title: A tale of two veterans: homeless vs domiciled veterans presenting to a psychiatric urgent care clinic.
abstract: BACKGROUND
  The relationship between homelessness among veterans and mental illness and suicidality has not been clearly defined. To further examine this relationship, we compared rates of mental illness and suicidality among homeless and domiciled veterans seeking urgent psychiatric care at a US Department of Veterans Affairs (VA) facility.
  
  
  METHODS
  Information was collected by survey from 482 consecutive veterans seeking care at the Psychiatric Emergency Clinic (PEC) at the VA San Diego Healthcare System. A total of 73 homeless veterans were designated the homeless group and 73 domiciled veterans were randomly selected as the domiciled group. Suicidality and mental illnesses were assessed by self-assessment questionnaires and chart review of diagnoses.
  
  
  RESULTS
  The homeless group had significantly higher rates of past suicide attempts (47% vs 27%) and recent reckless or self-harming behavior (33% vs 18%) compared with the domiciled group but significantly lower rates of depressive disorder (25% vs 44%), as diagnosed by a PEC physician. There were no differences between groups on the questionnaires for posttraumatic stress disorder (PTSD), depression, or alcohol abuse. Nor were there differences in diagnoses of bipolar disorder, PTSD, anxiety disorder, schizophrenia/schizoaffective disorder, or alcohol abuse.
  
  
  CONCLUSIONS
  Veterans seeking help from a VA-based urgent psychiatric care clinic often are burdened by substantial depression, alcohol use disorders, PTSD, and both past and present suicide risk.
authors.affiliation: College of Medicine, Texas A&M Health Science Center, Round Rock, TX, USA. E-mail: haoyu.lee@medicine.tamhsc.edu.
authors.forename: Haoyu
authors.initials: H
authors.lastname: Lee
authors.forename: Alana
authors.initials: A
authors.lastname: Iglewicz
authors.forename: Shah
authors.initials: S
authors.lastname: Golshan
authors.forename: Sidney
authors.initials: S
authors.lastname: Zisook
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D002140:California / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016728:Self-Injurious Behavior / Q000453:epidemiology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014493:United States Department of Veterans Affairs / Q000706:statistics & numerical data*; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data*