Evidence map›Paper›PMID 28683228›Full record

Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2017

Effect of Housing First on Suicidal Behaviour: A Randomised Controlled Trial of Homeless Adults with Mental Disorders.

Joshua P Aquin, Leslie E Roos, Jino Distasio, Laurence Y Katz, Jimmy Bourque, James M Bolton, Shay-Lee Bolton, Jacquelyne Y Wong, Dan Chateau, Julian M Somers and 5 more

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Review
  6. Article
  7. Article
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  12. Scoping Review: Suicide Specific Intervention Programmes for People Experiencing Homelessness.International journal of environmental research and public health · 2021
    Article
  13. Article
  14. Review
  15. Review
  16. Article
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  18. Article
  19. Homelessness and Mental Health.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 3 countries.

Joshua P Aquin1 Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba.
Leslie E Roos2 Department of Psychology, University of Oregon, Eugene, Oregon, USA.
Jino Distasio3 Institute of Urban Studies, University of Winnipeg, Winnipeg, Manitoba.
Laurence Y Katz4 Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba.
Jimmy Bourque5 Faculty of Education, Université de Moncton, Moncton, New Brunswick.
James M Bolton6 Department of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
Shay-Lee Bolton6 Department of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
Jacquelyne Y Wong4 Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba.
Dan Chateau7 Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
Julian M Somers9 Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia.
Murray W Enns6 Department of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
Stephen W Hwang10 Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario.
James C Frankish11 School of Population and Public Health, University of British Columbia, Vancouver, British Columbia.
Jitender Sareen6 Department of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba.
At Home/Chez Soi Investigators
University of Manitoba · CAHealth Solutions (Sweden) · SESimon Fraser University · CAUniversité de Moncton · CAUniversity of British Columbia · CAUniversity of Oregon · USUniversity of Winnipeg · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study attempted to determine if Housing First (HF) decreased suicidal ideation and attempts compared to treatment as usual (TAU) amongst homeless persons with mental disorders, a population with a demonstrably high risk of suicidal behaviour.

methodThe At Home/Chez Soi project is an unblinded, randomised control trial conducted across 5 Canadian cities (Vancouver, Winnipeg, Toronto, Montreal, Moncton) from 2009 to 2013. Homeless adults with a diagnosed major mental health disorder were recruited through community agencies and randomised to HF ( n = 1265) and TAU ( n = 990). HF participants were provided with private housing units and received case management support services. TAU participants retained access to existing community supports. Past-month suicidal ideation was measured at baseline and 6, 12, 18, and 21/24 months. A history of suicide attempts was measured at baseline and the 21/24-month follow-up.

resultsCompared to baseline, there was an overall trend of decreased past-month suicidal ideation (estimate = -.57, SE = .05, P < 0.001), with no effect of treatment group (i.e., HF vs. TAU; estimate = -.04, SE = .06, P = 0.51). Furthermore, there was no effect of treatment status (estimate = -.10, SE = .16, P = 0.52) on prevalence of suicide attempts (HF = 11.9%, TAU = 10.5%) during the 2-year follow-up period.

conclusionThis study failed to find evidence that HF is superior to TAU in reducing suicidal ideation and attempts. We suggest that HF interventions consider supplemental psychological treatments that have proven efficacy in reducing suicidal behaviour. It remains to be determined what kind of suicide prevention interventions (if any) are specifically effective in further reducing suicidal risk in a housing-first intervention.

Indexed as

Case ManagementIll-Housed PersonsPublic HousingSuicidal IdeationAdultCanadaFemaleHumansMaleMental DisordersMiddle AgedSuicide, Attemptedcommunity mental health serviceshomelessnessHousing Firstlongitudinal studyrandomised controlled trialsuicide

Identifiers

PMID28683228
PMCPMC5528985
OpenAlexW2592757103

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.