Evidence map›Paper›PMID 38311192›Full record

ArticleAmerican journal of preventive medicine2024

Predicting Homelessness Among Transitioning U.S. Army Soldiers.

Jack Tsai, Dorota Szymkowiak, Dina Hooshyar, Sarah M Gildea, Irving Hwang, Chris J Kennedy, Andrew J King, Katherine A Koh, Alex Luedtke, Brian P Marx and 7 more

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. When military-to-civilian transition support falls short: A qualitative assessment of transition needs among U.S. Veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026
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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

17 authors at 9 institutions in 1 country.

Jack TsaiNational Center on Homelessness among Veterans, VA Homeless Programs Office, Washington, District of Columbia; School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas. Electronic address: Jack.Tsai@uth.tmc.edu.
Dorota SzymkowiakNational Center on Homelessness among Veterans, VA Homeless Programs Office, Washington, District of Columbia.
Dina HooshyarNational Center on Homelessness among Veterans, VA Homeless Programs Office, Washington, District of Columbia; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas.
Sarah M GildeaDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Irving HwangDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Chris J KennedyDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Andrew J KingDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Katherine A KohDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts; Boston Health Care for the Homeless Program, Boston, Massachusetts.
Alex LuedtkeDepartment of Statistics, University of Washington, Seattle, Massachusetts; Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Brian P MarxNational Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts; Department of Psychiatry, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts.
Ann E MontgomeryNational Center on Homelessness among Veterans, VA Homeless Programs Office, Washington, District of Columbia; School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama; VA Birmingham Health Care System, Birmingham, Alabama.
Robert W O'BrienVA Health Services Research and Development Service, Washington, District of Columbia.
Maria V PetukhovaDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Nancy A SampsonDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Murray B SteinDepartment of Psychiatry, University of California San Diego, La Jolla, California; School of Public Health, University of California San Diego, La Jolla, California; VA San Diego Healthcare System, San Diego, California.
Robert J UrsanoDepartment of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Harvard University · USNational Alliance to End Homelessness · USMassachusetts General Hospital · USBoston University · USHealth Services Research & Development · USInfectious Disease Research Institute · USUniformed Services University of the Health Sciences · USUniversity of Alabama at Birmingham · USUniversity of California San Diego · US

Funding

Modifiable Risk and Protective Factors for Suicidal Behaviors in the US ArmyU01MH087981 · NIMH · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI STEIN, MURRAY B., URSANO, ROBERT J. · 2009 to 2013
$65.0M
Center for Harmonizing and Improving Interventions to Prevent Suicide (CHIIPS)I01CX002621 · VA · VA BOSTON HEALTH CARE SYSTEM · PI GOODMAN, MARIANNE, INTERIAN, ALEJANDRO · 2023 to 2025
–
CSRD VA I01 CX002621NIMH NIH HHS U01 MH087981
6 · The paper itself

Abstract

introductionThis study develops a practical method to triage Army transitioning service members (TSMs) at highest risk of homelessness to target a preventive intervention.

methodsThe sample included 4,790 soldiers from the Study to Assess Risk and Resilience in Servicemembers-Longitudinal Study (STARRS-LS) who participated in 1 of 3 Army STARRS 2011-2014 baseline surveys followed by the third wave of the STARRS-LS online panel surveys (2020-2022). Two machine learning models were trained: a Stage-1 model that used administrative predictors and geospatial data available for all TSMs at discharge to identify high-risk TSMs for initial outreach; and a Stage-2 model estimated in the high-risk subsample that used self-reported survey data to help determine highest risk based on additional information collected from high-risk TSMs once they are contacted. The outcome in both models was homelessness within 12 months after leaving active service.

resultsTwelve-month prevalence of post-transition homelessness was 5.0% (SE=0.5). The Stage-1 model identified 30% of high-risk TSMs who accounted for 52% of homelessness. The Stage-2 model identified 10% of all TSMs (i.e., 33% of high-risk TSMs) who accounted for 35% of all homelessness (i.e., 63% of the homeless among high-risk TSMs).

conclusionsMachine learning can help target outreach and assessment of TSMs for homeless prevention interventions.

Indexed as

Ill-Housed PersonsMachine LearningMilitary PersonnelAdultFemaleHumansLongitudinal StudiesMalePrevalenceSurveys and QuestionnairesUnited StatesYoung Adult

Identifiers

PMID38311192
PMCPMC11359661
OpenAlexW4391512974

What OpenQuestion holds

Textmetadata
LicenceTDM
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.