Few do and to few: Disclosure of suicidal thoughts in friendship networks of young adults experiencing homelessness

Disclosure of one’s suicidal thoughts is a pivotal but under-investigated mechanism for preventing suicide among young adults experiencing homelessness (YAEH). In a sample of 527 YAEH, we adopted a multi-level perspective to assess patterns and correlates of disclosure in their friendship networks. Less than one-third of YAEH disclosed their suicidal thoughts—half of them doing so […]

Calgary youth, health and the street: Final report

This is a report of a research study funded by CIHR. The study was in response to a needs assessment of youth on the streets conducted by AIDS Calgary in 1999. There was research and planning team involving many community-based groups as well as City of Calgary staff. The purpose of the Calgary Youth, Health […]

Firearm access and suicidal crises among young adults experiencing homelessness in the United States: A lethal intersection

Background: Young adults experiencing homelessness (YAEH) report high rates of suicidal crises. Having access to firearms during suicidal crises elevates risk of death by suicide. Yet, no known information exists about firearm access among YAEH. Aims: We aimed to examine the proportion of participants who had firearm access, as well as the association between past-year suicidal crises and […]

Heterogeneous trajectories of suicidal ideation among homeless youth: Predictors and suicide-related outcomes

The current study examined heterogeneous trajectories of suicidal ideation among homeless youth experiencing suicidal ideation over 9 months in a randomized controlled intervention study. Suicidal homeless youth (N = 150) were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) or TAU alone. Youth reported their suicidal ideation four times during […]

Homelessness and housing instability among LGBTQ youth

LGBTQ youth are overrepresented among young people experiencing homelessness and housing instability in the United States. This elevated risk of homelessness and housing instability has detrimental effects on LGBTQ youths’ mental health. This report uses data from the 2021 National Survey on LGBTQ Youth Mental Health to examine the prevalence of homelessness and various manifestations […]

Intimate partner sexual violence and violent victimisation among women living homeless in Madrid (Spain)

The purpose of this paper is to discover the extent to which women living homeless in Madrid (Spain) have been victims of intimate partner sexual violence (IPSV), analysing the connection between stressful life events (SLE) relating to violent victimisation and having suffered sexual assault by a partner. This study took place using a sample of […]

Housing First combined with Suicide Treatment Education and Prevention (HOME + STEP): Study protocol for a randomized controlled trial

Background Youth experiencing homelessness are at high risk for suicide, yet few studies have evaluated risk reduction interventions targeting suicidal ideation in this vulnerable population. A comprehensive approach to risk-reduction is needed that addresses basic needs and provides targeted interventions for those at highest risk. The protocol described builds on the design of the first […]

Homelessness: Care for the most vulnerable – a narrative review of risk factors, health needs, stigma, and intervention strategies

Purpose of review To summarize the most recent literature on risk factors of homelessness, mental, and somatic health needs, healthcare use, stigma as well as intervention strategies for people experiencing homelessness. Recent findings Studies identified adverse life events as well as mental health problems like drug use or suicidality as significant predictors of becoming homeless. Prevalence rates […]

Burden, belonging, and homelessness: Disclosure and social network differences among LGBTQ youth recruited from a suicide crisis service provider

Among LGBTQ youth, suicidality and homelessness occur at heightened rates. Using the Interpersonal Theory of Suicide (ITS), this study seeks to explore the associations of having a parent, family member, friend, or romantic partner in one’s social network and not being “out” to specific network members (lack of disclosure) with ITS constructs (perceived burdensomeness and […]

Healthcare utilization due to suicide attempts among homeless youth in New York state

Suicide remains the leading cause of death among homeless youth. We assessed differences in healthcare utilization between homeless and non-homeless youth presenting to the emergency department or hospital after a suicide attempt. New York Statewide Inpatient and Emergency Department Databases (2009-2014) were used to identify homeless and non-homeless youth ages 10 to 17 who utilized […]

Gender differences in the predictors of suicide-related morbidity among veterans reporting current housing instability

Background: Veterans experiencing housing instability are at increased risk of suicide. Research is needed to identify gender differences in the predictors of both suicidal ideation and suicide attempt, particularly among Veterans who are unstably housed. Objectives: The objective of the present study was to explore whether correlates of suicide-related morbidity among unstably housed Veterans vary by gender […]

Suicide attempts and homelessness: Timing of attempts among recently homeless, past homeless, and never homeless adults

Objective: Homelessness is associated with increased risk of suicide attempts. This study examined whether suicide attempts typically precede or occur during episodes of homelessness in a representative national sample. Methods: Data from 36,127 adults in the National Epidemiologic Survey on Alcohol and Related Conditions–III were used to identify 1,992 respondents who reported a lifetime suicide […]

