Suicidality and the Onset of Homelessness: Evidence for a Temporal Association From VHA Treatment Records.

Culhane, D ; Szymkowiak, D ; et al.

In: Psychiatric services (Washington, D.C.), Jg. 70 (2019-11-01), Heft 11, S. 1049-1052

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Objective: This study examined the temporal sequencing of a first-recorded episode of homelessness and treatment for suicidal ideation or attempt.

Methods: Data were from the U.S. Department of Veterans Affairs Corporate Data Warehouse and contained medical records of service use dates and associated ICD codes for care provided by the Veterans Health Administration. The analysis examined treatment for suicidality before and after a first record of homelessness ("onset") among 152,519 veterans. The second analysis examined the rate of treatment for suicidality among 156,288 veterans with any indication of homelessness. The third analysis examined the rate of homelessness among 145,770 veterans with indication of suicidality.

Results: Among newly homeless veterans, treatment for suicidality peaked just before onset of homelessness. Thirteen percent of homeless veterans had evidence of suicidality. Twenty-nine percent of veterans with evidence of suicidality appeared to have concurrent homelessness.

Conclusions: Homelessness should be considered a primary risk factor for suicidality.

Titel:	Suicidality and the Onset of Homelessness: Evidence for a Temporal Association From VHA Treatment Records.
Autor/in / Beteiligte Person:	Culhane, D ; Szymkowiak, D ; Schinka, JA
Link:	Full Text Finder (Volltext)
Zeitschrift:	Psychiatric services (Washington, D.C.), Jg. 70 (2019-11-01), Heft 11, S. 1049-1052
Veröffentlichung:	Washington, DC : American Psychiatric Association, c1995-, 2019
Medientyp:	academicJournal
ISSN:	1557-9700 (electronic)
DOI:	10.1176/appi.ps.201800415
Schlagwort:	Ill-Housed Persons psychology Humans Mental Health Services organization & administration Risk Factors Suicidal Ideation Time Factors United States United States Department of Veterans Affairs Veterans psychology Ill-Housed Persons statistics & numerical data Suicide, Attempted prevention & control Suicide, Attempted statistics & numerical data Veterans statistics & numerical data
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Psychiatr Serv] 2019 Nov 01; Vol. 70 (11), pp. 1049-1052. <i>Date of Electronic Publication: </i>2019 Jul 24. MeSH Terms: Ill-Housed Persons / statistics & numerical data ; Suicide, Attempted / prevention & control ; Suicide, Attempted / statistics & numerical data ; Veterans / statistics & numerical data ; Ill-Housed Persons / psychology ; Humans ; Mental Health Services / organization & administration ; Risk Factors ; Suicidal Ideation ; Time Factors ; United States ; United States Department of Veterans Affairs ; Veterans / psychology Contributed Indexing: Keywords: Homelessness; Suicide and self-destructive behavior Entry Date(s): Date Created: 20190725 Date Completed: 20200731 Latest Revision: 20221207 Update Code: 20240513

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