Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis

Abstract

(2017) Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis. Lancet Psychiatry, 4 (7). pp. 540-546. ISSN 2215-0374 Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/44243/1/The%20effect%20of%20implementing%20a %20smoke-free%20policy%20on%20physical%20violence%20within%20a%20psychiatric %20inpatient%20settingaccepted_version.pdf Copyright and reuse:The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions. This article is made available under the Creative Commons Attribution Non-commercial No Derivatives licence and may be reused according to the conditions of the licence. For more details see: http://creativecommons.org/licenses/by-nc-nd/2.5/ A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.

Smoking‐related violence in a mental health setting following the implementation of a comprehensive smoke‐free policy: A content analysis of incident reports

“…We found fewer incidents of smoking‐related violence during the comprehensive policy period than the indoor‐only policy period, but cannot infer causality because we have not adjusted for the inpatient clinical population during these two periods (Robson et al . ; Spaducci et al . ).…”

“…In our prior study, physical violence related to smoking accounted for less than 5% of the total number of incidents (Robson et al . ); a more detailed examination about why smoking‐related physical violence occurs and how it is managed may help inform staff on how to prevent this, and whether containment strategies are proportionate to the level of violence. Therefore, this current study builds on our previous research by examining the antecedents and containment interventions used by staff and the injuries sustained during smoking‐related incidents of physical violence, throughout a 12‐month period when an indoor‐only smoke‐free policy was in place, followed by a further 12‐month period after a comprehensive smoke‐free policy was introduced.…”

“…A more recent systematic review reported that eight out of 11 studies found either no change or a reduction in verbal or physical violence post-policy implementation (Spaducci et al 2018). We previously evaluated the effect of introducing a comprehensive smoke-free policy on physical violence across four UK NHS psychiatric hospitals using a time series design, accounting for confounding variables that may have influenced rates of violence such as patient demographics and clinical characteristics (Robson et al 2017). We identified a 47% reduction in physical violence towards staff and a 15% reduction in violence towards other patients in the 12 months after the policy was introduced, relative to the 30 months before.…”

Implementation of a smoke-free policy appears to reduce physical violence in inpatient settings

“…The present study was conducted between 1 April 2012 and 30 September 2015 to explore the effect of the implementation of the policy on rates of physical violence 3. Using a retrospective cohort design, the authors included all adults (n=18 135) receiving inpatient treatment during the study period.…”

Improving patient education about tobacco withdrawal and nicotine gum use by registered nurses in inpatient psychiatry: A feasibility study

“…Thus, many of those admitted to inpatient units struggle to remain tobacco free during their hospitalization. Since the half‐life of nicotine is about 2 hrs, symptoms of withdrawal from tobacco products typically begin within 24 hrs of the last use (American Psychiatric Association [APA], ; Robson et al., ). Fifty per cent of tobacco users develop withdrawal symptoms following cessation, meaning that at least 22% of those admitted for inpatient psychiatric treatment will likely experience tobacco withdrawal concurrent with a psychiatric crisis (APA, ).…”