Multiple Victimizations Before and After Leaving Home Associated With PTSD, Depression, and Substance Use Disorder Among Homeless Youth

Kimberly Bender, Samantha M. Brown, Sanna J. Thompson, Kristin Ferguson-Colvin, Lisa Langenderfer

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Exposure to multiple forms of maltreatment during childhood is associated with serious mental health consequences among youth in the general population, but limited empirical attention has focused on homeless youth—a population with markedly high rates of childhood maltreatment followed by elevated rates of street victimization. This study investigated the rates of multiple childhood abuses (physical, sexual, and emotional abuse) and multiple street victimizations (robbery, physical assault, and sexual assault) and examined their relative relationships to mental health outcomes (meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for post-traumatic stress disorder [PTSD], depression, and substance use disorder) among a large (N = 601) multisite sample of homeless youth. Approximately 79% of youth retrospectively reported multiple childhood abuses (two or more types) and 28% reported multiple street victimizations (two or more types). Each additional type of street victimization nearly doubled youths’ odds for meeting criteria for substance use disorder. Furthermore, each additional type of childhood abuse experienced more than doubled youths’ odds for meeting criteria for PTSD. Both multiple abuses and multiple street victimizations were associated with an approximate twofold increase in meeting depression criteria. Findings suggest the need for screening, assessment, and trauma-informed services for homeless youth who consider multiple types of abuse and victimization experiences.

Original languageEnglish (US)
Pages (from-to)115-124
Number of pages10
JournalChild Maltreatment
Volume20
Issue number2
DOIs
StatePublished - May 22 2015
Externally publishedYes

Fingerprint

Homeless Youth
Crime Victims
Post-Traumatic Stress Disorders
Substance-Related Disorders
Depression
Mental Health
Needs Assessment
Sex Offenses
Diagnostic and Statistical Manual of Mental Disorders
Population
Wounds and Injuries

Keywords

  • homeless youth
  • mental health
  • multiple childhood abuse
  • street victimization

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Multiple Victimizations Before and After Leaving Home Associated With PTSD, Depression, and Substance Use Disorder Among Homeless Youth. / Bender, Kimberly; Brown, Samantha M.; Thompson, Sanna J.; Ferguson-Colvin, Kristin; Langenderfer, Lisa.

In: Child Maltreatment, Vol. 20, No. 2, 22.05.2015, p. 115-124.

Research output: Contribution to journalArticle

Bender, Kimberly ; Brown, Samantha M. ; Thompson, Sanna J. ; Ferguson-Colvin, Kristin ; Langenderfer, Lisa. / Multiple Victimizations Before and After Leaving Home Associated With PTSD, Depression, and Substance Use Disorder Among Homeless Youth. In: Child Maltreatment. 2015 ; Vol. 20, No. 2. pp. 115-124.
@article{fe7a31154d7449e2937f3581a4716073,
title = "Multiple Victimizations Before and After Leaving Home Associated With PTSD, Depression, and Substance Use Disorder Among Homeless Youth",
abstract = "Exposure to multiple forms of maltreatment during childhood is associated with serious mental health consequences among youth in the general population, but limited empirical attention has focused on homeless youth—a population with markedly high rates of childhood maltreatment followed by elevated rates of street victimization. This study investigated the rates of multiple childhood abuses (physical, sexual, and emotional abuse) and multiple street victimizations (robbery, physical assault, and sexual assault) and examined their relative relationships to mental health outcomes (meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for post-traumatic stress disorder [PTSD], depression, and substance use disorder) among a large (N = 601) multisite sample of homeless youth. Approximately 79{\%} of youth retrospectively reported multiple childhood abuses (two or more types) and 28{\%} reported multiple street victimizations (two or more types). Each additional type of street victimization nearly doubled youths’ odds for meeting criteria for substance use disorder. Furthermore, each additional type of childhood abuse experienced more than doubled youths’ odds for meeting criteria for PTSD. Both multiple abuses and multiple street victimizations were associated with an approximate twofold increase in meeting depression criteria. Findings suggest the need for screening, assessment, and trauma-informed services for homeless youth who consider multiple types of abuse and victimization experiences.",
keywords = "homeless youth, mental health, multiple childhood abuse, street victimization",
author = "Kimberly Bender and Brown, {Samantha M.} and Thompson, {Sanna J.} and Kristin Ferguson-Colvin and Lisa Langenderfer",
year = "2015",
month = "5",
day = "22",
doi = "10.1177/1077559514562859",
language = "English (US)",
volume = "20",
pages = "115--124",
journal = "Child Maltreatment",
issn = "1077-5595",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Multiple Victimizations Before and After Leaving Home Associated With PTSD, Depression, and Substance Use Disorder Among Homeless Youth

