Evidence map›Paper›PMID 37884831›Full record

ArticleJournal of general internal medicine2024

Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans.

Richard E Nelson, Ann Elizabeth Montgomery, Ying Suo, Atim Effiong, Warren Pettey, Lillian Gelberg, Stefan G Kertesz, Jack Tsai, Thomas Byrne

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Richard E NelsonIDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA. richard.nelson@utah.edu.ORCID 0000-0002-4441-7460
Ann Elizabeth MontgomeryNational Center On Homelessness among Veterans, Washington, DC, USA.
Ying SuoIDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA.
Atim EffiongIDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA.
Warren PetteyIDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA.
Lillian GelbergNational Center On Homelessness among Veterans, Washington, DC, USA.
Stefan G KerteszNational Center On Homelessness among Veterans, Washington, DC, USA.
Jack TsaiNational Center On Homelessness among Veterans, Washington, DC, USA.
Thomas ByrneNational Center On Homelessness among Veterans, Washington, DC, USA.
United States Department of Veterans Affairs · USUniversity of Utah · USBoston University · US

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Measuring the impact of the Supportive Services for Veteran Families (SSVF) on Veteran outcomesI01HX002425 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI NELSON, RICHARD E. · 2019 to 2024
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Informatics, Decision-Enhancement and Analytic Sciences CenterI50HX001240 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI SAMORE, MATTHEW H · 2015 to 2015
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HSRD VA I01 HX002425HSRD VA I50 HX001240NCATS NIH HHS UM1 TR004409
6 · The paper itself

Abstract

introductionIt is unclear whether interventions designed to increase housing stability can also lead to improved health outcomes such as reduced risk of death and suicide morbidity. The objective of this study was to estimate the potential impact of temporary financial assistance (TFA) for housing-related expenses from the US Department of Veterans Affairs (VA) on health outcomes including all-cause mortality, suicide attempt, and suicidal ideation.

methodsWe conducted a retrospective national cohort study of Veterans who entered the VA Supportive Services for Veteran Families (SSVF) program between 10/2015 and 9/2018. We assessed the association between TFA and health outcomes using a multivariable Cox proportional hazards regression approach with inverse probability of treatment weighting. We conducted these analyses on our overall cohort as well as separately for those in the rapid re-housing (RRH) and homelessness prevention (HP) components of SSVF. Outcomes were all-cause mortality, suicide attempt, and suicidal ideation at 365 and 730 days following enrollment in SSVF.

resultsOur analysis cohort consisted of 41,969 unique Veterans with a mean (SD) duration of 87.6 (57.4) days in the SSVF program. At 365 days following SSVF enrollment, TFA was associated with a decrease in the risk of all-cause mortality (HR: 0.696, p < 0.001) and suicidal ideation (HR: 0.788, p < 0.001). We found similar results at 730 days (HR: 0.811, p = 0.007 for all-cause mortality and HR: 0.881, p = 0.037 for suicidal ideation). These results were driven primarily by individuals enrolled in the RRH component of SSVF. We found no association between TFA and suicide attempts.

conclusionWe find that providing housing-related financial assistance to individuals facing housing instability is associated with improvements in important health outcomes such as all-cause mortality and suicidal ideation. If causal, these results suggest that programs to provide housing assistance have positive spillover effects into other important aspects of individuals' lives.

Indexed as

VeteransCohort StudiesHealth ExpendituresHousingHumansRetrospective StudiesSuicidal Ideationfinancial assistancehomelessnessmortalitysuicideVA

Identifiers

PMID37884831
PMCPMC10973310
OpenAlexW4387965102

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.