Original ArticlesFamily and Peer Influences on Tobacco Use Among Adolescents With Psychiatric DisordersPicotte, Dawn M. MD*†; Strong, David R. PhD*†; Abrantes, Ana M. PhD*†; Tarnoff, Gerald MD*†; Ramsey, Susan E. PhD†‡; Kazura, Alessandra N. MD†‡; Brown, Richard A. PhD*†Author Information *Butler Hospital, Providence, Rhode Island; †Brown Medical School, Providence, Rhode Island; and ‡Rhode Island Hospital, Providence, Rhode Island. This research was supported by Grant CA 77082 from the National Cancer Institute to Richard A. Brown, PhD, and a grant from the Brown University Department of Psychiatry and Human Behavior to Susan E. Ramsey, PhD. Send reprint requests to Dawn M. Picotte, MD, Unit Chief, Child and Adolescent Treatment Unit, Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906. The Journal of Nervous and Mental Disease: July 2006 - Volume 194 - Issue 7 - p 518-523 doi: 10.1097/01.nmd.0000224927.64723.f6 Buy Metrics Abstract The purpose of this study was to examine family and peer influences on smoking behaviors among 239 (191 smokers; 48 nonsmokers) psychiatrically hospitalized adolescents. Participants were queried using scales to measure parental supervision and monitoring, parenting style, adolescent-parent communication, family conflict and relations with parents, and the importance placed on life goals. The results of this study are consistent with previous findings from general population studies. Psychiatrically hospitalized adolescents’ smoking status were also correlated with their siblings', peers', and girlfriends'/boyfriends’ smoking status. In addition, we found that parental monitoring, closeness to parents, and ambitious life goals were protective factors against smoking. As a result, peer and family influences strongly impact the initiation and maintenance of adolescent smoking and should be considered when designing smoking cessation interventions for adolescents with psychiatric disorders. © 2006 Lippincott Williams & Wilkins, Inc.