title: Smoking reduction in psychiatric inpatients is feasible: results from a 12-month prospective study.
abstract: BACKGROUND
  Despite the fact that smoking is a crucial morbidity factor among psychiatric patients, little progress has been made in order to reduce smoking during psychiatric hospitalization.
  
  
  METHODS
  We studied the smoking behaviour of patients admitted to a non-smoking psychiatric ward, after monitoring them for smoking habits and helping them cope in order to modify their smoking behaviour. For a period of 12 months, we conducted a prospective study of simple smoking avoidance measures in the 2nd Department of Psychiatry of Attikon University Hospital in Athens.
  
  
  RESULTS
  From 330 admitted patients, 170 (51.5%) were smokers; they were monitored for their smoking habits and encouraged by the nursing staff to reduce smoking. The mean number of cigarettes per day (CPD) at admission was 32.2 (sd 22.1) and upon discharge 14.1 (sd 14.8) (t = 11.7, p < 0.001). Most of the smokers, 142 (83.5%), managed to reduce their cigarette consumption per day. Diagnosis did not affect the reduction or increase in CPD. The only factor that predicted reduction in CPD was the female sex.
  
  
  CONCLUSIONS
  Our findings indicate that seriously mentally ill psychiatric inpatients despite negative preconceptions and stereotypes respond well to simple measures aiming to reduce their smoking and modify their behaviour.
authors: 2nd Department of Psychiatry, University General Hospital "Attikon", Medical School, University of Athens, Rimini 1 Str, 12462 Athens, Greece.
authors: Ioannis
authors: I
authors: Michopoulos
authors: 2nd Department of Psychiatry, University General Hospital "Attikon", Medical School, University of Athens, Rimini 1 Str, 12462 Athens, Greece.
authors: Emmanouil
authors: E
authors: Rizos
authors: 2nd Department of Psychiatry, University General Hospital "Attikon", Medical School, University of Athens, Rimini 1 Str, 12462 Athens, Greece.
authors: Rossetos
authors: R
authors: Gournellis
authors: 2nd Department of Psychiatry, University General Hospital "Attikon", Medical School, University of Athens, Rimini 1 Str, 12462 Athens, Greece.
authors: Andromachi
authors: A
authors: Karvouni
authors: 2nd Department of Psychiatry, University General Hospital "Attikon", Medical School, University of Athens, Rimini 1 Str, 12462 Athens, Greece.
authors: Ioanna
authors: I
authors: Kotsioumpa
authors: 2nd Department of Psychiatry, University General Hospital "Attikon", Medical School, University of Athens, Rimini 1 Str, 12462 Athens, Greece.
authors: Athanasios
authors: A
authors: Douzenis
keywords: Nursing intervention; Psychiatric inpatients; Smoking reduction