Determinants of suicidal ideation and suicide attempt among former and currently homeless individuals

Purposes This study identified determinants associated with suicidal ideation, suicide attempt and no suicidal behavior in a 12-month period among 455 former or currently homeless individuals in Quebec (Canada). Methods Study recruitment took place in 27 organizations located in two major Quebec urban areas, where services for homelessness are offered. Independent variables including clinical, socio-demographic, […]

Financial strain and suicide attempts in a nationally representative sample of US adults

Although research has identified many suicide risk factors, the relationship between financial strain and suicide has received less attention. Using data representative of the US adult population (n = 34,653) from wave 1 (2001–2002) and wave 2 (2004–2005) of the National Epidemiologic Survey on Alcohol and Related Conditions, we investigated the association between financial strain—financial debt/crisis, unemployment, […]

Suicide risk and intervention among homeless and precariously housed youth (IN: Clinical Care for Homeless, Runaway and Refugee Youth, edited by C Warf & G Charles

Homeless adolescents and young adults who are suicidal may not have adequate access to support systems that will help to mitigate their struggle with suicidal feelings or emotional distress. Homeless adolescents and young adults present with increased risk factors that exacerbate their tenuous position in the society, highlighting the importance for outreach initiatives that are […]

Neither God nor others: A qualitative study of strategies for avoiding suicide among homeless people

Introduction Drug addiction and alcoholism characterize the existential condition of most homeless people, while the risk of suicide runs in parallel. Objectives Following the Provisional Model (PM), this study aimed to explore the relationships between addiction, suicidal ideation, and religiosity among 13 homeless people, and the roles of bonding ties (within the group) and bridging […]

Mental health outcomes among homeless, runaway, and stably housed youth

BACKGROUND AND OBJECTIVES: Runaway youth and homeless youth are at risk for adverse mental health outcomes. These 2 populations are frequently pooled together in both research and interventions yet may have unique health needs. We sought to assess differences in mental health outcomes among these populations. METHODS: We conducted a secondary data analysis of ninth- and 11th-graders […]

Predictive validity of the MINI suicidality subscale for suicide attempts in a homeless population with mental illness

Objective Suicide is a leading cause of death, yet the accurate prediction of suicidal behavior is an elusive target for clinicians and researchers. The current paper examines the predictive validity of the Mini Neuropsychiatric Interview (MINI) Suicidality subscale for suicide attempts (SAs) for a homeless population with mental illness. Methods Two thousand two hundred and […]

Cognitive therapy for suicide prevention: A randomized pilot with suicidal youth experiencing homelessness

Homeless youth have extremely high rates of suicidal ideation and attempts, but limited research has evaluated the efficacy of suicide prevention interventions. Suicidal homeless youth (N = 150) between the ages of 18 to 24 years were recruited from a local drop-in center. Of interest was (1) whether the proposed sample of eligible youth could be identified, (2) […]

The role of masculinity and depressive symptoms in predicting suicidal ideation in homeless men

Men’s suicide rates may be influenced by difficulties recognizing externalizing depressive symptoms in men that adhere to hegemonic masculine gender role norms. The purpose of this study was to investigate the ability of externalizing depressive symptoms, internalizing depressive symptoms, and hegemonic masculinity in predicting the existence and severity of suicidal ideation. Homeless men (n = 94) completed […]

Suicidal self-directed violence among homeless US veterans: A systematic review

A systematic review of the literature was conducted to investigate suicidal self‐directed violence and homelessness among US military veterans, and identify existing suicide prevention strategies. In November 2015, MEDLINE, EMBASE, PsycInfo, CINAHL, Web of Science, Cochrane Library, Google, and Google Scholar were searched. Articles published since 1990 investigating self‐directed violence among homeless veterans were identified. […]

Residential transience and substance use disorder are independently associated with suicidal thoughts, plans, and attempts in a nationally representative sample of U.S. adults

This study tests the association between past‐year residential transience (RT), substance use disorder (SUD), major depressive episode (MDE), and suicidal outcomes in a nationally representative sample of noninstitutionalized, civilian, community‐dwelling adults who participated in the 2008–2013 National Surveys on Drug Use and Health. RT, SUD, and MDE were each significantly associated with suicidal thoughts, plans, […]

Food deprivation is integral to the ‘hand to mouth’ existence of homeless youths in Toronto.

OBJECTIVE: To describe homeless youths’ experiences of food insecurity and examine the relation between chronic food deprivation and food acquisition practices. DESIGN: A cross-sectional survey of homeless youths was conducted in 2003 to assess their nutritional vulnerability and describe their food acquisition practices. SETTING: Toronto, Canada. SUBJECTS: Two hundred and sixty-one youths, aged 16-24 years, […]