Characterizing suicidal ideation, suicidal behaviors, and service utilization among unhoused individuals using a health information exchange.

ABSTRACT:

Introduction

Unhoused individuals have high rates of suicidal ideation (SI) and suicidal behaviors (SB), but few have studied the relative timing of homelessness and SI/SB. Our study examines the potential to use state-wide electronic health record data from Rhode Island's health information exchange (HIE) to identify temporal relationships, service utilization, and associations of SI/SB among unhoused individuals.

Methods

We use timestamped HIE data for 5368 unhoused patients to analyze service utilization and the relative timing of homelessness versus SI/SB onset. Multivariable models identified associations of SI/SB, hospitalization, and repeat acute care utilization within 30 days from clinical features representing 10,000+ diagnoses captured within the HIE.

Results</

SUBMITTER: Ho ZV 

PROVIDER: S-EPMC10592413 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature