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

Abstract:

BACKGROUND:Smoke-free policies are important to protect health and reduce health inequalities. A major barrier to policy implementation in psychiatric hospitals is staff concern that physical violence will increase. We aimed to assess the effect of implementing a comprehensive smoke-free policy on rates of physical assaults in a large UK mental health organisation. METHODS:We did an interrupted time series analysis of incident reports of physical assault 30 months before and 12 months after the implementation of the policy in the inpatient wards of South London and Maudsley National Health Service Foundation Trust, London, UK. We used a quasi-Poisson generalised additive mixed model to model the monthly incidence of physical assaults as a function of several explanatory variables. FINDINGS:4550 physical assaults took place between April 1, 2012, and Sept 30, 2015; 225 (4·9%) of which were smoking-related. After adjustment for temporal and seasonal trends and key confounders (sex, age, schizophrenia or related disorders, or having been sectioned under the Mental Health Act), there was a 39% reduction in the number of physical assaults per month after the policy introduction compared with beforehand (incidence rate ratio 0·61, 95% CI 0·53-0·70; p<0·0001). INTERPRETATION:Introduction of a comprehensive smoke-free policy appeared to reduce the incidence of physical assaults. Adequately resourced smoke-free policies could be part of broader violence reduction strategies in psychiatric settings. FUNDING:National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South London (King's College Hospital NHS Foundation Trust).

journal_name

Lancet Psychiatry

journal_title

The lancet. Psychiatry

authors

Robson D,Spaducci G,McNeill A,Stewart D,Craig TJK,Yates M,Szatkowski L

doi

10.1016/S2215-0366(17)30209-2

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

540-546

issue

7

eissn

2215-0366

issn

2215-0374

pii

S2215-0366(17)30209-2

journal_volume

4

pub_type

杂志文章
  • Identifying outcomes for depression that matter to patients, informal caregivers, and health-care professionals: qualitative content analysis of a large international online survey.

    abstract:BACKGROUND:Many clinical trials have assessed treatments for depressive disorders and bipolar depression. However, whether, and which, assessed outcome domains really matter to patients, informal caregivers, and health-care professionals remains unclear. METHODS:We did an international online survey in French, German,...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(20)30191-7

    authors: Chevance A,Ravaud P,Tomlinson A,Le Berre C,Teufer B,Touboul S,Fried EI,Gartlehner G,Cipriani A,Tran VT

    更新日期:2020-08-01 00:00:00

  • Global lessons for deinstitutionalisation from the ill-fated transfer of mental health-care users in Gauteng, South Africa.

    abstract::South Africa witnessed a national tragedy between October, 2015, and June, 2016, when the Department of Health in Gauteng province moved 1711 mental health-care users with severe mental illness or severe and profound intellectual disability out of facilities managed by a private company, Life Esidimeni, mainly into th...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(18)30211-6

    authors: Freeman MC

    更新日期:2018-09-01 00:00:00

  • Neuropsychiatric aspects of concussion.

    abstract::Over the past decade, concussion has become the most widely discussed injury in contact sports. However, concussions also occur in several other settings, such as non-contact sports, elderly individuals, young children, military personnel, and victims of domestic violence. Concussion is frequently undiagnosed as a cau...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(16)30266-8

    authors: Radhakrishnan R,Garakani A,Gross LS,Goin MK,Pine J,Slaby AE,Sumner CR,Baron DA

    更新日期:2016-12-01 00:00:00

  • Effects of institutional rearing and foster care on psychopathology at age 12 years in Romania: follow-up of an open, randomised controlled trial.

    abstract:BACKGROUND:Early social deprivation can negatively affect domains of functioning. We examined psychopathology at age 12 years in a cohort of Romanian children who had been abandoned at birth and placed into institutional care, then assigned either to be placed in foster care or to care as usual. METHODS:We used follow...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(15)00095-4

    authors: Humphreys KL,Gleason MM,Drury SS,Miron D,Nelson CA 3rd,Fox NA,Zeanah CH

    更新日期:2015-07-01 00:00:00

  • Psychotherapy for depression in older veterans via telemedicine: a randomised, open-label, non-inferiority trial.

