Smoking and Mental Health Infographic
Text version of infographic
Patients with a mental health disorder are 2–3 times more likely to smoke than patients without a mental health disorder. Tobacco users with a mental health disorder die 25 years earlier than Americans overall.
Smoking Rate by Psychiatric History: No Mental Disorder, 22.5% smoke. PTSD, 44.6% smoke. Major Depression, 44.7% smoke. Nonaffective Psychosis, 45.3% smoke. Generalized Anxiety Disorder, 54.6 % smoke. Bipolar Disorder, 60.6% smoke. Drug Abuse/Dependence, 67.9% smoke.
Patients with a mental health disorder are interested and ready to quit smoking.
Readiness to Quit in 6 Months: General population, 40% are ready to quit. General psych outpatients, 43% are ready to quit. Depressed outpatients, 55% are ready to quit. Psych inpatients, 41% are ready to quit.
Tobacco use impacts psychiatric treatment. It causes greater psychiatric symptoms, more frequent hospitalizations, and requires higher doses of psychiatric medications.
Effective Treatment: Referral to VA smoking cessation clinic and usual care causes 7.2% of patients to quit after 6 months. Smoking cessation treatment delivered as part of primary mental health treatment for PTSD and integrated care cause 16.5% of patients to quit after 6 months. Integrated care recipients have 2.26 greater odds of prolonged abstinence compared to smoking cessation clinic treatment.