A Longitudinal Study of Suicidality in a Homeless Population Sample

Peltier, Bernadette; Raitt, Josh M.; Habazi, Deena; Roaten, Kimberly; Pollio, David E.; North, Carol S.

doi:10.1080/13811118.2021.1950588

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Em relação a raça e escolaridade, nesta pesquisa a ideação suicida foi predominante entre aqueles de raça/cor de pele não branca e com baixo nível de escolaridade. Este estudo corrobora os achados da pesquisa estadunidense que investigou ideações, planos e tentativas de suicídio entre 255 pessoas em situação de rua, destacando que 81% dos participantes eram não brancos, sendo a presença desses comportamentos associada à falta de escolaridade (33) . Demonstra-se que, quanto menor o grau de instrução, maior a vulnerabilidade ao comportamento suicida, pois maiores são os desafios econômicos enfrentados, como desemprego e situação de pobreza, o que pode dificultar o acesso à informação e aos serviços de saúde mental (34) .…”

Section: Não Há Um Número Exato Dessa População Emunclassified

Ideación suicida, uso de sustancias psicoactivas y sufrimiento mental entre la población sin hogar de un municipio brasileño

Fernandes,

Pillon,

Reis

et al. 2024

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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Objective: to characterize the presence of suicidal ideation, use of psychoactive substances and mental distress among homeless people. Methodology: a cross sectional study carried out with 127 participants. Data were collected through the application of a questionnaire containing sociodemographic data, economic information related to living and health conditions and the Self-Reporting Questionnaire; the Alcohol, Smoking and Substance Involvement Screening Test; and the Alcohol Use Disorders Identification Test. Data analysis was carried out descriptively. Results: 37% of the sample reported suicidal ideation, with predominance of the female gender (52.6%), adults (from 30 to 39 years old) (36.3%), non-white skin color (35.2%), low schooling level (39.7%), without a partner (36.4%) and earning no income (36.7%). Problematic consumption of alcohol, tobacco, marijuana and cocaine was observed among the participants with suicidal ideation. More than half of the sample that presented suicidal ideation was experiencing mental distress. Conclusion: suicidal ideation was identified in a significant portion of the sample. Problematic use of psychoactive substances and mental distress were also prevalent in those with suicidal ideation.

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Section: Não Há Um Número Exato Dessa População Emunclassified

Ideación suicida, uso de sustancias psicoactivas y sufrimiento mental entre la población sin hogar de un municipio brasileño

Fernandes,

Pillon,

Reis

et al. 2024

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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“…Our findings are largely consistent with the limited data on temporal associations between homelessness and SI/SB and extend prior research in multiple ways. First, a prospective study on 255 unhoused individuals in St. Louis reported that 68% of onsets of SI, plan, or attempts preceded homelessness onset (Peltier et al, 2021). With a larger sample size, we stratify the data to show that while SI onset tends to precede homelessness onset, SB onset tends to follow homelessness onset.…”

Section: Temporal Associations Between Homelessness and Si Or Sbsmentioning

confidence: 99%

“…Yet to date, little is known about the relative timing of homelessness and SI/SB. A small prospective study based in St. Louis reported that 68% of onsets of SI, plans, and attempts preceded homelessness onset (Peltier et al, 2021). In another study using data from the National Epidemiologic Survey on Alcohol and Related Conditions, recent homelessness was associated with an elevated risk of suicide attempts (Bommersbach et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Characterizing suicidal ideation, suicidal behaviors, and service utilization among unhoused individuals using a health information exchange

Arias

Kunicki

et al. 2023

J Clin Psychol

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IntroductionUnhoused individuals have high rates of suicidal ideation (SI) and suicidal behaviors (SB), but few have studied the relative timing of homelessness and SI/SB. Our study examines the potential to use state‐wide electronic health record data from Rhode Island's health information exchange (HIE) to identify temporal relationships, service utilization, and associations of SI/SB among unhoused individuals.MethodsWe use timestamped HIE data for 5368 unhoused patients to analyze service utilization and the relative timing of homelessness versus SI/SB onset. Multivariable models identified associations of SI/SB, hospitalization, and repeat acute care utilization within 30 days from clinical features representing 10,000+ diagnoses captured within the HIE.ResultsThe onset of SI typically precedes homelessness onset, while the onset of SB typically follows. Weekly rates of suicide‐related service utilization increased over 25 times the baseline rate during the week before and after homelessness onset. Over 50% of encounters involving SI/SB result in hospitalization. Of those engaging in acute care for suicide‐related reasons, we found high rates of repeat acute care encounters.ConclusionHIEs are a particularly valuable resource for understudied populations. Our study demonstrates how longitudinal, multi‐institutional data from an HIE can be used to characterize temporal associations, service utilization, and clinical associations of SI and behaviors among a vulnerable population at scale. Increasing access to services that address co‐occurring SI/SB, mental health, and substance use is needed.

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Housing Status as a Predictor for Outpatient Care Following an Emergency or Urgent Care Encounter with a Behavioral Health Diagnosis: A Multivariable Analysis

Bonfiglio

Loh

Simpson

et al. 2022

Community Ment Health J

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A Longitudinal Study of Suicidality in a Homeless Population Sample

Cited by 3 publications

References 15 publications

Ideación suicida, uso de sustancias psicoactivas y sufrimiento mental entre la población sin hogar de un municipio brasileño

Ideación suicida, uso de sustancias psicoactivas y sufrimiento mental entre la población sin hogar de un municipio brasileño

Characterizing suicidal ideation, suicidal behaviors, and service utilization among unhoused individuals using a health information exchange

Housing Status as a Predictor for Outpatient Care Following an Emergency or Urgent Care Encounter with a Behavioral Health Diagnosis: A Multivariable Analysis

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