AU - Bender, Kimberly

AU - Brown, Samantha M.

AU - Thompson, Sanna J.

AU - Ferguson-Colvin, Kristin

AU - Langenderfer, Lisa

PY - 2015/5/22

Y1 - 2015/5/22

N2 - Exposure to multiple forms of maltreatment during childhood is associated with serious mental health consequences among youth in the general population, but limited empirical attention has focused on homeless youth—a population with markedly high rates of childhood maltreatment followed by elevated rates of street victimization. This study investigated the rates of multiple childhood abuses (physical, sexual, and emotional abuse) and multiple street victimizations (robbery, physical assault, and sexual assault) and examined their relative relationships to mental health outcomes (meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for post-traumatic stress disorder [PTSD], depression, and substance use disorder) among a large (N = 601) multisite sample of homeless youth. Approximately 79% of youth retrospectively reported multiple childhood abuses (two or more types) and 28% reported multiple street victimizations (two or more types). Each additional type of street victimization nearly doubled youths’ odds for meeting criteria for substance use disorder. Furthermore, each additional type of childhood abuse experienced more than doubled youths’ odds for meeting criteria for PTSD. Both multiple abuses and multiple street victimizations were associated with an approximate twofold increase in meeting depression criteria. Findings suggest the need for screening, assessment, and trauma-informed services for homeless youth who consider multiple types of abuse and victimization experiences.

AB - Exposure to multiple forms of maltreatment during childhood is associated with serious mental health consequences among youth in the general population, but limited empirical attention has focused on homeless youth—a population with markedly high rates of childhood maltreatment followed by elevated rates of street victimization. This study investigated the rates of multiple childhood abuses (physical, sexual, and emotional abuse) and multiple street victimizations (robbery, physical assault, and sexual assault) and examined their relative relationships to mental health outcomes (meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for post-traumatic stress disorder [PTSD], depression, and substance use disorder) among a large (N = 601) multisite sample of homeless youth. Approximately 79% of youth retrospectively reported multiple childhood abuses (two or more types) and 28% reported multiple street victimizations (two or more types). Each additional type of street victimization nearly doubled youths’ odds for meeting criteria for substance use disorder. Furthermore, each additional type of childhood abuse experienced more than doubled youths’ odds for meeting criteria for PTSD. Both multiple abuses and multiple street victimizations were associated with an approximate twofold increase in meeting depression criteria. Findings suggest the need for screening, assessment, and trauma-informed services for homeless youth who consider multiple types of abuse and victimization experiences.

KW - homeless youth

KW - mental health

KW - multiple childhood abuse

KW - street victimization

UR - http://www.scopus.com/inward/record.url?scp=84928159822&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928159822&partnerID=8YFLogxK

U2 - 10.1177/1077559514562859

DO - 10.1177/1077559514562859

M3 - Article

C2 - 25510502

AN - SCOPUS:84928159822

VL - 20

SP - 115

EP - 124

JO - Child Maltreatment

JF - Child Maltreatment

SN - 1077-5595

IS - 2

ER -