Mental Health Outcomes Among Homeless, Runaway, and Stably Housed Youth
Open Access
- 1 April 2020
- journal article
- research article
- Published by American Academy of Pediatrics (AAP) in PEDIATRICS
- Vol. 145 (4)
- https://doi.org/10.1542/peds.2019-2674
Abstract
Video Abstract BACKGROUND AND OBJECTIVES: Runaway youth and homeless youth are at risk for adverse mental health outcomes. These 2 populations are frequently pooled together in both research and interventions yet may have unique health needs. We sought to assess differences in mental health outcomes among these populations. METHODS: We conducted a secondary data analysis of ninth- and 11th-graders in the 2016 minnesota Student Survey (n = 68 785). We categorized youth into 4 subgroups based on housing status in the previous year: (1) unaccompanied homeless youth (0.5%), (2) runaway youth (4%), (3) youth who had both run away and been homeless (0.6%), and (4) stably housed youth (95%). We performed multivariable logistic regression to compare 4 mental health outcomes (self-injury, suicidal ideation, suicide attempts, and depressive symptoms) across groups, controlling for demographics and abuse history. RESULTS: Unstably housed youth had poorer mental health outcomes when compared with their stably housed peers (P < .05). For example, 11% of homeless youth, 20% of runaways, and 33% of youth who had experienced both had attempted suicide in the previous year compared with 2% of stably housed youth (adjusted odds ratios 2.4, 4.9, and 7.1, respectively). Other outcomes showed a similar pattern. CONCLUSIONS: Our findings suggest that runaway and homeless youth represent unique populations with high levels of mental health needs who would benefit from targeted clinical and community interventions. Pediatric clinicians represent one potential point of screening and intervention.This publication has 42 references indexed in Scilit:
- Providing Care for Children and Adolescents Facing Homelessness and Housing InsecurityPEDIATRICS, 2013
- Impact of running away on girls’ pregnancyJournal of Adolescence, 2012
- Running Away From Home: A Longitudinal Study of Adolescent Risk Factors and Young Adult OutcomesJournal of Youth and Adolescence, 2010
- Evaluation of the PHQ-2 as a Brief Screen for Detecting Major Depression Among AdolescentsPEDIATRICS, 2010
- A Novel, Intensive Home‐Visiting Intervention for Runaway, Sexually Exploited GirlsJournal for Specialists in Pediatric Nursing, 2009
- Who Runs? A Demographic Profile of Runaway Youth in the United StatesJournal of Adolescent Health, 2006
- A Longitudinal Study of the Effects of Early Abuse on Later Victimization Among High-Risk AdolescentsViolence and Victims, 2006
- Risk Factors for Sexual Victimization Among Male and Female Homeless and Runaway YouthJournal of Interpersonal Violence, 2004
- A typology of runaway youths: An empirically based definitionTRADITION -A JOURNAL OF ORTHODOX JEWISH THOUGHT, 1992
- Running Away during Adolescence as a Precursor to Adult HomelessnessSocial Service Review, 1991