# Experiences of Tobacco Smoking and Quitting Among Mental Health Consumers

**Authors:** Helena Roennfeldt, Marianne Wyder, Coral Gartner, Alice Holland, Norah Elvidge, Dan Siskind, Cheneal Puljević

PMC · DOI: 10.1111/hex.70377 · Health Expectations : An International Journal of Public Participation in Health Care and Health Policy · 2025-08-10

## TL;DR

This study explores how people with mental health issues experience smoking and quitting, emphasizing the need for recovery-focused support to help them quit.

## Contribution

The study provides new insights into the link between smoking, mental health, and recovery through lived experience perspectives.

## Key findings

- Smoking is often used as a coping mechanism for psychological distress among mental health consumers.
- Quitting smoking is frequently linked to personal recovery and improved well-being.
- Effective smoking cessation requires support that emphasizes self-determination and timing.

## Abstract

Rates of smoking remain high in people who have a diagnosis of mental illness. The high prevalence of smoking in this population highlights the need to engage people experiencing mental ill‐health in enhancing quit‐smoking programs.

This study examined the experience of tobacco smoking, reasons for and benefits of quitting smoking among people diagnosed with a mental illness. We conducted in‐depth, semi‐structured interviews with 17 participants who had attempted to quit smoking to gain insights into their experiences and gather recommendations for improved smoking cessation support.

Findings indicate a link between smoking and mental health, with consumers using smoking as a way to cope with psychological distress. Often, the reasons for quitting smoking were associated with increased personal recovery.

This study highlights the role of support and the right timing to maximise consumers' likelihood of quitting smoking. Smoking cessation interventions should be delivered in a recovery‐focused way, which enhances self‐determination and the personal decision to quit smoking.

The first author is in a designated lived experience (Consumer) role. The first author conducted the interviews and was explicit regarding their lived experience of mental health challenges and experience as an ex‐smoker when engaging with participants.

## Linked entities

- **Diseases:** mental illness (MONDO:0002025)

## Full-text entities

- **Diseases:** mental ill (MESH:D001523)
- **Species:** Homo sapiens (human, species) [taxon 9606], Nicotiana tabacum (American tobacco, species) [taxon 4097]

## Full text

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## References

31 references — full list in the complete paper: https://tomesphere.com/paper/PMC12335851/full.md

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Source: https://tomesphere.com/paper/PMC12335851