Suicidal ideation and suicide attempts in homeless mentally ill persons

Prigerson, Holly G.; Desai, Rani A.; Liu‐Mares, Wen; Rosenheck, Robert A.

doi:10.1007/s00127-003-0621-8

Cited by 53 publications

(36 citation statements)

References 33 publications

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“…There is some evidence that young middle-aged persons are at greatest risk of suicidal behavior, a pattern quite different from the risk factors in non-homeless populations of older individuals (Prigerson, DeSai, Liu-Mares, & Rosenheck, 2003). Regardless of the age group or health status, homeless often result in a sense of extreme hopelessness, which often underlies self-harm.…”

Section: Individual Outcomesmentioning

confidence: 97%

The Ecology of Homelessness

Nooe

Patterson

2010

Journal of Human Behavior in the Social Environment

141

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This article proposes an ecological model of homelessness drawn from a broad review of the research and practice literature. The spectrum of biopsychosocial risks associated with pathways into homelessness is reviewed, followed by examination of social and individual consequences resulting from periods of homelessness. The temporal dimensions of homelessness, including ''first-time,'' ''episodic,'' and ''chronic,'' are defined and discussed along with the continuum of living arrangements experienced by homeless individuals and families. These constituent domains of the ecology of homelessness are presented in a conceptual map depicting the relationships and interactions among the parts of the model. The intention is to provide a coherent and cogent map to encourage comprehensive integrated efforts as individuals, agencies, and communities strive to prevent and resolve homelessness.

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Section: Individual Outcomesmentioning

confidence: 97%

The Ecology of Homelessness

Nooe

Patterson

2010

Journal of Human Behavior in the Social Environment

141

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“…The associated economic burden is nevertheless substantial due to the significantly higher utilization of hospital emergency services among homeless substance users than the general population. 14,36 Substance dependence renders homeless people at increased risk of violent victimization 37,38 ; involvement in other illegal activities 39,40 ; and elevated levels of harmful behavior including suicide attempts 41,42 and risky injecting practices. 38,[43][44][45] Among newly released prisoners, the risk factors most strongly associated with reincarceration are homelessness and escalating heroin use.…”

Section: Introductionmentioning

confidence: 99%

Housing Instability among People Who Inject Drugs: Results from the Australian Needle and Syringe Program Survey

et al. 2012

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“…Several studies demonstrate that homeless individuals suffer a disproportionate burden of injuries compared to nonhomeless persons. 5,11,16,17 However, few studies have examined injuries by intent. 16 While cross-cutting approaches to injury prevention may be employed, many successful approaches are largely dependent on the intent (unintentional, assault-related, self-inflicted) of the injury and mechanism that caused the injury.…”

mentioning

confidence: 99%

Injury-related Visits and Comorbid Conditions Among Homeless Persons Presenting to Emergency Departments

2014

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Objectives: The authors examined the clinical characteristics of homeless patients presenting to emergency departments (EDs) in the United States, with a focus on unintentional and intentional injury events and related comorbid conditions. Methods:The study included a nationally representative sample of patients presenting to EDs with data obtained from the 2007 through 2010 National Hospital Ambulatory Medical Care Survey (NHAMCS). Descriptive and analytical epidemiologic analyses were employed to examine injuries among homeless patients.Results: Homeless persons made 603,000 visits annually to EDs, 55% of which were for injuries, with the majority related to unintentional (52%) and self-inflicted (23%) injuries. Multivariate logistic regression analyses revealed that homeless patients had a higher odds of presenting with injuries related to unintentional (odds ratio [OR] = 1.4. 95% confidence interval [CI] = 1.1 to 1.9), self-inflicted (OR = 6.0, 95% CI = 3.7 to 9.5), and assault (OR = 3.0, 95% CI = 1.5 to 5.9) injuries.Conclusions: A better understanding of the injuries affecting homeless populations may provide medical and public health professionals insight into more effective ways to intervene and limit further morbidity and mortality related to specific injury outcomes.ACADEMIC EMERGENCY MEDICINE 2014;21:449-455

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Suicidal ideation and suicide attempts in homeless mentally ill persons

Cited by 53 publications

References 33 publications

The Ecology of Homelessness

The Ecology of Homelessness

Housing Instability among People Who Inject Drugs: Results from the Australian Needle and Syringe Program Survey

Injury-related Visits and Comorbid Conditions Among Homeless Persons Presenting to Emergency Departments

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