Intervention to address homelessness and all-cause and suicide mortality among unstably housed US Veterans, 2012-2016

Journal of Epidemiology and Community Health
Ann Elizabeth MontgomeryJohn R Blosnich

Abstract

People without stable housing-and Veterans specifically-are at increased risk of suicide. This study assessed whether unstably housed Veterans' participation in homeless services is associated with reduced risk of all-cause and suicide mortality. This retrospective cohort study used a sample of 169 221 Veterans across the US who self-reported housing instability between 1 October 2012 and 30 September 2016. Multivariable Cox regression models assessed the association between Veterans' utilisation of homeless services and all-cause and suicide mortality, adjusting for sociodemographics and severity of medical comorbidities. More than one-half of unstably housed Veterans accessed homeless services during the observation period; utilisation of any homeless services was associated with a 6% reduction in hazards for all-cause mortality (adjusted HR[aHR]=0.94, 95% CI[CI]=0.90-0.98). An increasing number of homeless services used was associated with significantly reduced hazards of both all-cause (aHR=0.93, 95% CI=0.91-0.95) and suicide mortality (aHR=0.81, 95% CI=0.73-0.89). The use of homeless services among Veterans reporting housing instability was significantly associated with reduced hazards of all-cause and suicide mortality. A...Continue Reading

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