    abstract:BACKGROUND:Many older adults with major depression, particularly veterans, do not have access to evidence-based psychotherapy. Telemedicine could increase access to best-practice care for older adults facing barriers of mobility, stigma, and geographical isolation. We aimed to establish non-inferiority of behavioural a...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(15)00122-4

    authors: Egede LE,Acierno R,Knapp RG,Lejuez C,Hernandez-Tejada M,Payne EH,Frueh BC

    更新日期:2015-08-01 00:00:00

  • Clinical and cost-effectiveness of the Managing Agitation and Raising Quality of Life (MARQUE) intervention for agitation in people with dementia in care homes: a single-blind, cluster-randomised controlled trial.

    abstract:BACKGROUND:Many people with dementia living in care homes have distressing and costly agitation symptoms. Interventions should be efficacious, scalable, and feasible. METHODS:We did a parallel-group, cluster-randomised controlled trial in 20 care homes across England. Care homes were eligible if they had 17 residents ...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/S2215-0366(19)30045-8

    authors: Livingston G,Barber J,Marston L,Stringer A,Panca M,Hunter R,Cooper C,Laybourne A,La Frenais F,Reeves S,Manela M,Lambe K,Banerjee S,Rapaport P

    更新日期:2019-04-01 00:00:00

  • Long-term effects of rent supplements and mental health support services on housing and health outcomes of homeless adults with mental illness: extension study of the At Home/Chez Soi randomised controlled trial.

    abstract:BACKGROUND:Housing First is increasingly implemented for homeless adults with mental illness in large urban centres, but little is known about its long-term effectiveness. The At Home/Chez Soi randomised controlled trial done in five cities in Canada showed that Housing First improved housing stability and other select...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(19)30371-2

    authors: Stergiopoulos V,Mejia-Lancheros C,Nisenbaum R,Wang R,Lachaud J,O'Campo P,Hwang SW

    更新日期:2019-11-01 00:00:00

  • Cognitive behaviour therapy to prevent harmful compliance with command hallucinations (COMMAND): a randomised controlled trial.

    abstract:BACKGROUND:Acting on command hallucinations in psychosis can have serious consequences for the individual and for other people and is a major cause of clinical and public concern. No evidence-based treatments are available to reduce this risk behaviour. We therefore tested our new cognitive therapy to challenge the per...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(14)70247-0

    authors: Birchwood M,Michail M,Meaden A,Tarrier N,Lewis S,Wykes T,Davies L,Dunn G,Peters E

    更新日期:2014-06-01 00:00:00

  • Prevalence of autism spectrum disorder phenomenology in genetic disorders: a systematic review and meta-analysis.

    abstract:BACKGROUND:Autism spectrum disorder (ASD) phenomenology is reported to be more common in individuals with some genetic syndromes than in the general population; however, no meta-analysis has provided prevalence data within and between syndromes. In this systematic review and meta-analysis, we aimed to synthesise data f...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/S2215-0366(15)00376-4

    authors: Richards C,Jones C,Groves L,Moss J,Oliver C

    更新日期:2015-10-01 00:00:00

  • Suicide and poverty in low-income and middle-income countries: a systematic review.

    abstract::Suicide is the 15th leading cause of death worldwide, with over 75% of suicides occurring in low-income and middle-income countries. Nonetheless, evidence on the association between suicide and poverty in low-income and middle-income countries is scarce. We did a systematic review to understand the association between...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(16)30066-9

    authors: Iemmi V,Bantjes J,Coast E,Channer K,Leone T,McDaid D,Palfreyman A,Stephens B,Lund C

    更新日期:2016-08-01 00:00:00

  • Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews.

