Prevalence of mental health conditions, substance use disorders, suicidal ideation and attempts, and experiences of homelessness among Veterans with criminal-legal involvement: A meta-analysis.

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2025-02-01 Epub Date: 2024-12-24 DOI:10.1016/j.cpr.2024.102533

Emily R Edwards, Anthony Fortuna, Ryan Holliday, Helena Addison, Jack Tsai

{"title":"Prevalence of mental health conditions, substance use disorders, suicidal ideation and attempts, and experiences of homelessness among Veterans with criminal-legal involvement: A meta-analysis.","authors":"Emily R Edwards, Anthony Fortuna, Ryan Holliday, Helena Addison, Jack Tsai","doi":"10.1016/j.cpr.2024.102533","DOIUrl":null,"url":null,"abstract":"<p><p>Veterans with histories of criminal-legal system involvement are considered high-priority within Veterans Health Administration (VHA) and criminal-legal settings. Over several decades, a large literature has accumulated to study these Veterans' needs. To consolidate findings, this meta-analysis provides aggregated prevalence estimates of common mental health conditions, substance use disorders, suicidal thoughts and behaviors, and experiences of homelessness among Veterans with current or prior involvement with the United States criminal-legal system. A total of 79 samples encompassing over 1.2 million Veterans were analyzed. Results estimate 8 in 10 Veterans with criminal-legal involvement experience a mental health condition, 7 in 10 a substance use disorder, 1 in 10 a history of suicidal ideation, and 4 in 10 a history of homelessness. Veterans with current (versus prior) criminal-legal involvement had higher rates of alcohol use, drug use, and current homelessness. Samples consisting of Veterans with a history of incarceration and samples collected in non-VHA settings tended to have lower rates of psychosocial difficulty relative to samples consisting of Veterans with other forms of criminal-legal involvement or collected in VHA settings, respectively. Remaining gaps in the literature include research on criminal-legal involved Veterans under community supervision, and/or from demographic minority groups.</p>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"115 ","pages":"102533"},"PeriodicalIF":13.7000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Psychology Review","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1016/j.cpr.2024.102533","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/24 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Veterans with histories of criminal-legal system involvement are considered high-priority within Veterans Health Administration (VHA) and criminal-legal settings. Over several decades, a large literature has accumulated to study these Veterans' needs. To consolidate findings, this meta-analysis provides aggregated prevalence estimates of common mental health conditions, substance use disorders, suicidal thoughts and behaviors, and experiences of homelessness among Veterans with current or prior involvement with the United States criminal-legal system. A total of 79 samples encompassing over 1.2 million Veterans were analyzed. Results estimate 8 in 10 Veterans with criminal-legal involvement experience a mental health condition, 7 in 10 a substance use disorder, 1 in 10 a history of suicidal ideation, and 4 in 10 a history of homelessness. Veterans with current (versus prior) criminal-legal involvement had higher rates of alcohol use, drug use, and current homelessness. Samples consisting of Veterans with a history of incarceration and samples collected in non-VHA settings tended to have lower rates of psychosocial difficulty relative to samples consisting of Veterans with other forms of criminal-legal involvement or collected in VHA settings, respectively. Remaining gaps in the literature include research on criminal-legal involved Veterans under community supervision, and/or from demographic minority groups.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

退伍军人的精神健康状况、物质使用障碍、自杀意念和企图以及无家可归经历的流行：一项荟萃分析

在退伍军人健康管理局（VHA）和刑事法律设置中，有刑事法律系统参与历史的退伍军人被认为是优先考虑的对象。几十年来，研究这些退伍军人需求的大量文献已经积累起来。为了巩固研究结果，本荟萃分析提供了目前或以前与美国刑事法律系统有关的退伍军人中常见精神健康状况、物质使用障碍、自杀想法和行为以及无家可归经历的总体流行估计。总共分析了79个样本，涵盖120多万退伍军人。结果估计，每10名有刑事法律问题的退伍军人中就有8人有精神健康问题，每10人中有7人有药物使用障碍，每10人中有1人有自杀念头，每10人中有4人有无家可归的历史。目前（与以前相比）有刑事法律行为的退伍军人饮酒、吸毒和目前无家可归的比例更高。有监禁史的退伍军人样本和在非VHA环境中收集的样本相对于有其他形式的刑事法律参与的退伍军人样本或在VHA环境中收集的样本，心理社会困难的发生率更低。文献中剩余的空白包括对社区监督下的退伍军人和/或人口少数群体的刑事法律研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.