EPA guidance on tobacco dependence and strategies for smoking cessation in people with mental illness
Open accessAbstract
Tobacco dependence is the most common substance use disorder in adults with mental illness. The prevalence rates for tobacco dependence are two to four times higher in these patients than in the general population. Smoking has a strong, negative influence on the life expectancy and quality of life of mental health patients, and remains the leading preventable cause of death in this group. Despite these statistics, in some countries smokers with mental illness are disadvantaged in receiving intervention and support for their tobacco dependence, which is often overlooked or even tolerated. This statement from the European Psychiatric Association (EPA) systematically reviews the current evidence on tobacco dependence and withdrawal in patients with mental illness and their treatment. It provides seven recommendations for the core components of diagnostics and treatment in this patient group. These recommendations concern: (1) the recording process, (2) the timing of the intervention, (3) counselling specificities, (4) proposed treatments, (5) frequency of contact after stopping, (6) follow-up visits and (7) relapse prevention. They aim to help clinicians improve the care, health and well-being of patients suffering from mental illness.
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From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [333]
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Self-citation
- Authors
- Rüther, T., Bobes, J., De Hert, M., Svensson, T. H., Mann, K., Batra, A., Gorwood, P., & Möller, H. J.
- Affiliations
- Ludwig-Maximilians-Universität München (DE)
- Universidad de Oviedo (ES)
- Karolinska Institutet (SE)
- Heidelberg University (DE)
- Universitätsklinikum Tübingen (DE)
- Centre Hospitalier Sainte-Anne (FR)
- Corresponding author
- Rüther, T.
- Venue
- European Psychiatry
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-01-30
- Volume
- 29
- Issue
- 2
- Pages
- 65-82
- ISSN
- 0924-9338 (ISSN-L)
- 1778-3585
- OpenAlex
- W2046787730
- Cited by
- 149
- References
- 312
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 12 · 2023: 6 · 2022: 8 · 2021: 13 · 2020: 9 · 2019: 13 · 2018: 14 · 2017: 18 · 2016: 26 · 2015: 15 · 2014: 6 · 2013: 1
- FWCI
- 14.45
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by-nc-nd
- www.cambridge.org/core/terms (unspecified)
- Locations
- European Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Consultation of the Doctoral Thesis Database (TESEO) (Ministerio de Educación, Cultura y Deporte) (submittedVersion, cc-by-nc-nd)
- Lirias (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- tobacco dependence, smoking cessation, mental illness, nicotine withdrawal, smoking cessation counseling, relapse prevention, tobacco dependence treatment, clinical guidelines
- MeSH terms
- Mental Disorders, Humans, Mental Health, Tobacco Use Disorder, Smoking Cessation, Persons with Psychiatric Disorders, Mentally Ill Persons
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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