Changes in All-Cause, Overdose, and Suicide Mortality Risk in the First 2 Years of Supported Housing, United States, 2017–2021.

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Bibliographic Details
Title: Changes in All-Cause, Overdose, and Suicide Mortality Risk in the First 2 Years of Supported Housing, United States, 2017–2021.
Authors: Tsai, Jack, Peltzman, Talya, Beydoun, Hind A.
Source: American Journal of Public Health. May2026, Vol. 116 Issue 5, p665-673. 9p.
Subjects: Mortality risk factors, Drug overdose, Risk assessment, Public housing, Poisson distribution, Mental illness, Causes of death, Retrospective studies, Descriptive statistics, Psychology of veterans, Longitudinal method, Self-mutilation, Odds ratio, Suicide, Homeless persons, Homicide, Homelessness, Confidence intervals, Data analysis software, Psychosocial factors, Nosology, Drug abusers, Proportional hazards models, Regression analysis
Geographic Terms: United States
Abstract: Objectives. To examine whether there are reduced or elevated risks for all-cause, overdose, and suicide mortality after moving into supported housing. Methods. A national retrospective cohort study compared a census of 60 888 veterans experiencing homelessness in the US Housing and Urban Development–Veterans Affairs Supportive Housing (HUD–VASH) program with a 1:1 propensity-score matched group of veterans experiencing homelessness from 2017 to 2021. Results. Rates for all-cause mortality in the matched HUD–VASH group significantly increased after 6 months, and risk of all-cause mortality was slightly higher in the HUD–VASH group than the matched comparison cohort at 24-month follow-up. Overdose mortality risk was twice as high among the HUD–VASH cohort across all time points, and there was no significant group difference in suicide mortality risk across time. Conclusions. Supported housing was associated with an initial lower risk of all-cause mortality that was not sustained over the course of 2 years. Veterans in supported housing were consistently more likely to die from drug overdose than were other veterans experiencing homelessness. Public Health Implications. The timely provision of substance use treatment in supported housing could be important to prevent drug overdose deaths. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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