Systematic review of tobacco smoking prevalence among young people in treatment for first-episode psychosis

Parth Thaker; Coral Gartner; Steve Kisely; Sally Plever

doi:10.1111/inm.13332

Systematic review of tobacco smoking prevalence among young people in treatment for first-episode psychosis

Int J Ment Health Nurs. 2024 Apr 12. doi: 10.1111/inm.13332. Online ahead of print.

Authors

Parth Thaker¹, Coral Gartner^{1

2}, Steve Kisely^{1

3}, Sally Plever^{1

2

4}

Affiliations

¹ School of Public Health, The University of Queensland, Brisbane, Queensland, Australia.
² NHMRC Centre of Research Excellence on Achieving the Tobacco Endgame (Tobacco Endgame CRE), The University of Queensland, Brisbane, Queensland, Australia.
³ Metro South Addiction and Mental Health Service, Brisbane, Queensland, Australia.
⁴ Metro North Mental Health, Brisbane, Queensland, Australia.

PMID: 38606655
DOI: 10.1111/inm.13332

Abstract

To determine whether smoking prevalence in first-episode psychosis (FEP) is different than in people with established psychosis in long-term treatment. A systematic review of cross-sectional, case-control and cohort studies identified from searches of PubMed, Embase, CINAHL and PsycINFO up to 12 August 2023. 20 studies out of 2773 screened titles were included. There was no clear pattern of smoking by diagnosis as smoking rates in people with FEP ranged from 43% to 78%, while in those with established psychosis, it ranged from 19% to 76%. The wide range of smoking levels in both populations precluded conclusions as to whether smoking rates are different between people with FEP and established psychosis suggesting that factors other than the time course of the illness influence smoking levels.

Keywords: established psychosis; first‐episode psychosis; psychosis; smoking; tobacco.