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Roy is a brave helmsman, guiding her reader on a boat adrift in choppy waters

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Cigarettes account for 60% of the industry, according to America's biggest tobacco company Altria, down from 80% in 2018 a proportion that could shrink to under 50% in just three years if current trends continue

The review also critically assesses a number of potential mechanisms for this effect: the use of smoking as a form of self-medication for the side effects of antipsychotics, the effect of antipsychotics on smoking-related cues and the effect of antipsychotics on the appreciation of the economic cost of smoking behaviour