Research has shown that smoking may increase the risk of schizophrenia developing in some individuals. People with schizophrenia may also be more likely to smoke compared to those without the condition.

Smoking and schizophrenia are strongly linked, as people with schizophrenia are far more likely to smoke than those in the general population.

This connection has led researchers to explore the reasons behind it. Some believe that smoking may temporarily ease certain symptoms of schizophrenia, while others question whether it plays a role in the disorder’s development.

Research indicates that smoking may increase the risk of developing schizophrenia. People who smoke and have schizophrenia may also experience more severe positive symptoms, such as hallucinations.

Scientists are still trying to understand why this happens. It’s unclear whether smoking directly causes schizophrenia or if people who are already at risk for schizophrenia are more likely to start smoking. Other factors, such as genetics and environment, may also play a role.

People with schizophrenia are much more likely to smoke compared to the general population.

In the United States, only about 11.6% of people smoke, but among those with schizophrenia, the rate jumps to around 80%. Even for those experiencing their first episode of psychosis, smoking is common, with about 58% of people with psychosis being smokers.

This high smoking rate is linked to several factors, including:

  • severe symptoms
  • unemployment
  • high caffeine intake
  • substance misuse

People with schizophrenia also tend to inhale more deeply and have a stronger dependence on nicotine than other smokers.

Schizophrenia arises from a combination of genetic and environmental factors. Genetic influences account for about 80% of the risk, with rare mutations like the chromosome 22q11.2 deletion significantly increasing the likelihood.

Environmental factors can also play a role, including

  • birth complications
  • early life adversity
  • urban upbringing
  • heavy or early cannabis use, with some research showing a sixfold increase in schizophrenia diagnoses.

Brain abnormalities can also contribute to symptoms.

Treatment for schizophrenia may include:

  • Medications (antipsychotics): Antipsychotics help manage symptoms. First-generation (e.g., Haloperidol) and second-generation (e.g., clozapine, risperidone) options are available.
  • Cognitive behavioral therapy for psychosis (CBTp): CBTp has been found to help prevent the first episode of psychosis in people at high risk, and it can improve symptoms like depression, self-esteem, and overall well-being.
  • Family therapy: Family therapy encourages family members to improve communication, provide support, and reduce stressors that might contribute to the disorder.
  • Social skills training: Social skills training aims to improve interpersonal communication and social functioning to help individuals navigate everyday social situations.
  • Exercise and healthy diet: Regular physical activity and a balanced diet can improve overall health and reduce the side effects of medications.
  • Crisis intervention and advanced treatment: For acute episodes, hospitalization or more intensive care like electroconvulsive therapy (ECT) may be required when other treatments fail.

If you have schizophrenia and smoke and find that it’s impacting your overall health or worsening symptoms, you should speak with a doctor.

Smoking can increase the risk of heart disease, respiratory issues, and complications with medications.

A healthcare professional can offer support in managing smoking addiction, provide resources for quitting, and ensure that treatment for schizophrenia remains effective.

If smoking is interfering with mental health or daily functioning, it’s essential to seek medical advice to create a tailored plan for both smoking cessation and schizophrenia management.

Research suggests a complex link between smoking and schizophrenia. While smoking is more common among people with schizophrenia and may worsen some symptoms, studies also show it could help improve cognitive functioning, including attention and immediate memory.

However, the health risks of smoking remain serious. Understanding this connection could lead to better treatments that support mental health while reducing harm.