Association between services to address adverse social determinants of health and suicide mortality among veterans with indicators of housing instability, unemployment, and justice involvement

Suicide among Veterans continues to be a priority issue addressed by the U.S. Department of Veterans Affairs (VA). In addition to a variety of services specifically intended to prevent suicide, VA also offers a number of services to address Veterans’ social determinants of health (SDH), several of which may be associated with elevated risk for […]

Suicidal behaviors and risk taking among homeless individuals: A systematic review and meta-analysis

The present systematic review and meta-analysis study aimed to determine sociodemographic characteristics, risky behaviors, mental health disorders, and substance use disorders associated with suicide behaviors including suicidal ideation and suicide attempts among homeless individuals. PubMed, Scopus, Web of Science, and Cochrane Library databases were searched to identify the relevant studies published between January 1, 1995 and November 1, 2022. […]

Suicidal ideation and behavior among youth victims of sex trafficking in Kentuckiana

Background: Youth experiencing homelessness are at risk for sex trafficking and mental health concerns. Aims: More information is needed to elucidate the prevalence and characteristics of suicidal ideation and behavior among youth experiencing sex trafficking. Method: The present study examined suicidal ideation and behavior in a convenience sample of 128 youths experiencing homelessness aged 12-25 years in metropolitan Louisville, Kentucky, […]

Suicide among persons experiencing homelessness

Introduction This study aims to characterize suicide and associated disparities among persons experiencing homelessness (PEH). Materials and methods We reviewed suicide victims in the National Violent Death Reporting System (NVDRS) from 2003 to 2018 and compared factors surrounding suicides of PEH to factors of housed victims. We also utilized the Point-in-Time (PIT) survey (2010-2018), and census population […]

A longitudinal study of suicidality in a homeless population sample

Objective Little research has been conducted on the timing of the onset and course of suicidality relative to the timing of the onset and temporal status of homelessness. Therefore, this longitudinal study investigated suicidal ideation and plans and suicide attempts in a homeless population in relation to housing attainment, psychiatric disorders, and substance use/disorders. Method […]

Geospatial analysis of associations among mental health need, housing need, and involuntary psychiatric hospitalizations of people experiencing homelessness in Los Angeles County

The purpose of this study was to use geospatial indicators of mental health need and homelessness in Los Angeles County Service Planning Areas (SPAs) and a psychiatric sample of adults who were homeless to investigate 1) overlap between SPA level of mental health need and corresponding volume of involuntary psychiatric hospitalizations over time; 2) overlap […]

Substance use-related suicide after release from correctional, behavioral health, and healthcare facilities using national violent death reporting system data

Introduction Suicide and substance use are prevalent problems among persons discharged from facilities. This study (1) articulated rates of substance-related suicide deaths among those discharged correctional, behavioral health, and healthcare facilities, and (2) identified factors associated with substance-related suicide deaths unique to, or generalizing across, facility discharge. Methods We used data from the National Violent […]

Association between suicide attempt and previous healthcare utilization among homeless youth

Introduction The purpose of this study was to examine the association between prior emergency department (ED) visit or hospitalization and subsequent suicide attempt among homeless youth aged 10–17 years old. Methods With New York statewide databases, a case–control design was conducted. Cases and controls were homeless patients with an ED visit or hospitalization due to suicide […]

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 […]