# Premature death on the margins: suicide and overdose as preventable external causes among people experiencing homelessness

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- Page title: Premature death on the margins: suicide and overdose as preventable external causes among people experiencing homelessness | WCP 2026 Summary

> In a 20-year cohort of people experiencing homelessness, suicide and overdose accounted for more than one-third of all deaths, emerging as leading preventable…

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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0089

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# Premature death on the margins: suicide and overdose as preventable external causes among people experiencing homelessness

PREMATURE DEATH AT THE EDGE: SUICIDE AND OVERDOSE AS PREVENTABLE EXTERNAL CAUSES AMONG PEOPLE EXPERIENCING HOMELESSNESS

Sunan: Fran Calvo

Ülke: Spain

In a 20-year cohort of people experiencing homelessness, suicide and overdose accounted for more than one-third of all deaths, emerging as leading preventable causes of premature mortality.

The study aimed to describe mortality patterns in a 20-year cohort of people experiencing homelessness (PEH) in Girona, Spain, quantify the burden of suicide and overdose deaths, and identify the sociodemographic and clinical correlates of mortality from external causes. Using a retrospective cohort design, a cohort of 4,882 individuals was established by linking public health and social service records from 2006–2024, and 495 deaths were analyzed. Sociodemographic, forensic, psychiatric, addiction, infectious disease, and chronic disease data, along with age at death and cause of death, were assessed using descriptive statistics, bivariate comparisons, and binary logistic regression. The mean age at death was 53.0 years (SD 13.3), approximately thirty years lower than that of the general Spanish population. The leading causes of death were suicide (23.1%), liver cirrhosis (15.4%), overdose (13.8%), cancer (11.1%), and heart disease (9.9%); suicide and overdose together accounted for 38.1% of all deaths. Suicide was more common among women and divorced individuals, whereas overdose was more common among men. In adjusted analyses, mortality from external causes was associated with personality disorder (odds ratio, OR=14.14) and psychosis (OR=4.39), while neoplasia showed a protective association (OR=0.10). The authors emphasize that suicide and overdose were not marginal events in this cohort but dominant pathways to premature death. They recommend integrating psychiatric care, addiction treatment, housing support, and social protection; actively identifying high-risk profiles, particularly individuals with psychosis and personality disorders; and developing gender-sensitive strategies for suicide and overdose prevention.

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APA 7: Calvo, F., Al-Halabí, S., Bermúdez, A. L., & Mayolas, S. F. (2026, September 23-26). Premature death at the edge: suicide and overdose as preventable external causes among people experiencing homelessness [E-poster]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden. https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/11

Vancouver: Calvo F, Al-Halabí S, Bermúdez AL, Mayolas SF. Premature death at the edge: suicide and overdose as preventable external causes among people experiencing homelessness [e-poster]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden. Available from: https://cslide.ctimeetingtech.com/wcp26/attendee/eposter/file/11

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