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, […]

Meeting the health care needs of street-involved youth.

Health care providers who see homeless or street-involved youth can help to reduce the impact of many risk factors – physical, mental, emotional and social – pertaining to street culture. The present statement describes the types and scale of homelessness in Canada, and reviews reasons why youth turn to the street, risks of the ‘street […]

No safe place to go: LGBTQ youth homelessness in Canada: Reviewing the literature.

Lesbian, gay, bisexual, transsexual, transgender, and queer (LGBTQ) youth are overrepresented in the homeless youth population in North America. This review brings together the literature on the topic of LGBTQ youth homelessness and provides a comprehensive overview of the unique needs of this population, as well as gaps and barriers to support. The review culminates in […]

Definition of Indigenous homelessness in Canada.

Indigenous homelessness is a human condition that describes First Nations, Métis and Inuit individuals, families or communities lacking stable, permanent, appropriate housing, or the immediate prospect, means or ability to acquire such housing. Unlike the common colonialist defnition of homelessness, Indigenous homelessness is not defned as lacking a structure of habitation; rather, it is more fully […]

Definition of Indigenous homelessness in Canada [summary]

Indigenous homelessness is not defined as lacking a structure of habitation;  rather, it is more fully described and understood through a composite lens of Indigenous worldviews.

An observational study of suicide death in homeless and precariously housed people in Toronto.

Homelessness has been identified as an important risk factor for suicide death, but there is limited research characterising homeless people who die by suicide. The goal of this study is to identify personal, clinical, and suicide method-related factors that distinguish homeless and precariously housed people who die from suicide from those who are not homeless […]

Can better emotion regulation protect against suicidality in traumatized homeless youth?

A substantial majority of homeless youth and young adults (HYA) experience abuse prior to and during homelessness. HYA also have high rates of posttraumatic stress disorder (PTSD) and suicidal behavior. This study investigated relationships between traumatic experiences, PTSD symptoms, substance use, and the protective effects of emotion regulation on outcome variables suicidal ideation and suicide […]

Suicidality among chronically homeless people with alcohol problems attenuates following exposure to Housing First.

This study is the first to document suicidality among chronically homeless people with alcohol problems (N = 134) and examine its trajectory following exposure to immediate, permanent, low-barrier housing (i.e., Housing First). Suicidal ideation, intent, plans, and prior attempts were assessed at baseline and during a 2-year follow-up. Baseline suicidal ideation was over four times higher than […]

Adverse outcomes among homeless adolescents and young adults who report a history of traumatic brain injury.

We examined the prevalence of self-reported traumatic brain injury (TBI) among homeless young people and explored whether sociodemographic characteristics, mental health diagnoses, substance use, exposure to violence, or difficulties with activities of daily living (ADLs) were associated with TBI. Of the 2732 participating adolescents and young adults, 43% reported a history of TBI. Participants with […]

Suicidal ideation: The impact of family history, morbidity and interpersonal difficulty on homeless adolescents.

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Sources of psychological pain and suicidal thoughts among homeless adults.

Homeless adults experience problems in multiple areas of their lives. It was hypothesized that adults who were troubled by problems in more areas of their lives would be more likely to report suicidal thoughts. The sample included 457 homeless men and women who resided in three emergency shelters. The number of sources of psychological pain, […]

Suicide attempts and childhood maltreatment among street youth: A prospective cohort study.

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A longitudinal study of suicidal ideation among homeless, mentally ill individuals.

Previous cross-sectional studies have indicated that homeless individuals may present with high rates of suicidal ideation, which are strongly associated with completed suicide. We conducted the first known longitudinal study of suicidal ideation in the homeless. We used data collected over 24 months in the Vancouver At Home project (N = 497), comprised two randomized-controlled […]

Self-harm and homeless adults.

Homelessness is associated with an increased incidence of mental illness and risk of self-harm, including suicide. Those with histories of self-harm started using significantly more substances since becoming homeless and were younger when they first became homeless. They were also significantly more likely to have a past psychiatric admission and thoughts of self-harm in the […]

Psychache and suicide ideation among men who are homeless: a test of Shneidman’s model.

Suicide ideation among the homeless is 10 times more common than in the general population. Cognitive theories of depression and hopelessness propose to explain suicidality; however, as yet, none of these fully account for the phenomenon. Shneidman has suggested a theory of psychache or unbearable psychological pain to explain suicidality. This theory has found support […]