Given that previous research has indicated the mental health staff to provide nicotine-dependence treatment selleck chemical Tofacitinib selectively based on their perceptions of patient receptivity to care, and the desire to quit (Wye et al., 2009), our findings reinforce the need to provide smoking cessation care routinely and systematically rather than selectively to a particular type of patient (Borrelli, Lee, & Novak, 2008; Freund et al., 2009). Additionally, the proportion of participants making a quit attempt in our sample was similar to the rates reported in psychiatric outpatient samples (Ferron et al., 2011). This finding is encouraging and suggests pervasive attempts to quit despite the presence of acute psychiatric symptoms.
Clinicians should be made aware of their patients�� ongoing attempts to quit, particularly given the clinical opportunity provided by the inpatient stay; where patients may be in a restricted smoking environment for an extended period, with access to clinical and pharmacological support (American Psychiatric Association, 1996; New South Wales Department of Health, 2002). In examining the factors associated with currently being in a contemplative (as opposed to precontemplative) stage of change, only two factors were identified as predictors: a quit attempt within the last 12 months and an indication of not enjoying being a smoker. In examining the factors associated with a quit attempt in the last 12 months, only a high self-reported desire to quit (8�C10, on a 10-point scale) was identified as a predictor.
These findings are consistent with research among psychiatric outpatient samples indicating that making a recent quit attempt (Addington et al., 1997; Baker et al., 2007) and endorsing negative aspects of smoking (Prochaska, Gill, et al., 2004) are associated with a greater desire to quit. Further, evidence from general population smokers suggests that motivational factors predict quit attempts (Borland et al., 2010), and the number of previous quit attempts is positively correlated with the intention to quit (Marques-Vidal et al., 2011). Together, these results suggest that actual quitting behavior may be an important indicator of the ��desire to quit�� in the inpatient psychiatric setting. The finding that not enjoying being a smoker predicted readiness to quit is supported by similar previous research indicating that patients who endorse the ��cons�� of smoking Entinostat are more likely to be contemplating quitting, and show greater desire for abstinence (Prochaska, Rossi, et al., 2004).
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