AI Article Synopsis
- The article highlights the dual relationship between mental health disorders and homelessness, indicating that individuals with mental health issues are at greater risk of becoming homeless, and that being homeless can exacerbate mental health problems.
- The main objective of the study was to determine both the current and lifetime prevalence of mental health disorders among the homeless population, while also identifying relevant associated factors.
- Through a systematic review and meta-analysis of 85 studies involving over 48,000 participants, it was found that 67% of people experiencing homelessness currently have mental health disorders.
Article Abstract
Importance: Several factors may place people with mental health disorders, including substance use disorders, at increased risk of experiencing homelessness and experiencing homelessness may also increase the risk of developing mental health disorders. Meta-analyses examining the prevalence of mental health disorders among people experiencing homelessness globally are lacking.
Objective: To determine the current and lifetime prevalence of mental health disorders among people experiencing homelessness and identify associated factors.
Data Sources: A systematic search of electronic databases (PubMed, MEDLINE, PsycInfo, Embase, Cochrane, CINAHL, and AMED) was conducted from inception to May 1, 2021.
Study Selection: Studies investigating the prevalence of mental health disorders among people experiencing homelessness aged 18 years and older were included.
Data Extraction And Synthesis: Data extraction was completed using standardized forms in Covidence. All extracted data were reviewed for accuracy by consensus between 2 independent reviewers. Random-effects meta-analysis was used to estimate the prevalence (with 95% CIs) of mental health disorders in people experiencing homelessness. Subgroup analyses were performed by sex, study year, age group, region, risk of bias, and measurement method. Meta-regression was conducted to examine the association between mental health disorders and age, risk of bias, and study year.
Main Outcomes And Measures: Current and lifetime prevalence of mental health disorders among people experiencing homelessness.
Results: A total of 7729 citations were retrieved, with 291 undergoing full-text review and 85 included in the final review (N = 48 414 participants, 11 154 [23%] female and 37 260 [77%] male). The current prevalence of mental health disorders among people experiencing homelessness was 67% (95% CI, 55-77), and the lifetime prevalence was 77% (95% CI, 61-88). Male individuals exhibited a significantly higher lifetime prevalence of mental health disorders (86%; 95% CI, 74-92) compared to female individuals (69%; 95% CI, 48-84). The prevalence of several specific disorders were estimated, including any substance use disorder (44%), antisocial personality disorder (26%), major depression (19%), schizophrenia (7%), and bipolar disorder (8%).
Conclusions And Relevance: The findings demonstrate that most people experiencing homelessness have mental health disorders, with higher prevalences than those observed in general community samples. Specific interventions are needed to support the mental health needs of this population, including close coordination of mental health, social, and housing services and policies to support people experiencing homelessness with mental disorders.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11024772 | PMC |
| http://dx.doi.org/10.1001/jamapsychiatry.2024.0426 | DOI Listing |
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