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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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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]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 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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  Data: <searchLink fieldCode="AR" term="%22Tsai%2C+Jack%22">Tsai, Jack</searchLink><br /><searchLink fieldCode="AR" term="%22Peltzman%2C+Talya%22">Peltzman, Talya</searchLink><br /><searchLink fieldCode="AR" term="%22Beydoun%2C+Hind+A%2E%22">Beydoun, Hind A.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2026, Vol. 116 Issue 5, p665-673. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Mortality+risk+factors%22">Mortality risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+overdose%22">Drug overdose</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Public+housing%22">Public housing</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Causes+of+death%22">Causes of death</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+veterans%22">Psychology of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Self-mutilation%22">Self-mutilation</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Homeless+persons%22">Homeless persons</searchLink><br /><searchLink fieldCode="DE" term="%22Homicide%22">Homicide</searchLink><br /><searchLink fieldCode="DE" term="%22Homelessness%22">Homelessness</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Nosology%22">Nosology</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abusers%22">Drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Proportional+hazards+models%22">Proportional hazards models</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=192845806
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2025.308371
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 665
    Subjects:
      – SubjectFull: Mortality risk factors
        Type: general
      – SubjectFull: Drug overdose
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Public housing
        Type: general
      – SubjectFull: Poisson distribution
        Type: general
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Causes of death
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychology of veterans
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Self-mutilation
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Homeless persons
        Type: general
      – SubjectFull: Homicide
        Type: general
      – SubjectFull: Homelessness
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Nosology
        Type: general
      – SubjectFull: Drug abusers
        Type: general
      – SubjectFull: Proportional hazards models
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: 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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            NameFull: Tsai, Jack
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            NameFull: Peltzman, Talya
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            NameFull: Beydoun, Hind A.
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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              Value: 116
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