Abstract
Abstract.Background: Youth experiencing homelessness are at risk for sex trafficking and mental health concerns. Aims: More information is needed to elucidate the prevalence and characteristics of suicidal ideation and behavior among youth experiencing sex trafficking. Method: The present study examined suicidal ideation and behavior in a convenience sample of 128 youths experiencing homelessness aged 12–25 years in metropolitan Louisville, Kentucky, and southern Indiana. Participants were asked seven questions regarding suicidal ideation and attempts as part of an enhanced version of the 60-item Youth Experiences Survey (YES). Results: Approximately 53% of the sample reported experiencing suicidal ideation at some point in their lifetime and the odds of a youth experiencing homelessness who had experienced sex trafficking reporting suicidal ideation was 3.87 times higher than the odds of a youth experiencing homelessness who had not experienced sex trafficking. Additionally, of those who reported experiencing suicidal ideation, the majority (84.4%) reported they had attempted suicide in their lifetime. Limitations: This study relied on a convenience sample of youth receiving services in the Kentuckiana region and brief, self-report measures yielding categorical data. Conclusion: Programs servicing youth experiencing homelessness should require additional training and resources regarding the identification, screening, and assessment of youth who are at risk of or who have experienced sex trafficking in order to more quickly connect youth with much-needed, trauma-informed services.
References
(2017). Can better emotion regulation protect against suicidality in traumatized homeless youth? Archives of Suicide Research, 21, 490–501. 10.1080/13811118.2016.1224989
(2013). Homelessness, survival sex, and human trafficking: As experienced by the youth of Covenant House New York. Retrieved from http://www.covenanthouse.org/sites/default/files/attachments/Covenant-Housetrafficking-study.pdf
(1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Earlbaum Associates.
. (2016). Screener with triage for primary care settings. Retrieved from http://cssrs.columbia.edu/documents/c-ssrs-screener-triage-primary-care/
. (2017). Teen homelessness statistics. Retrieved from https://www.covenanthouse.org/homeless-teen-issues/statistics
(2007). Finding a path to recovery: Residential facilities for minor victims of domestic sex trafficking. Human trafficking: Data and documents, paper 10. Washington, DC: US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation.
(2013). Sex trafficking of women and girls. Reviews in Obstetrics & Gynecology, 6, e22–e27.
(1951). Suicide: A study in sociology (J. A. Spaulding & G. Simpson, Trans.). Glencoe, IL: Free Press. (Original work published 1897)
(2003). The relative contribution of diagnostic and psychosocial factors in the prediction of adolescent suicidal ideation. Journal of Clinical Child & Adolescent Psychology, 3, 386–395. 10.1207/S15374424JCCP3203_07
(2008). Understanding and improving law enforcement responses to human trafficking: Final report. Boston, MA: Northeastern University. Retrieved from http://hdl.handle.net/2047/d10015802
(2015). Risk for suicide and the role of the family: A narrative review. Journal of Family Issues, 36, 716–736. 10.1177/0192513X13515885
(2016). Risky integration: A social network analysis of network position, exposure, and suicidal ideation among homeless youth. Crisis, 37, 184–193. 10.1027/0227-5910/a000374
(2001a). Runaway kids and teenage prostitution. Westport, CT: Greenwood Press.
(2001b). Sex crimes, predators, perpetrators, prostitutes, and victims: An examination of sexual criminality and victimization. Springfield, IL: Charles C. Thomas.