    abstract::Mental health has been included in the UN Sustainable Development Goals. However, uncertainty exists about the extent to which the major social determinants of mental disorders are addressed by these goals. The aim of this study was to develop a conceptual framework for the social determinants of mental disorders that...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(18)30060-9

    authors: Lund C,Brooke-Sumner C,Baingana F,Baron EC,Breuer E,Chandra P,Haushofer J,Herrman H,Jordans M,Kieling C,Medina-Mora ME,Morgan E,Omigbodun O,Tol W,Patel V,Saxena S

    更新日期:2018-04-01 00:00:00

  • Poor medication adherence and risk of relapse associated with continued cannabis use in patients with first-episode psychosis: a prospective analysis.

    abstract:BACKGROUND:Cannabis use following the onset of first-episode psychosis has been linked to both increased risk of relapse and non-adherence with antipsychotic medication. Whether poor outcome associated with cannabis use is mediated through an adverse effect of cannabis on medication adherence is unclear. METHODS:In a ...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,多中心研究

    doi:10.1016/S2215-0366(17)30233-X

    authors: Schoeler T,Petros N,Di Forti M,Klamerus E,Foglia E,Murray R,Bhattacharyya S

    更新日期:2017-08-01 00:00:00

  • Neurofeedback, sham neurofeedback, and cognitive-behavioural group therapy in adults with attention-deficit hyperactivity disorder: a triple-blind, randomised, controlled trial.

    abstract:BACKGROUND:Many studies suggest that electroencephalographic (EEG) neurofeedback might be beneficial in the treatment of attention-deficit hyperactivity disorder (ADHD). However, numbers of well controlled studies are low and neurofeedback techniques are regarded as highly controversial. The present trial examined the ...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(17)30291-2

    authors: Schönenberg M,Wiedemann E,Schneidt A,Scheeff J,Logemann A,Keune PM,Hautzinger M

    更新日期:2017-09-01 00:00:00

  • The management of adult psychiatric emergencies in low-income and middle-income countries: a systematic review.

    abstract::The aim of this Review is to identify effective interventions and treatment guidelines to manage common types of psychiatric emergencies in non-specialist settings in low-income and middle-income countries. Mental health specialist services in low-income and middle-income countries are scarce. We did a systematic revi...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(15)00094-2

    authors: Nadkarni A,Hanlon C,Bhatia U,Fuhr D,Ragoni C,de Azevedo Perocco SL,Fortes S,Shidhaye R,Kinyanda E,Rangaswamy T,Patel V

    更新日期:2015-06-01 00:00:00

  • Estimating the true global burden of mental illness.

    abstract::We argue that the global burden of mental illness is underestimated and examine the reasons for under-estimation to identify five main causes: overlap between psychiatric and neurological disorders; the grouping of suicide and self-harm as a separate category; conflation of all chronic pain syndromes with musculoskele...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(15)00505-2

    authors: Vigo D,Thornicroft G,Atun R

    更新日期:2016-02-01 00:00:00

  • Removing transgender identity from the classification of mental disorders: a Mexican field study for ICD-11.

    abstract:BACKGROUND:The conceptualisation of transgender identity as a mental disorder has contributed to precarious legal status, human rights violations, and barriers to appropriate health care among transgender people. The proposed reconceptualisation of categories related to transgender identity in WHO's forthcoming Interna...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(16)30165-1

    authors: Robles R,Fresán A,Vega-Ramírez H,Cruz-Islas J,Rodríguez-Pérez V,Domínguez-Martínez T,Reed GM

    更新日期:2016-09-01 00:00:00

  • Effectiveness of an online insomnia program (SHUTi) for prevention of depressive episodes (the GoodNight Study): a randomised controlled trial.

    abstract:BACKGROUND:In view of the high co-occurrence of depression and insomnia, a novel way to reduce the risk of escalating depression might be to offer an insomnia intervention. We aimed to assess whether an online self-help insomnia program could reduce depression symptoms. METHODS:We did this randomised controlled trial ...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(15)00536-2

    authors: Christensen H,Batterham PJ,Gosling JA,Ritterband LM,Griffiths KM,Thorndike FP,Glozier N,O'Dea B,Hickie IB,Mackinnon AJ

