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Short Report

Self-Harm and Homeless Adults

Published Online:https://doi.org/10.1027/0227-5910/a000202

Background: Homelessness is associated with an increased incidence of mental illness and risk of self-harm, including suicide. Aims: To assess the prevalence of self-harm (including nonsuicidal self-injury and attempted suicide) among a UK sample of homeless adults and to compare demographic, clinical, and homeless-related variables to determine which are linked to self-harm in this population. Method: A sample of 80 homeless adults were interviewed regarding history of self-harm, mental health history, demographic, and homeless-related information. Results: Sixty-eight percent of the sample reported past acts of self-harm. Those with histories of self-harm started using significantly more substances since becoming homeless and were younger when they first became homeless. They were also significantly more likely to have a past psychiatric admission and thoughts of self-harm in the past year. Conclusion: Self-harm is common among homeless adults and linked to long-term and enduring social and mental health concerns.

References

  • American Psychiatric Association . (1994). DSM-IV-TR: Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Press Inc. First citation in articleGoogle Scholar

  • Barak, Y. , Cohen, A. , Aizenberg, D. (2004). Suicide among the homeless: A 9-year case-series analysis. Crisis, 25, 51–53. First citation in articleLinkGoogle Scholar

  • Bickley, H. , Kapur, N. , Hunt, I. M. , Robinson, J. , Meehan, J. , Parsons, R. , ... Appleby, L. (2006). Suicide in the homeless within 12 months of contact with mental health services: A national clinical survey in the UK. Social Psychiatry and Psychiatric Epidemiology, 41, 686–691. First citation in articleCrossref MedlineGoogle Scholar

  • Fazel, S. , Khosla, V. , Doll, H. , Geddes, J. (2008). The prevalence of mental disorders among the homeless in Western countries: Systematic review and meta-regression analysis. PLoS Medicine, 5(12), e225. First citation in articleCrossref MedlineGoogle Scholar

  • Gossop, M. , Darke, S. , Griffiths, P. , Hando, J. , Powis, B. , Hall, W. , Strang, J. (1995). The Severity of Dependence Scale (SDS): Psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction, 90, 607–614. First citation in articleCrossref MedlineGoogle Scholar

  • Gratz, K. L. (2001). Measurement of deliberate self-harm: Preliminary data on the deliberate self-harm inventory. Journal of Psychopathology and Behavioral Assessment, 23, 253–263. First citation in articleCrossrefGoogle Scholar

  • Haw, C. , Hawton, K. , Casey, D. (2006). Deliberate self-harm patients of no fixed abode: A study of characteristics and subsequent deaths in patients presenting to a general hospital. Social Psychiatry and Psychiatric Epidemiology, 41, 918–925. First citation in articleCrossref MedlineGoogle Scholar

  • Kenway, P. , Palmer, G. (2003). How many, how much? Single homelessness and the question of numbers and cost. London, UK: Crisis. First citation in articleGoogle Scholar

  • Madge, N. , Hewitt, A. , Hawton, K. , de Wilde, E. J. , Corcoran, P. , Fekete, S. , ... Ystgaard, M. (2008). Deliberate self-harm within an international community sample of young people: Comparative findings from the Child & Adolescent Self-harm in Europe (CASE) study. Journal of Child Psychology and Psychiatry, 49, 667–677. First citation in articleCrossref MedlineGoogle Scholar

  • National Institute for Health and Clinical Excellence . (2004). The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. NICE Clinical Guidance 16. London, UK: Author. First citation in articleGoogle Scholar

  • Nock, M. K. , Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: Analysis of the National Comorbidity Survey. Journal of Abnormal Psychology, 115, 616–623. First citation in articleCrossref MedlineGoogle Scholar

  • Nordentoft, M. , Wandall-Holm, N. (2003). 10 year follow up study of mortality among users of hostels for homeless people in Copenhagen. British Medical Journal, 327, 81. First citation in articleCrossref MedlineGoogle Scholar

  • O’Connor, S. S. , Jobes, D. A. , Yeargin, M. K. , Fitzgerald, M. E. , Rodriguez, V. M. , Conrad, A. K. , Lineberry, T. W. (2012). A cross-sectional investigation of the suicidal spectrum: Typologies of suicidality based on ambivalence about living and dying. Comprehensive Psychiatry, 53, 461–467. First citation in articleCrossref MedlineGoogle Scholar

  • Pluck, G. , Lee, K. H. , David, R. , Spence, S. A. , Parks, R. W. (2012). Neuropsychological and cognitive performance of homeless adults. Canadian Journal of Behavioural Science, 44, 9–15. First citation in articleCrossrefGoogle Scholar

  • Pluck, G. , Lekka, N. P. , Sarkar, S. , Lee, K. H. , Bath, P. A. , Sharif, O. , Woodruff, P. W. (2012). Clinical and neuropsychological aspects of non-fatal self-harm in schizophrenia. European Psychiatry. Advance online publication. doi: 10.1016/j.eurpsy.2012.08.003 First citation in articleGoogle Scholar

  • Saunders, J. B. , Aasland, O. G. , Babor, T. F. , de la Fuente, J. R. , Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption–II. Addiction, 88, 791–804. First citation in articleCrossref MedlineGoogle Scholar

  • Silverman, M. M. , Berman, A. L. , Sanddal, N. D. , O’Carroll, P. W. , Joiner, T. E. (2007). Rebuilding the tower of Babel: A revised nomenclature for the study of suicide and suicidal behaviors. Part 2: Suicide-related ideations, communications, and behaviors. Suicide and Life-Threatening Behavior, 37, 264–277. First citation in articleCrossref MedlineGoogle Scholar

  • Skegg, K. (2005). Self-harm. Lancet, 366, 1471–1483. First citation in articleCrossref MedlineGoogle Scholar

  • Toro, P. A. (2007). Toward an international understanding of homelessness. Journal of Social Issues, 63, 461–481. First citation in articleCrossrefGoogle Scholar