(2013). An ecological systems comparison between homeless sexual minority youth and homeless heterosexual youths. Journal of Social Service Research, 39, 38–49. 10.1080/01488376.2011.633814
(2016). Perceived racial, sexual identity, and homeless status-related discrimination among Black adolescents and young adults experiencing homelessness: Relations with depressive symptoms and suicidality. American Journal of Orthopsychiatry, 86, 79–90. 10.1037/ort0000096
(2002). Deliberate self-harm in adolescents: Self report survey in schools in England. British Medical Journal, 325, 1207–1211. 10.1136/bmj.325.7374.1207
(2009). Mental disorders in self-cutting adolescents. Journal of Adolescent Health, 44, 464–467. 10.1016/j.jadohealth.2008.10.003
(2012). Comparisons of substance abuse, high-risk sexual behavior and depressive symptoms among homeless youth with and without a history of foster care placement. Contemporary Nurse, 42, 178–186. 10.5172/conu.2012.42.2.178
. (2014). Profits and poverty: The economics of forced labour. Retrieved from http://www.ilo.org/wcmsp5/groups/public/---ed_norm/---declaration/documents/publication/wcms_243391.pdf
(2005). Why people die by suicide. Cambridge, MA: First Harvard University Press.
(2010). Post-traumatic stress disorder and suicide risk: A systematic review. Archives of Suicide Research, 14, 1–23. 10.1080/13811110903478997
(2014). The health consequences of sex trafficking and their implications for identifying victims in healthcare facilities. Annals of Health Law, 23, 61–91.
(2012). Substance abuse and suicide risk among adolescents. European Archives of Psychiatry and Clinical Neuroscience, 262, 469–485. 10.1007/s00406-012-0292-0
. (2014). Federal strategic action plan on services for victims of human trafficking in the United States, 2013–2017. Washington, DC: US Department of Justice, US Department of Health and Human Services, and US Department of Homeland Security. Retrieved from http://www.ovc.gov/pubs/FederalHumanTraffickingStrategicPlan.pdf
(2001). Sex trafficking of women in the United States: International and domestic trends. US Department of Justice. Retrieved from https://www.ncjrs.gov/pdffiles1/nij/grants/187774.pdf
(2016). Youth experiences survey: Exploring the sex trafficking experiences of homeless young adults in Arizona, Year 3. Office of Sex Trafficking Intervention Research. Tempe, AZ: McCain Institute for International Leadership, Arizona State University.
(2015). Mental pain among female suicide attempt survivors in Israel: An exploratory qualitative study. International Journal of Mental Health and Addiction, 13, 423–434.
. (2012). 2012 National strategy for suicide prevention: Goals and objectives for action. Washington, DC: HHS.
. (2000). Victims of trafficking and violence protection act of 2000. Retrieved from https://www.state.gov/j/tip/laws/61124.htm
. (2013). Trafficking in persons report. Retrieved from https://www.state.gov/documents/organization/210737.pdf
(2008). Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology, 76, 72–83. 101037/0022-006X.76.1.72
(2013). Ending the commercial sexual exploitation of children: A call for multisystem collaboration in California. Sacramento, CA: California Health and Human Services Agency, California Child Welfare Council.
. (2012). Research to action: Sexually exploited minors (SEM) needs and strengths. Oakland, CA: West Coast Children's Clinic. Retrieved from http://www.westcoastcc.org/WCC_SEM_Needs-and-Strengths_FINAL.pdf
(2000). Depressive symptoms and co-occurring depressive symptoms, substance abuse, and conduct problems among runaway and homeless adolescents. Child Development, 71, 721–732. 10.1111/1467-8624.00181
(2003). Shame reactions after suicide attempt. Nordic College of Caring Sciences, 17, 293–300.
. (2012). Human trafficking: Understanding and addressing violence against women. Retrieved from http://www.who.int/reproductivehealth/publications/violence
(2008). A dimensional model of psychopathology among homeless adolescents: Suicidality, internalizing, and externalizing disorders. Journal of Abnormal Child Psychology, 36, 95–104. 10.1007/s10802-007-9163-y
(2006). Stolen smiles: A summary report on the physical and psychological health consequences of women and adolescents trafficked in Europe. London, UK: London School of Hygiene & Tropical Medicine. Retrieved from https://www.icmec.org/wp-content/uploads/2015/10/Stolen-Smiles-Physical-and-Psych-Consequences-of-Traffic-Victims-in-Europe-Zimmerman.pdf
