Trial reportSocial psychiatry and psychiatric epidemiology2016
A longitudinal study of suicidal ideation among homeless, mentally ill individuals.
Trial report in Social psychiatry and psychiatric epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 7 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Suicidal Behaviors and Risk Taking Among Homeless Individuals: A Systematic Review and Meta-Analysis.Community mental health journal · 2023Pooled it
- Pooled it
- A Systematic Review and Meta-Analysis of the Prevalence of Post-Traumatic Stress Disorder among Homeless People.The Psychiatric quarterly · 2020Pooled it
- A systematic review and meta-analysis of the prevalence of bipolar disorder among homeless people.BMC public health · 2020Pooled it
- Psychosocial interventions for people with both severe mental illness and substance misuse.The Cochrane database of systematic reviews · 2019Pooled it
- Suicidal Ideation and Attempt among Homeless People: a Systematic Review and Meta-Analysis.The Psychiatric quarterly · 2019Pooled it
- The prevalence of schizophrenia and other psychotic disorders among homeless people: a systematic review and meta-analysis.BMC psychiatry · 2019Pooled it
- Epidemiological features of depression and anxiety among homeless adults with healthcare access problems in London, UK: descriptive cross-sectional analysis.BJPsych open · 2024Article
- Greater Discrimination Frequency and Lower Distress Tolerance Are Associated with Mental Health Problems Among Racially Privileged and Minoritized Adults Accessing an Urban Day Shelter.Journal of racial and ethnic health disparities · 2024Article
- Characterizing suicidal ideation, suicidal behaviors, and service utilization among unhoused individuals using a health information exchange.Journal of clinical psychology · 2023Article
- An Understated Comorbidity: The Impact of Homelessness on Traumatic Brain Injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023Review
- Scoping Review: Suicide Specific Intervention Programmes for People Experiencing Homelessness.International journal of environmental research and public health · 2021Article
- Determinants of suicidal ideation and suicide attempt among former and currently homeless individuals.Social psychiatry and psychiatric epidemiology · 2021Article
- Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey.BMJ open · 2019Article
- "Life Starts for Me Again." The Social Impact of Psychology on Programs for Homeless People: Solidarity Networks for the Effectiveness of Interventions.Frontiers in psychology · 2019Article
- An Observational Study of Suicide Death in Homeless and Precariously Housed People in Toronto.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePrevious 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.
methodsWe used data collected over 24 months in the Vancouver At Home project (N = 497), comprised two randomized-controlled trials of housing interventions for homeless individuals with mental disorders. Presence of suicidal ideation was determined using the Colorado symptom index.
resultsSuicidal ideation significantly decreased over time [odds ratio (OR) = 0.31 at 24 months, 95 % confidence interval (CI) 0.21-0.46]. Baseline diagnoses of mood (OR = 2.18, 95 % CI 1.48-3.21) and anxiety disorders (OR = 2.05, 95 % CI 1.42-2.97), as well as depressive mood (OR = 2.52, 95 % CI 1.90-3.33), use of any substance (OR = 1.59, 95 % CI 1.09-2.32), and polysubstance use (OR = 1.90, 95 % CI 1.40-2.60) were significantly associated with suicidal ideation in the multivariate model. Baseline diagnosis of a psychotic disorder (protective effect), daily substance use, intravenous drug use, recent arrest, multiple physical illnesses and history of traumatic brain injury were significantly associated with suicidal ideation in the unadjusted model only.
conclusionsInterventions targeting depressive symptoms and substance use could help decrease suicide risk in homeless individuals. Mental health services need to be tailored to address the complex needs of socially marginalized individuals.
trial registrationCurrent controlled trials: ISRCTN57595077 (Vancouver At Home study: Housing First plus Assertive Community Treatment versus congregate housing plus supports versus treatment as usual) and ISRCTN66721740 (Vancouver At Home study: Housing first plus intensive case management versus treatment as usual). Assigned 9 Oct. 2012.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.