Two reports from a research group based at Dartmouth College focus on smoking among people with severe mental illness, and one offers some promising findings for those who want to quit. Rates of cigarette smoking in this group are reported to range from 50% to 85%, compared with about 20% in the general population. Although researchers have explored reasons for the high rates, relatively few studies have looked at characteristics of smokers in this group who have quit or tried to quit. Joelle C. Ferron, M.S.W., Ph.D., and colleagues analyzed data from a longitudinal study of clients with severe mental illness. The authors hypothesized that several demographic and clinical characteristics would be associated with clients' attempts to quit. Among the 174 participants at baseline, 89% were smokers. Over 11 years of annual follow-ups, 75% reported at least one attempt to quit, and many reported numerous attempts. Characteristics associated with quit attempts included being male and having a high school education, higher scores on the activation scale of the BPRS, and more daily activities. No participant reported receiving nicotine replacement therapy or bupropion, and at the study's end only 17% were not smoking (page 353). In the second report, Mary F. Brunette, M.D., and coauthors describe results from an initial trial of a Web-based interactive decision support system that is tailored for use by people with cognitive deficits and is designed to stimulate motivation to quit smoking by using evidence-based treatments. In a convenience sample of 41 smokers with severe mental illness, the authors found that those who used the online system were significantly more likely to show behavioral motivation to quit, such as meeting with a clinician to discuss cessation and initiating nicotine replacement therapy or bupropion (page 360).