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Modeling the mental health effects of victimization among homeless persons

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  • Perron, Brian Edward
  • Alexander-Eitzman, Ben
  • Gillespie, David F.
  • Pollio, David

Abstract

Homeless persons are victims of violent and non-violent crime at higher rates than housed populations. While studies have suggested that victimization can induce or exacerbate mental health problems, there is very little known about factors that may buffer the effects of victimization. This cross-sectional study examined the influence of victimization on depressive symptoms in over 9600 homeless and mentally ill adults participating in the Access to Community Care and Effective Services and Supports study (ACCESS) conducted in multiple cities across the USA relationships between victimization, depressive symptoms, and perceived safety were tested within a structural equation modeling framework using data collected at the baseline interview. The overall model exhibited a good fit with the data. Non-physical victimization was associated with higher levels of depressive symptoms, and physical victimization was associated with lower levels of perceived safety. As hypothesized, perceived safety was a significant partial mediator of depressive symptoms. These results underscore the complexity of the relationships between victimization and depression in homeless adults and the importance of addressing different types of victimization in homeless and mentally ill adults.

Suggested Citation

  • Perron, Brian Edward & Alexander-Eitzman, Ben & Gillespie, David F. & Pollio, David, 2008. "Modeling the mental health effects of victimization among homeless persons," Social Science & Medicine, Elsevier, vol. 67(9), pages 1475-1479, November.
    • Handle: RePEc:eee:socmed:v:67:y:2008:i:9:p:1475-1479
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    References listed on IDEAS

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    1. Lehman, Anthony F. & Slaughter, Jean G. & Myers, C. Patrick, 1992. "Quality of life experiences of the chronically mentally ill : Gender and stages of life effects," Evaluation and Program Planning, Elsevier, vol. 15(1), pages 7-12, January.
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    Cited by:

    1. Siu-Ming Chan & Hung Wong & Yikang Chen & Mun-Yu Vera Tang, 2023. "Determinants of depression and anxiety in homeless people: A population survey of homeless people in Hong Kong," International Journal of Social Psychiatry, , vol. 69(5), pages 1145-1156, August.
    2. Bertine de Vries & Gerdina H M Pijnenborg & Elisabeth C D van der Stouwe & Ellen Visser & Steven de Jong & Pharmaco therapy and outcome survey (PHAMOUS)-investigators & Agna A Bartels-Velthuis & Richa, 2019. "“Please tell me what happened”: A descriptive study on prevalence, disclosure and characteristics of victimization in people with a psychotic disorder," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-15, July.

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