Evidence map›Paper›PMID 39905400›Full record

Trial reportBMC public health2025

Youth experiencing homelessness at risk for suicide: psychosocial risk factors and service use patterns.

Laura J Chavez, Kelly J Kelleher, Alicia Bunger, Xin Feng, Margaret Fitzpatrick, Jodi L Ford, Allen B Mallory, Arielle H Sheftall, Tansel Yilmazer, Alexis Pizzulo and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

13 authors.

Laura J ChavezCenter for Child Health Equity and Outcomes Research, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. laura.chavez@nationwidechildrens.org.
Kelly J KelleherCenter for Child Health Equity and Outcomes Research, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.
Alicia BungerDivision of General Internal Medicine, Department of Internal Medicine, College of Medicine, The Ohio State University, 700 Ackerman Road, Columbus, OH, 43202, USA.
Xin FengCollege of Education and Human Ecology, Department of Human Sciences, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, USA.
Margaret FitzpatrickCollege of Nursing, The Ohio State University, 1577 Neil Avenue, Columbus, OH, 43210, USA.
Jodi L FordCollege of Nursing, The Ohio State University, 1577 Neil Avenue, Columbus, OH, 43210, USA.
Allen B MalloryCollege of Education and Human Ecology, Department of Human Sciences, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, USA.
Arielle H SheftallDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
Tansel YilmazerCollege of Education and Human Ecology, Department of Human Sciences, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, USA.
Alexis PizzuloCollege of Education and Human Ecology, Department of Human Sciences, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, USA.
Jesse L HawkeCenter for Child Health Equity and Outcomes Research, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.
Mattina A DavenportCenter for Child Health Equity and Outcomes Research, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.
Natasha SlesnickCollege of Education and Human Ecology, Department of Human Sciences, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, USA.

Funding

Supplement to HOME Trial: Role of Justice Involvement in Implementation and Effectiveness of Housing First for Youth Experiencing HomelessnessUH3DA050174 · NIDA · OHIO STATE UNIVERSITY · PI KELLEHER, KELLY J, SLESNICK, NATASHA · 2020 to 2023
$6.0M
NIDA NIH HHS 3UH3DA050174-02S1NIDA NIH HHS UH3 DA050174
6 · The paper itself

Abstract

objectiveYoung adults experiencing homelessness often suffer from adverse mental health outcomes and suicide is a leading cause of death. The objective of this study is to examine service use and psychosocial risk factors for suicide, in relation to suicide risk assessment, to inform strategies for engaging youth in suicide prevention services.

methodsA cross-sectional analysis of youth enrolled in a supportive housing randomized clinical trial. We categorized suicide risk into three groups (low-, moderate-, and high-risk) based on suicidal ideation and past-year suicide attempt. The service use patterns across these groups are described, as well as other psychosocial risk factors (psychiatric comorbidity, depressive symptoms, substance use, and sleep impairment).

resultsAmong 193 enrolled youth, 126 (65.3%), 32 (16.6%), and 35 (18.1%) were categorized as low-risk, moderate-risk, and high-risk for suicide, respectively. A high proportion of youth reported ever having been diagnosed with a psychiatric disorder (57.5%) and cannabis was the most heavily used substance. However, only a minority of youth received medical care or mental health services in the past 3 months, 40% and 34%, respectively. Even fewer youth received mental/emotional health services in the past 3 months (15%), though use was highest among the high-risk group (34%).

conclusionUnderstanding the needs of youth experiencing homelessness who are at risk for suicide is critical to developing interventions to alleviate their risk for suicide. Given that the use of medical and mental health care is low among this population, more active outreach strategies may be warranted to deliver prevention interventions.

Indexed as

Homeless YouthMental Health ServicesSuicideAdolescentCross-Sectional StudiesFemaleHumansMaleMental DisordersRisk AssessmentRisk FactorsSubstance-Related DisordersSuicidal IdeationSuicide PreventionYoung AdultAccessHomelessnessMental healthSubstance useSuicide riskYoung adults

Identifiers

PMID39905400
PMCPMC11792679

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.