorders, illicit drug use disorders, and history of prior psychiatric hospitalization. Conclusion. Tobacco use among psychiatric ER patients is much higher than that of the general population and associated with active suicidal ideations, alcohol use disorders, and illicit substance use disorders. These findings should be considered in the evaluation and expectant management of these patients by their clinicians and healthcare providers.
机译:背景。公众和患有精神疾病的个人中的吸烟率已得到充分证明。研究表明,与普通人群相比,精神疾病患者中的吸烟率仍然较高,作为一个单独的亚组,精神疾病患者在美国销售的香烟中消费了三分之一以上。缺乏精神病急诊室(ER)。这项研究评估了该人群的吸烟率和相关因素。方法。回顾性分析了203例精神病性ER患者。使用SPSS记录并分析了人口统计学,烟草使用,药物使用,精神病诊断和家族史。结果。注意到烟草使用率接近百分之五十,并且发现与主动自杀观念,酒精使用障碍,非法药物使用障碍和先前的精神病住院史有显着相关性。结论。精神科急诊室患者的烟草使用量远高于普通人群,并伴有积极的自杀意识,饮酒障碍和非法物质使用障碍。这些发现应在临床医生和医疗服务提供者对这些患者的评估和预期管理中加以考虑。

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