Abstract

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.

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