{"doi":"10.1093/aje/kwab037","title":"Health-Care Utilization Due to Suicide Attempts Among Homeless Youth in New York State","abstract":"Suicide remains the leading cause of death among homeless youth. We assessed differences in health-care utilization between homeless and nonhomeless youth presenting to the emergency department or hospital after a suicide attempt. New York Statewide Inpatient and Emergency Department Databases (2009-2014) were used to identify homeless and nonhomeless youth aged 10-17 who utilized health-care services following a suicide attempt. To evaluate associations with homelessness, we used logistic regression models for use of violent means, intensive care unit utilization, log-transformed linear regression models for hospitalization cost, and negative binomial regression models for length of stay. All models adjusted for individual characteristics with a hospital random effect and year fixed effect. We identified 18,026 suicide attempts with health-care utilization rates of 347.2 (95% confidence interval (CI): 317.5, 377.0) and 67.3 (95% CI: 66.3, 68.3) per 100,000 person-years for homeless and nonhomeless youth, respectively. Length of stay for homeless youth was statistically longer than that for nonhomeless youth (incidence rate ratio = 1.53, 95% CI: 1.32, 1.77). All homeless youth who visited the emergency department after a suicide attempt were subsequently hospitalized. This could suggest a higher acuity upon presentation among homeless youth compared with nonhomeless youth. Interventions tailored to homeless youth should be developed.","journal":"American Journal of Epidemiology","year":2021,"id":195343,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9528,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":766587,"name":"Hiraku Kumamaru","orcid":"0000-0002-9759-6191","position":1,"is_corresponding":false},{"id":690198,"name":"Dennys Estevez","orcid":null,"position":2,"is_corresponding":false},{"id":689497,"name":"Emily H. Marr","orcid":"0000-0001-9086-6745","position":3,"is_corresponding":false},{"id":767343,"name":"Edith Haghnazarian","orcid":null,"position":4,"is_corresponding":false},{"id":690199,"name":"Lauren E. M. Bedel","orcid":null,"position":5,"is_corresponding":false},{"id":766588,"name":"Laurie A. Mena","orcid":"0000-0003-3742-1434","position":6,"is_corresponding":false},{"id":766589,"name":"Mark S. Kaplan","orcid":"0000-0001-8511-9665","position":7,"is_corresponding":false},{"id":443795,"name":"Rie Sakai‐Bizmark","orcid":"0000-0003-2452-5832","position":0,"is_corresponding":true}],"reference_count":56,"raw_metadata":null,"created_at":"2026-07-18T23:50:07.691929Z","pmid":"33576370","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}