    更新日期:2016-04-01 00:00:00

  • Practice nurse health checks for adults with intellectual disabilities: a cluster-design, randomised controlled trial.

    abstract:BACKGROUND:Adults with intellectual disabilities have substantial health inequalities and poor access to health care. We assessed whether practice nurse-delivered health checks could improve the health of adults with intellectual disabilities compared with standard care. METHODS:In this cluster-design, single-blind, r...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(14)00078-9

    authors: Cooper SA,Morrison J,Allan LM,McConnachie A,Greenlaw N,Melville CA,Baltzer MC,McArthur LA,Lammie C,Martin G,Grieve EA,Fenwick E

    更新日期:2014-12-01 00:00:00

  • The increasing global health priority of substance use in young people.

    abstract::Substance use in young people (aged 10-24 years) might disrupt key periods of transition that occur as the adolescent brain undergoes cognitive and emotional development, and key psychosocial transitions are made. Adolescence is the peak time for initiation of substance use, with tobacco and alcohol usually preceding ...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(15)00508-8

    authors: Degenhardt L,Stockings E,Patton G,Hall WD,Lynskey M

    更新日期:2016-03-01 00:00:00

  • Cognitive function following a major depressive episode: a systematic review and meta-analysis.

    abstract:BACKGROUND:Substantial evidence suggests that cognitive deficits might persist after remission of a major depressive episode. However, results are inconsistent relative to the importance, pattern, severity, and moderating factors of this impairment. We aimed to determine how cognitive function following a major depress...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,meta分析

    doi:10.1016/S2215-0366(19)30291-3

    authors: Semkovska M,Quinlivan L,O'Grady T,Johnson R,Collins A,O'Connor J,Knittle H,Ahern E,Gload T

    更新日期:2019-10-01 00:00:00

  • Postnatal depressive symptoms and child psychological development at 10 years: a prospective study of longitudinal data from the South African Birth to Twenty cohort.

    abstract:BACKGROUND:In high-income countries, maternal postnatal depression is associated with adverse outcomes in the child. However, few studies have investigated this relation in countries of low and middle income. Furthermore, to our knowledge, no studies have followed up cohorts into later childhood. We aimed to investigat...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(14)70361-X

    authors: Verkuijl NE,Richter L,Norris SA,Stein A,Avan B,Ramchandani PG

    更新日期:2014-11-01 00:00:00

  • Mental health of prisoners: prevalence, adverse outcomes, and interventions.

    abstract::More than 10 million people are imprisoned worldwide, and the prevalence of all investigated mental disorders is higher in prisoners than in the general population. Although the extent to which prison increases the incidence of mental disorders is uncertain, considerable evidence suggests low rates of identification a...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(16)30142-0

    authors: Fazel S,Hayes AJ,Bartellas K,Clerici M,Trestman R

    更新日期:2016-09-01 00:00:00

  • The ubiquitin proteasome system and schizophrenia.

    abstract::The ubiquitin-proteasome system is a master regulator of neural development and the maintenance of brain structure and function. It influences neurogenesis, synaptogenesis, and neurotransmission by determining the localisation, interaction, and turnover of scaffolding, presynaptic, and postsynaptic proteins. Moreover,...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(19)30520-6

    authors: Luza S,Opazo CM,Bousman CA,Pantelis C,Bush AI,Everall IP

    更新日期:2020-06-01 00:00:00

  • Clinical and social factors associated with increased risk for involuntary psychiatric hospitalisation: a systematic review, meta-analysis, and narrative synthesis.

    abstract:BACKGROUND:Use of involuntary psychiatric hospitalisation varies widely within and between countries. The factors that place individuals and populations at increased risk of involuntary hospitalisation are unclear, and evidence is needed to understand these disparities and inform development of interventions to reduce ...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,meta分析

    doi:10.1016/S2215-0366(19)30406-7

    authors: Walker S,Mackay E,Barnett P,Sheridan Rains L,Leverton M,Dalton-Locke C,Trevillion K,Lloyd-Evans B,Johnson S

