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Ten things you didn’t know about smoking and mental health

For #WorldMentalHealthDay, we want to shed light on the often-overlooked connection between smoking and mental health. Smoking has a profound impact on mental well-being in addition to its physical harm. Here are 10 key facts to consider:

1. One-Third of Tobacco in the UK is Consumed by People with Mental Health Issues

At least one-third of all the tobacco consumed in the UK is used by individuals experiencing mental health challenges. This highlights the disproportionate burden smoking has on those who need greater support.

2. 36% of Adults with a Mental Health Condition Smoke in Wales

In Wales, 36% of adults with a mental health condition smoke—almost double the rate of smoking in the general population, which stands at 19%.

3. Smoking is Twice as Common Among People Experiencing Poor Mental Health

Across the UK, individuals experiencing poor mental health are twice as likely to smoke compared to the general population. This highlights an urgent need for tailored support to help them quit.

4. Smoking Shortens Lives for Those with Mental Ill Health

Smoking is a leading contributor to early death among people with mental ill health, cutting their lives short by 10 to 20 years compared to the general population.

5. Over 60% of People with Schizophrenia Smoke

People with a diagnosis of schizophrenia are disproportionately affected, with over 60% being smokers. This stark figure highlights the need for targeted smoking cessation support.

6. Smoking is Linked to Poor Outcomes in Bipolar Disorder

For individuals with bipolar disorder, smoking has been linked to poorer health outcomes and a greater challenge in managing the condition effectively.

7. Almost 60% of People Experiencing First-Episode Psychosis Smoke

Nearly 60% of individuals experiencing a first episode of psychosis are smokers. This demonstrates the strong association between tobacco use and severe mental health conditions.

8. Nicotine Withdrawal Exacerbates Anxiety and Depression

Feelings of anxiety, stress, and depression can be exacerbated by nicotine withdrawal, creating a vicious cycle for smokers attempting to quit.

9. People with Mental Illness Smoke More Cigarettes

Evidence suggests that individuals with mental illnesses smoke a higher number of cigarettes compared to smokers without mental health conditions.

10. Smoking Reduces the Effectiveness of Mental Health Medications

Smoking can affect certain commonly prescribed mental health medications, making them up to 50% less effective. This underlines how quitting smoking can significantly improve treatment outcomes.

Need Support to Quit Smoking?

If you’re in Wales and looking for support to stop smoking, Help Me Quit is here to help. Visit their website or contact their team for tailored advice and support.

If you’re struggling with your mental health, please don’t hesitate to reach out to the Samaritans for confidential and compassionate support:
📞 08457 90 90 90 (24/7)

Further Reading

Want to learn more? Check out our Smoking and Mental Health page, where you can find resources, including a helpful diagram showing how nicotine impacts the brain.


Let’s work together to support healthier minds and healthier bodies in Wales.

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