A qualitative analysis of suicide risk factors, preferred means, and means restriction feasibility within a homeless shelter environment

Poon, Gabrielle; Holleran, Lori K.; Chu, Joyce; Goldblum, Peter; Bongar, Bruce

doi:10.1080/10530789.2017.1363505

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…Suicide was a prevalent cause of death among younger homeless-experienced individuals at rates far exceeding the general population. This finding may support evidence suggesting a relative paucity of protective relationships and social supports among PEH . Homicide distinctly affected young Black and Hispanic individuals, although the rates were not substantially higher than the general population.…”

Section: Discussionsupporting

confidence: 75%

“…This finding may support evidence suggesting a relative paucity of protective relationships and social supports among PEH. 28 Homicide distinctly affected young Black and Hispanic individuals, although the rates were not substantially higher than the general population. This may suggest that the public health crisis of homicide victimization among Black and Hispanic individuals 29 occurs irrespective of housing status.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Mortality by Age, Gender, and Race and Ethnicity in People Experiencing Homelessness in Boston, Massachusetts

Fine,

Dickins,

Adams

et al. 2023

JAMA Netw Open

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ImportancePeople experiencing homelessness (PEH) face disproportionately high mortality rates compared with the general population, but few studies have examined mortality in this population by age, gender, and race and ethnicity.ObjectiveTo evaluate all-cause and cause-specific mortality in a large cohort of PEH by age, gender, and race and ethnicity.Design, Setting, and ParticipantsAn observational cohort study was conducted from January 1, 2003, to December 31, 2018. All analyses were performed between March 16, 2021, and May 12, 2022. A cohort of adults (age ≥18 years) seen at the Boston Health Care for the Homeless Program (BHCHP), a large federally funded Health Care for the Homeless organization in Boston, Massachusetts, from January 1, 2003, to December 31, 2017, was linked to Massachusetts death occurrence files spanning January 1, 2003, to December 31, 2018.Main Outcomes and MeasuresAge-, gender-, and race and ethnicity–stratified all-cause and cause-specific mortality rates were examined and compared with rates in the urban Northeast US population using mortality rate ratios (RRs).ResultsAmong the 60 092 adults included in the cohort with a median follow-up of 8.6 (IQR, 5.1-12.5) years, 7130 deaths occurred. The mean (SD) age at death was 53.7 (13.1) years; 77.5% of decedents were men, 21.0% Black, 10.0% Hispanic/Latinx, and 61.5% White. The all-cause mortality rate was 1639.7 deaths per 100 000 person-years among men and 830 deaths per 100 000 person-years among women. The all-cause mortality rate was highest among White men aged 65 to 79 years (4245.4 deaths per 100 000 person-years). Drug overdose was a leading cause of death across age, gender, and race and ethnicity groups, while suicide uniquely affected young PEH and HIV infection and homicide uniquely affected Black and Hispanic/Latinx PEH.Conclusions and RelevanceIn this large cohort study of PEH, all-cause and cause-specific mortality varied by age, gender, and race and ethnicity. Tailored interventions focusing on those at elevated risk for certain causes of death are essential for reducing mortality disparities across homeless-experienced groups.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 94%

Mortality by Age, Gender, and Race and Ethnicity in People Experiencing Homelessness in Boston, Massachusetts

Fine,

Dickins,

Adams

et al. 2023

JAMA Netw Open

View full text Add to dashboard Cite

show abstract

“…Our findings suggest that experiencing a recent SA may further exacerbate risk for suicide among people who are homeless. People who are homeless often lack social support which, when available, may buffer suicidal ideation (Poon et al, 2017). A SA may exacerbate feelings of isolation, stigmatization, and shame.…”

Section: Discussionmentioning

confidence: 99%

Managing post-sexual assault suicide risk

Gilmore

Ward‐Ciesielski

Smalling

et al. 2020

Arch Womens Ment Health

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Suicidal ideation and suicidal behavior are common after experiencing a sexual assault. Therefore, it is imperative to assess for and manage suicidal ideation using evidencebased techniques after a sexual assault medical forensic examination (SAMFE). Methods: We assessed factors associated with higher suicidal ideation identified in a post-SAMFE mental health screening conducted over the phone and strategies to manage suicide risk. We also discuss three case examples and unique considerations when assessing post-SAMFE suicide risk.Results: It was found that among individuals who completed a post-SAMFE screen, individuals who have been previously hospitalized for a mental health problem, who had higher posttraumatic stress symptoms, and who were homeless reported more suicidal ideation than those without those histories or symptom presentations. Conclusions: Despite knowing potential risk factors for suicidal ideation post-SAMFE, it is essential to screen all individuals post-SAMFE due to their high risk for suicidal ideation and death by suicide.

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“…Nonetheless, this study provides valuable perspective about the proportion and intersection of firearm access with suicidal crises among YAEH. Future research should explore mechanisms for this intersection and assess the acceptability of low-cost interventions (e.g., firearm-specific lethal means safety counseling) and related practices (e.g., firearm storage) to reduce suicide method access among YAEH in suicidal crises (e.g., Poon, Holleran, Chu, Goldblum, & Bongar, 2017).…”

Section: Limitationsmentioning

confidence: 99%

Firearm Access and Suicidal Crises Among Young Adults Experiencing Homelessness in the United States

Fulginiti

Hsu

Call

et al. 2021

Crisis

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Abstract. 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 firearm access among participants. Method: We recruited 1,426 YAEH (18–26 years old) from homelessness service settings in seven US cities. Logistic regression analyses were used to examine the association between past-year suicidal crises and firearm access. Results: One third of the sample reported having easy firearm access. YAEH who experienced suicidal ideation and suicide attempts were more likely to report firearm access. Limitations: Results from this cross-sectional study cannot be causally interpreted nor generalized to all YAEH. Conclusion: A substantial segment of YAEH had easy firearm access and it was more common for YAEH with suicidal crises to have firearm access. Reducing firearm access should be part of suicide prevention planning for YAEH in the US but requires comprehensive and innovative solutions.

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A qualitative analysis of suicide risk factors, preferred means, and means restriction feasibility within a homeless shelter environment

Cited by 6 publications

References 20 publications

Mortality by Age, Gender, and Race and Ethnicity in People Experiencing Homelessness in Boston, Massachusetts

Mortality by Age, Gender, and Race and Ethnicity in People Experiencing Homelessness in Boston, Massachusetts

Managing post-sexual assault suicide risk

Firearm Access and Suicidal Crises Among Young Adults Experiencing Homelessness in the United States

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