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Aligned with this recommendation, we aimed to critically evaluate the RANZCP\u2019s stance on this issue through a literature review focused on the areas identified in the position statement as requiring further investigation: (1) the adverse health effects attributable to ECs; (2) use of ECs for smoking cessation (particularly for people living with severe mental illness); and (3) EC-associated risks for nicotine na\u00efve young people. We identified and summarised evidence of harm attributable to ECs that is particularly relevant to young people through direct adverse health sequelae, onset of nicotine dependence and increased risk of combustible cigarette (CC) use. A small number of studies suggest ECs can be used for harm-reduction purposes in people diagnosed with nicotine dependence and severe mental illness. However, these results must be considered alongside robust evidence supporting the effectiveness of existing pharmacological interventions for smoking cessation in people with severe mental illness. The position statement is in urgent need of review in line with the available evidence.<\/jats:p>","DOI":"10.1177\/00048674221126458","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T01:50:27Z","timestamp":1663552227000},"page":"169-180","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Smoke and mirrors: Support from psychiatrists for nicotine e-cigarette availability in Australia"],"prefix":"10.1177","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3462-2775","authenticated-orcid":false,"given":"Gemma","family":"McKeon","sequence":"first","affiliation":[{"name":"Child and Youth Mental Health Group, QIMR Berghofer Medical Research Institute, Herston, QLD, Australia"},{"name":"Metro North Mental Health Services, Herston, QLD, Australia"},{"name":"Child and Youth Mental Health Group, UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0744-0688","authenticated-orcid":false,"given":"James G","family":"Scott","sequence":"additional","affiliation":[{"name":"Child and Youth Mental Health Group, QIMR Berghofer Medical Research Institute, Herston, QLD, Australia"},{"name":"Metro North Mental Health Services, Herston, QLD, Australia"},{"name":"Child and Youth Mental Health Group, UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, QLD, Australia"},{"name":"Child and Youth Mental Health Group, Queensland Centre for Mental Health Research, Wacol, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,18]]},"reference":[{"key":"bibr1-00048674221126458","volume-title":"National drug strategy household survey 2019","author":"Australian Institute of Health and Welfare (AIHW)","year":"2020"},{"key":"bibr2-00048674221126458","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045603"},{"key":"bibr3-00048674221126458","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.121.057369"},{"key":"bibr4-00048674221126458","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.07.028"},{"key":"bibr5-00048674221126458","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10020446"},{"key":"bibr6-00048674221126458","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntab005"},{"key":"bibr7-00048674221126458","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03310-y"},{"key":"bibr8-00048674221126458","unstructured":"Centre for Disease Control and Prevention (CDC) (2020) Outbreak of lung injury associated with the use of e-cigarette, or vaping products. 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