    更新日期:2019-12-01 00:00:00

  • Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study.

    abstract:BACKGROUND:There is major concern about the impact of the global COVID-19 outbreak on mental health. Several studies suggest that mental health deteriorated in many countries before and during enforced isolation (ie, lockdown), but it remains unknown how mental health has changed week by week over the course of the COV...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(20)30482-X

    authors: Fancourt D,Steptoe A,Bu F

    更新日期:2021-02-01 00:00:00

  • Social recovery therapy in combination with early intervention services for enhancement of social recovery in patients with first-episode psychosis (SUPEREDEN3): a single-blind, randomised controlled trial.

    abstract:BACKGROUND:Provision of early intervention services has increased the rate of social recovery in patients with first-episode psychosis; however, many individuals have continuing severe and persistent problems with social functioning. We aimed to assess the efficacy of early intervention services augmented with social r...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(17)30476-5

    authors: Fowler D,Hodgekins J,French P,Marshall M,Freemantle N,McCrone P,Everard L,Lavis A,Jones PB,Amos T,Singh S,Sharma V,Birchwood M

    更新日期:2018-01-01 00:00:00

  • Intensive case management for high-risk patients with first-episode psychosis: service model and outcomes.

    abstract:BACKGROUND:The first episode of psychosis is a crucial period when early intervention can alter the trajectory of the young person's ongoing mental health and general functioning. After an investigation into completed suicides in the Early Psychosis Prevention and Intervention Centre (EPPIC) programme, the intensive ca...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(14)00127-8

    authors: Brewer WJ,Lambert TJ,Witt K,Dileo J,Duff C,Crlenjak C,McGorry PD,Murphy BP

    更新日期:2015-01-01 00:00:00

  • The association between first abortion and first-time non-fatal suicide attempt: a longitudinal cohort study of Danish population registries.

    abstract:BACKGROUND:Suicidal ideation due to abortion has been used to justify restrictive US abortion policies. Much research examining abortion and mental health has relied on self-report, has had low participation rates, and did not consider confounding factors. In the present study, we used data that do not rely on self-rep...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章

    doi:10.1016/S2215-0366(19)30400-6

    authors: Steinberg JR,Laursen TM,Adler NE,Gasse C,Agerbo E,Munk-Olsen T

    更新日期:2019-12-01 00:00:00

  • How mental health care should change as a consequence of the COVID-19 pandemic.

    abstract::The unpredictability and uncertainty of the COVID-19 pandemic; the associated lockdowns, physical distancing, and other containment strategies; and the resulting economic breakdown could increase the risk of mental health problems and exacerbate health inequalities. Preliminary findings suggest adverse mental health e...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/S2215-0366(20)30307-2

    authors: Moreno C,Wykes T,Galderisi S,Nordentoft M,Crossley N,Jones N,Cannon M,Correll CU,Byrne L,Carr S,Chen EYH,Gorwood P,Johnson S,Kärkkäinen H,Krystal JH,Lee J,Lieberman J,López-Jaramillo C,Männikkö M,Phillips MR,Uchid

    更新日期:2020-09-01 00:00:00

  • An online programme to reduce depression in patients with multiple sclerosis: a randomised controlled trial.

    abstract:BACKGROUND:With a lifetime risk for major depressive disorder of up to 50%, depression is a common comorbidity in multiple sclerosis but remains widely underdiagnosed and untreated. We investigated the potential of a fully automated, internet-based, cognitive behavioural therapy programme, Deprexis, to reduce depressiv...

    journal_title:The lancet. Psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/S2215-0366(14)00049-2

    authors: Fischer A,Schröder J,Vettorazzi E,Wolf OT,Pöttgen J,Lau S,Heesen C,Moritz S,Gold SM

    更新日期:2015-03-01 00:00:00