Wilhelm Kay, Handley Tonelle, Reddy Prasuna
Liaison Psychiatrist, St Vincent's Hospital, Darlinghurst, NSW, and; Professor of Psychiatry, University of Notre Dame Australia, Fremantle, WA, and; Conjoint Professor, University of New South Wales, Sydney, NSW, Australia.
Research Fellow, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
Australas Psychiatry. 2018 Apr;26(2):176-180. doi: 10.1177/1039856218757638. Epub 2018 Feb 8.
The aim of this study was to identify mental health and lifestyle factors predicting smoking among people at high risk of suicidal behaviour.
Participants ( n = 363) completed self-report mental health and lifestyle measures at first appointment in a hospital clinic following presentation to the emergency department for deliberate self-harm or suicidal ideation.
The rate of daily smoking in this group, 61.4%, is more than four times the rate observed in the general population. Those with a history of previous deliberate self-harm were twice as likely to be smokers. Each one-point increase in poor health behaviours increased the odds of smoking by 22%.
Identifying and managing smoking and related lifestyle behaviours are important considerations in routine clinical assessments.
本研究旨在确定预测有自杀行为高风险人群吸烟情况的心理健康和生活方式因素。
参与者（n = 363）在因故意自伤或自杀意念前往急诊科就诊后，首次在医院门诊预约时完成了自我报告的心理健康和生活方式测量。
该组的每日吸烟率为61.4%，是普通人群中观察到的吸烟率的四倍多。有过故意自伤史的人吸烟的可能性是其他人的两倍。健康行为不佳每增加一分，吸烟的几率就增加22%。
在常规临床评估中，识别和管理吸烟及相关生活方式行为是重要的考虑因素。
