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ABSTRACT
The purpose of the current study was to add to our understanding of the association between smoking and substance use among adolescents in psychiatric treatment. Data were collected from 191 (119 females and 72 males) adolescent smokers who were hospitalized at a private psychiatric hospital. On average, study participants smoked on 91.03% (SD = 19.34) of the days during the three months leading up to hospitalization and smoked 13.94 (SD = 9.80) cigarettes per smoking day. Age of first cigarette use was correlated significantly with age of first alcohol use and with age of first marijuana use. Recent marijuana use was associated with frequency of cigarette smoking while recent binge drinking was associated with intensity of cigarette smoking. In addition, adolescents smoked significantly more cigarettes on days in which they consumed alcohol or drugs than they smoked on abstinent days. The results suggest that adolescent smoking cessation treatment for psychiatric populations may need to be intensive in nature and directly target other substance use.