Previous cross-sectional studies have indicated that
homeless individuals may present with high rates of suicidal ideation, which
are strongly associated with completed suicide. We conducted the first known
longitudinal study of suicidal ideation in the homeless.
We used data collected over 24 months in the Vancouver
At Home project (N = 497), comprised two randomized-controlled trials
of housing interventions for homeless individuals with mental disorders.
Presence of suicidal ideation was determined using the Colorado symptom index.
Suicidal ideation significantly decreased over time. Baseline diagnoses of mood and anxiety disorders,
as well as depressive mood, use
of any substance, and
polysubstance use were
significantly associated with suicidal ideation in the multivariate model.
Baseline diagnosis of a psychotic disorder (protective effect), daily substance
use, intravenous drug use, recent arrest, multiple physical illnesses and
history of traumatic brain injury were significantly associated with suicidal
ideation in the unadjusted model only.
Interventions targeting depressive symptoms and substance
use could help decrease suicide risk in homeless individuals. Mental health
services need to be tailored to address the complex needs of socially
marginalized individuals.
Purchase full article
at:
By:
- 1Department of Psychiatry, Université de Montréal, Montreal, Canada. francois.noel@umontreal.ca.
- 2Institut Universitaire en Santé Mentale de Montréal, 7401 Hochelaga, Montreal, QC, H1N 3M5, Canada. francois.noel@umontreal.ca.
- 3Faculty of Health Sciences, Simon Fraser University (SFU), Burnaby, Canada.
- 4School of Population and Public Health (SPPH), University of British Columbia, Vancouver, Canada.
- 5Department of Psychiatry, University of British Columbia, Vancouver, Canada.
- 6CHEOS Centre of Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, Canada.
More at: https://twitter.com/hiv_insight
No comments:
Post a Comment