title: Suicidal ideation and suicide attempts in a sample of homeless people with mental illness.
abstract: This study utilized data from the national ACCESS program (N = 7224) to investigate the prevalence of suicidal ideation and suicide attempts in a sample of homeless people with mental illness. The prevalence of suicidal ideation in this sample was high (66.2% lifetime prevalence). In addition, 51.3% of the sample reported that they had ever attempted suicide, 26.9% reported an attempt that resulted in a nonpsychiatric hospitalization, and 8% reported an attempt in the previous 30 days. Youth, substance abuse, and psychiatric symptoms were all significantly associated with suicide attempts. Those who reported a recent attempt also reported higher rates of mental health care utilization, particularly inpatient care. The authors conclude that homeless people with mental illness are at particularly high risk for suicidal behavior, however, only in part because of the high prevalence of traditional risk factors.
authors.affiliation: Department of Psychiatry, Yale University School of Medicine and North East Program Evaluation Center (NEPEC), NEPEC/182, West Haven VAMC, 950 Campbell Avenue, West Haven, Connecticut 06516, USA.
authors.forename: Rani A
authors.initials: RA
authors.lastname: Desai
authors.forename: Wen
authors.initials: W
authors.lastname: Liu-Mares
authors.forename: David J
authors.initials: DJ
authors.lastname: Dausey
authors.forename: Robert A
authors.initials: RA
authors.lastname: Rosenheck
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D019033:Delivery of Health Care, Integrated; D005260:Female; D006297:Health Services Accessibility; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology