title: Return to smoking following a smoke-free psychiatric hospitalization.
abstract: This study examined the smoking behaviors and motivations of 100 patients hospitalized in a smoke-free psychiatry unit. The sample averaged nineteen cigarettes per day and had a history of repeated failed quit attempts, yet 65% expressed interest in quitting. During hospitalization, nicotine replacement was provided to 70% of smokers to manage nicotine withdrawal. Provider counseling for smoking cessation, however, was rare, and all patients returned to smoking within five weeks of hospital discharge. The inpatient setting provides a potential site for initiating tobacco dependence treatment; however to maintain abstinence following hospital discharge, greater support is needed.
authors.affiliation: Department of Psychiatry, University of California, San Francisco, California 94143-0984, USA. JProchaska@lppi.ucsf.edu.
authors.forename: Judith J
authors.initials: JJ
authors.lastname: Prochaska
authors.forename: Lindsay
authors.initials: L
authors.lastname: Fletcher
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Hall
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Hall
mesh_terms: D000328:Adult; D002140:California; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge; D011567:Psychiatric Department, Hospital; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000523:psychology / Q000534:rehabilitation*