RT Journal Article SR Electronic T1 A selective literature review exploring the role of the nicotinic system in schizophrenia JF General Psychiatry JO Gen Psych FD BMJ Publishing Group Ltd SP e100756 DO 10.1136/gpsych-2022-100756 VO 36 IS 2 A1 Guna Kanniah A1 Rishi Kumar YR 2023 UL http://gpsych.bmj.com/content/36/2/e100756.abstract AB Nicotine use is more prevalent in patients with psychiatric disorders, especially those diagnosed with psychotic illnesses. Previously, this higher prevalence has been partially attributed to the potential ameliorative effects of nicotine on symptom severity and cognitive impairment. Some healthcare professionals and patients perceive there is a beneficial effect of nicotine on mental health. Emerging data show that the harm associated with nicotine in the population of patients with mental health conditions outweighs any potential benefit. This paper will review the evidence surrounding the nicotinic system and schizophrenia, with a focus on any causality between nicotine and psychosis.