| Title |
Suicidal ideation and suicide attempts in homeless mentally ill persons
|
|---|---|
| Published in |
Social Psychiatry and Psychiatric Epidemiology, April 2003
|
| DOI | 10.1007/s00127-003-0621-8 |
| Pubmed ID | |
| Authors |
Holly G. Prigerson, Rani A. Desai, Wen Liu-Mares, Robert A. Rosenheck |
| Abstract |
Despite reports of high rates of suicidal behavior among mentally ill homeless persons, it remains unknown whether the well-established suicide risks of increased age and comorbid psychiatric and substance abuse disorders ("dual diagnosis") documented in the general population are also markers for increased suicide risk among homeless persons. Data from a multi-site outreach program (ACCESS) (N = 7,224) were used to investigate whether rates of serious suicidal ideation and recent suicide attempts varied with the age and substance abuse diagnosis(es) (drug abuse and/or alcohol abuse disorders) among homeless mentally ill clients. The prevalence of 30-day suicidal ideation and suicide attempts (37.5 % and 7.9 %, respectively) was extremely high. Although the risk of serious suicidal ideation and suicide attempts was greater among the younger compared with the older homeless mentally ill clients, risks were not significantly increased by co-morbid alcohol and/or drug abuse. However, a significant interaction between age and co-morbid substance abuse was observed showing that among older clients but not younger clients, those with drug and alcohol abuse were at significantly greater risk of suicidal ideation than those without substance use problems, controlling for confounding factors. Efforts to prevent suicide should recognize that among homeless people with mental illness, young-middle-aged (30- to 39-year-old) clients are at greatest risk of suicidal behavior. Among older clients the presence of both drug and alcohol abuse significantly increases suicide risk. These patterns are of special importance because they are quite different from those that are well documented in non-homeless populations. |
Mendeley readers
The data shown below were compiled from readership statistics for 85 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | 2% |
| Spain | 1 | 1% |
| Denmark | 1 | 1% |
| Australia | 1 | 1% |
| Unknown | 80 | 94% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 18 | 21% |
| Student > Ph. D. Student | 12 | 14% |
| Researcher | 10 | 12% |
| Student > Doctoral Student | 8 | 9% |
| Student > Bachelor | 8 | 9% |
| Other | 13 | 15% |
| Unknown | 16 | 19% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 22 | 26% |
| Medicine and Dentistry | 16 | 19% |
| Social Sciences | 12 | 14% |
| Nursing and Health Professions | 7 | 8% |
| Unspecified | 2 | 2% |
| Other | 7 | 8% |
| Unknown | 19 | 22% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 November 2016.
All research outputs
#7,845,540
of 23,794,258 outputs
Outputs from Social Psychiatry and Psychiatric Epidemiology
#1,318
of 2,534 outputs
Outputs of similar age
#17,752
of 51,921 outputs
Outputs of similar age from Social Psychiatry and Psychiatric Epidemiology
#4
of 6 outputs
Altmetric has tracked 23,794,258 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,534 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 51,921 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 11th percentile – i.e., 11% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 6 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.