Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis
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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017
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| Subjects: | |
| Online Access: | https://repository.londonmet.ac.uk/5974/1/smokefree_policy_accepted_version.pdf |
| _version_ | 1825625509368692736 |
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| author | Robson, Debbie Spaducci, Gilda McNeill, Ann Stewart, Duncan Craig, Tom J. K. Yates, Mary Szatkowski, Lisa |
| author_facet | Robson, Debbie Spaducci, Gilda McNeill, Ann Stewart, Duncan Craig, Tom J. K. Yates, Mary Szatkowski, Lisa |
| author_sort | Robson, Debbie |
| collection | LMU |
| description | 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 conducted an interrupted time series analysis of incident reports of physical assault 30 months before and 12 months after the implementation of the policy using a quasi-Poisson generalised additive mixed model.
Findings:
There were 4,550 physical assaults over the study period; 4.9% of which were smoking-related. When adjusted for temporal and seasonal trends and key confounders, there was a 39% reduction in the number of physical assaults per month following the policy introduction compared to beforehand (Incidence Rate Ratio 0.61, 95% CI 0.53-0.70, p<0.001).
Interpretation:
The introduction of a comprehensive smoke-free policy in a large psychiatric organisation appeared to reduce the incidence of physical assaults. Adequately resourced smoke–free policies could be part of broader violence reduction strategies in psychiatric settings. |
| first_indexed | 2024-07-09T04:01:00Z |
| format | Article |
| id | oai:repository.londonmet.ac.uk:5974 |
| institution | London Metropolitan University |
| language | English |
| last_indexed | 2024-07-09T04:01:00Z |
| publishDate | 2017 |
| publisher | Elsevier |
| record_format | eprints |
| spelling | oai:repository.londonmet.ac.uk:59742020-08-13T08:40:21Z https://repository.londonmet.ac.uk/5974/ Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis Robson, Debbie Spaducci, Gilda McNeill, Ann Stewart, Duncan Craig, Tom J. K. Yates, Mary Szatkowski, Lisa 610 Medicine & health 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 conducted an interrupted time series analysis of incident reports of physical assault 30 months before and 12 months after the implementation of the policy using a quasi-Poisson generalised additive mixed model. Findings: There were 4,550 physical assaults over the study period; 4.9% of which were smoking-related. When adjusted for temporal and seasonal trends and key confounders, there was a 39% reduction in the number of physical assaults per month following the policy introduction compared to beforehand (Incidence Rate Ratio 0.61, 95% CI 0.53-0.70, p<0.001). Interpretation: The introduction of a comprehensive smoke-free policy in a large psychiatric organisation appeared to reduce the incidence of physical assaults. Adequately resourced smoke–free policies could be part of broader violence reduction strategies in psychiatric settings. Elsevier 2017-06-14 Article PeerReviewed text en cc_by_nc_nd_4 https://repository.londonmet.ac.uk/5974/1/smokefree_policy_accepted_version.pdf Robson, Debbie, Spaducci, Gilda, McNeill, Ann, Stewart, Duncan, Craig, Tom J. K., Yates, Mary and Szatkowski, Lisa (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 2215-0366 http://dx.doi.org/10.1016/S2215-0366(17)30209-2 10.1016/S2215-0366(17)30209-2 10.1016/S2215-0366(17)30209-2 |
| spellingShingle | 610 Medicine & health Robson, Debbie Spaducci, Gilda McNeill, Ann Stewart, Duncan Craig, Tom J. K. Yates, Mary Szatkowski, Lisa Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis |
| title | Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis |
| title_full | Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis |
| title_fullStr | Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis |
| title_full_unstemmed | Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis |
| title_short | Effect of implementation of a smoke-free policy on physical violence in a psychiatric inpatient setting: an interrupted time series analysis |
| title_sort | effect of implementation of a smoke free policy on physical violence in a psychiatric inpatient setting an interrupted time series analysis |
| topic | 610 Medicine & health |
| url | https://repository.londonmet.ac.uk/5974/1/smokefree_policy_accepted_version.pdf |
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