Association of lifetime homelessness and justice involvement with psychiatric symptoms, suicidal ideation, and suicide attempt among post-9/11 veterans

Holliday, Ryan; Forster, Jeri E.; Desai, Alisha; Miller, Christin; Monteith, Lindsey L.; Schneiderman, Aaron; Hoffmire, Claire A.

doi:10.1016/j.jpsychires.2021.11.007

Cited by 17 publications

(12 citation statements)

References 42 publications

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“…For example, women veterans who experience criminal justice involvement are three times more likely to report a lifetime history of suicide attempt compared to those without a history of criminal justice involvement [73]. Moreover, women veterans who experience both justice involvement and homelessness are significantly more likely to report a history of lifetime suicide attempt [74]. Although the aforementioned studies focused on lifetime justice involvement and homelessness, recent concerns about finances and housing are uniquely associated with suicidal ideation among women veterans [75].…”

Section: Social Determinantsmentioning

confidence: 99%

Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization

Monteith

Holliday

Dichter

et al. 2022

Curr Treat Options Psych

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Purpose of Review There is growing concern regarding suicide among women veterans, who have experienced an increase in suicide rates that has exceeded that reported for other US adult populations. Recent research has bolstered understanding of correlates of suicide risk specific to women veterans. Yet most existing suicide prevention initiatives take a gender-neutral, rather than gender-sensitive, approach. We offer clinical considerations and suggestions for suicide prevention tailored to the needs, preferences, and experiences of women veterans. Discussion is framed around the White House strategy for preventing suicide among military service members and veterans.Social Determinants of Health (R Holliday, Section Editor)Recent Findings Considering high rates of trauma exposure among women veterans, we propose that a trauma-informed lens is essential for taking a gender-sensitive approach to suicide prevention with this population. Nonetheless, research to inform evidence-based assessment and intervention remains largely focused on veteran men or gender-neutral. Integral next steps for research are posited. Summary Extant research provides an initial foundation for beginning to understand and address suicide among women veterans in a gender-sensitive, trauma-informed manner. Additional research that is specific to women veterans or that examines gender differences is critical to ensure women veterans receive optimal, evidence-based care to prevent suicide.

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Section: Social Determinantsmentioning

confidence: 99%

Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization

Monteith

Holliday

Dichter

et al. 2022

Curr Treat Options Psych

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“…This is an oversight as each of these factors may differentially relate to suicide risk, with for example, a stronger impact of subjective (e.g., satisfaction) as compared to more objective indicators of well‐being (e.g., socio‐material conditions or role functioning within different domains) on this outcome. Nonetheless, although research has begun to identify psychosocial circumstances that increase suicidality (Elbogen et al, 2020; Hoffmire, Monteith, Denneson, et al, 2021; Holliday et al, 2021), additional research is needed to expand upon our understanding of how veterans' broader psychosocial well‐being relates to their suicide risk. This is particularly pertinent during the period of military transition and reintegration given the many types of challenges faced during transition, heightened risk for suicidal thoughts and behaviors during this time, and the opportunity to apply knowledge generated from this research to enhance the effectiveness of existing military‐to‐civilian transition programs, services, and supports (e.g., Transition Assistance Program, VA Solid Start Program).…”

Section: Introductionmentioning

confidence: 99%

Contribution of veterans' initial post‐separation vocational, financial, and social experiences to their suicidal ideation trajectories following military service

Hoffmire

Borowski

Vogt

2023

Suicide & Life Threat Behav

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Background Veterans' success with navigating the challenges of transition from military service may contribute to their risk for suicidal outcomes. The concept of well‐being can help to conceptualize and assess successful navigation of reintegration challenges and may serve as an optimal target for public health‐oriented suicide prevention. Methods The relationship between US veterans' psychosocial well‐being and experiences of suicidal ideation (SI) during the first 3 years following military separation was evaluated using multinomial logistic regression predicting SI trajectories over time in a population‐based, longitudinal, post‐9/11 veteran cohort. At 3‐months post‐separation, veterans reported on their socio‐material conditions, functioning, and satisfaction with respect to vocational, financial, and social domains. SI frequency was assessed at 3‐, 9‐, 15‐, 21‐, and 27‐months post‐separation using the Patient Health Questionnaire‐9. Results Veterans' vocational, financial, and social well‐being were associated with their SI trajectories, even after accounting for mental health. Socio‐material conditions, functioning, and satisfaction all emerged as important predictors of SI trajectories, although results varied across domains. Effects were largest for social well‐being. Conclusions Suicide prevention efforts may benefit from a holistic approach that considers veterans' needs for support across their vocational, financial, and social well‐being, inclusive of their socio‐material conditions, functioning, and satisfaction within each domain.

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“…Veterans experiencing homelessness experience a wide range of physical and mental health conditions (5,6), and a lack of housing is particularly associated with substance misuse, death by suicide, and infectious-(e.g., tuberculosis) and injury-related health outcomes (e.g., traumatic brain injury) (7)(8)(9). Moreover, Veterans experiencing homelessness often have psychosocial challenges (e.g., unemployment, criminal legal involvement), which can further negatively impact both their ability to access resources (e.g., stable housing, medical care, food (10)), and their overall health (e.g., high rates of metabolic conditions among those with serious and persistent mental illness) (11,12).…”

Section: Introductionmentioning

confidence: 99%

Association of homelessness and diet on the gut microbiome: A United States-Veteran Microbiome Project (US-VMP) study

Hoisington,

Stearns-Yoder,

Stamper

et al. 2023

Preprint

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Military Veterans account for 8% of homeless individuals living in the United States. To highlight associations between history of homelessness and the gut microbiome, we compared the gut microbiome of Veterans who reported having a previous experience of homelessness to those from individuals who reported never having experienced a period of homelessness. Moreover, we examined the impact of the cumulative exposure of prior and current homelessness to understand possible associations between these experiences and the gut microbiome. Microbiome samples underwent genomic sequencing and were analyzed based on alpha diversity, beta diversity, and taxonomic differences. Additionally, demographic information, dietary data, and mental health history were collected. A lifetime history of homelessness was found to be associated with alcohol use disorder, substance use disorder, and healthy eating index compared to those without such a history. In terms of differences in gut microbiota, beta diversity was significantly different between Veterans that had experienced homelessness and Veterans that had never been homeless (p = 0.047, Weighted UniFrac), while alpha diversity was similar. The microbial community differences were, in part, driven by a lower relative abundance of Akkermansia in Veterans that had experienced homelessness (mean ± SD; 1.07 ± 3.85) compared to Veterans that had never been homeless (2.02 ± 5.36) (p = 0.014, ancom-bc2). Additional research is required to facilitate understanding regarding complex associations between homelessness, the gut microbiome, and mental and physical health conditions, with a focus on increasing understanding regarding the longitudinal impact of housing instability throughout the lifespan.

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Association of lifetime homelessness and justice involvement with psychiatric symptoms, suicidal ideation, and suicide attempt among post-9/11 veterans

Cited by 17 publications

References 42 publications

Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization

Preventing Suicide Among Women Veterans: Gender-Sensitive, Trauma-Informed Conceptualization

Contribution of veterans' initial post‐separation vocational, financial, and social experiences to their suicidal ideation trajectories following military service

Association of homelessness and diet on the gut microbiome: A United States-Veteran Microbiome Project (US-VMP) study

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