{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:13:46Z","timestamp":1791908026129,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T00:00:00Z","timestamp":1568246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["IRS IS_CLA_0113_10022"],"award-info":[{"award-number":["IRS IS_CLA_0113_10022"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012176","name":"Maudsley Charity","doi-asserted-by":"publisher","award":["997"],"award-info":[{"award-number":["997"]}],"id":[{"id":"10.13039\/100012176","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Smoke\u2010free policies in mental health settings are important to protect health but are often impeded by staff concerns that physical violence may increase. We aimed to address the literature gap about the frequency, nature, and management of physical violence in relation to smoking. We compared the antecedents and containment of smoking\u2010related incidents of physical violence over a two\u2010year period, (12\u00a0months when an indoor\u2010only smoke\u2010free policy was in place, followed by 12\u00a0months after a new comprehensive smoke\u2010free policy was introduced) using incident reports completed by staff in a large mental health organization in London, UK. Sixty\u2010one smoking\u2010related incidents occurred during the indoor\u2010only smoke\u2010free policy period; 32 smoking\u2010related incidents occurred during the comprehensive smoke\u2010free policy. We identified four antecedent categories for physical violence: i) patient request to smoke denied by staff; ii) during a supervised smoking break; iii) staff response to a patient breach of the smoke\u2010free policy iv) asking for, trading or stealing smoking materials. The antecedent pattern changed across the two policy periods, with fewer incidents of denying a patient's request to smoke and a greater number of incidents involving staff responding to breaches occurring after the introduction of the comprehensive smoke\u2010free policy. The prohibition of smoking breaks removed this source of violence. Timeout and PRN medication were the most common containment interventions. Understanding the context of smoking\u2010related violence may inform clinical guidelines about its prevention and management.<\/jats:p>","DOI":"10.1111\/inm.12659","type":"journal-article","created":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T12:45:31Z","timestamp":1568292331000},"page":"202-211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Smoking\u2010related violence in a mental health setting following the implementation of a comprehensive smoke\u2010free policy: A content analysis of incident reports"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1343-2622","authenticated-orcid":false,"given":"Gilda","family":"Spaducci","sequence":"first","affiliation":[{"name":"Addictions Department Institute of Psychiatry, Psychology &amp; Neuroscience King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6223-4000","authenticated-orcid":false,"given":"Ann","family":"McNeill","sequence":"additional","affiliation":[{"name":"Addictions Department Institute of Psychiatry, Psychology &amp; Neuroscience King's College London London UK"},{"name":"UK Centre for Tobacco and Alcohol Studies Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Hubbard","sequence":"additional","affiliation":[{"name":"Health Services and Population Department Institute of Psychiatry, Psychology &amp; Neuroscience King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7355-4280","authenticated-orcid":false,"given":"Duncan","family":"Stewart","sequence":"additional","affiliation":[{"name":"Mental Health and Addiction Research Group Department of Health Sciences University of York York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Yates","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust Bethlem Royal Hospital Beckenham, London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6447-3523","authenticated-orcid":false,"given":"Deborah","family":"Robson","sequence":"additional","affiliation":[{"name":"Addictions Department Institute of Psychiatry, Psychology &amp; Neuroscience King's College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,9,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5654"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12129"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2004.04.008"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2011.00756.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05784.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38944.382106.BE"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10398560701851976"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JNR.0000347572.60800.00"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1053\/apnu.2002.34394"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/1064-1297.16.3.207"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.109.028571"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12053"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2017.1413461"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399339209516006"},{"key":"e_1_2_9_16_1","first-page":"13","article-title":"Implementation of a smoke\u2010free policy in a high secure mental health inpatient facility: Staff survey to describe experience and attitudes","author":"Hehir A. 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