The Library
Assessing the second-hand effects of a new no-smoking policy in an acute mental health trust
Tools
Tools
Tools
Perry, Benjamin Ian, Meehan, Katherine and Kumar Jainer, Ashok (2017) Assessing the second-hand effects of a new no-smoking policy in an acute mental health trust. BJPsych Bulletin, 41 (6). pp. 325-330. doi:10.1192/pb.bp.116.055749 ISSN 2056-4694.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1192/pb.bp.116.055749
Abstract
Aims and method
To examine whether a new no-smoking policy in an in-patient mental health setting had any effects outside of smoking cessation. Our hypothesis stated that a forced smoking ban for in-patients may result in an increased susceptibility for clinical incidents, aggression and lower admission rates. All patients admitted to adult in-patient mental health services in Coventry and Warwickshire Partnership NHS Trust were included in the analysis. Data 6 months post-implementation of the smoking policy (1 July 2015 to 1 January 2016) were compared with the same period 1 year prior (1 July 2014 to 1 January 2015). Patient demographics, admission rates, ward occupancy, average lengths of stay, numbers of reported incidents and use of the Mental Health Act 1983 (MHA) were compared.
Results
We analysed 4223 admissions. We found a significantly increased number of admissions under the MHA (P = 0.007), a significantly greater number of reported smoking-related incidents (P < 0.001) and aggression-related incidents in the psychiatric intensive care unit (P < 0.001). However, we found no significant difference in capacity of in-patient wards (P = 0.39), admission length (P = 0.34) or total aggression-related incidents (P = 0.86).
Clinical implications
Although further comparisons over longer time periods are necessary, our results suggest that enforced smoking cessation on acutely unwell psychiatric patients admitted to the most restricted environments may have some negative effects. Nicotine replacement therapy should be offered to all patients to minimise the risk of clinical incident.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||
| Journal or Publication Title: | BJPsych Bulletin | ||||||
| Publisher: | Royal College of Psychiatrists | ||||||
| ISSN: | 2056-4694 | ||||||
| Official Date: | December 2017 | ||||||
| Dates: |
|
||||||
| Volume: | 41 | ||||||
| Number: | 6 | ||||||
| Page Range: | pp. 325-330 | ||||||
| DOI: | 10.1192/pb.bp.116.055749 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
