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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: eoin.killackey@orygen.org.au)
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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

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