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But because nicotine is so addictive, many people find it difficult or even impossible to quit smoking

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Implications for practice David Shiers The positive recruitment and retention to this trial is evidence in itself that people with severe mental illness are concerned about smoking and interested in finding effective ways to quit Practitioners should routinely ask their patients about smoking status and, if they wish, help them access effective smoking cessation services Health systems should provide smoking cessation interventions that are responsive to the needs of people with severe mental illness