{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T04:27:40Z","timestamp":1790137660879,"version":"4.0.1"},"reference-count":39,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Abstract. Background: Youth experiencing homelessness are at risk for sex trafficking and mental health concerns. Aims: More information is needed to elucidate the prevalence and characteristics of suicidal ideation and behavior among youth experiencing sex trafficking. Method: The present study examined suicidal ideation and behavior in a convenience sample of 128 youths experiencing homelessness aged 12\u201325 years in metropolitan Louisville, Kentucky, and southern Indiana. Participants were asked seven questions regarding suicidal ideation and attempts as part of an enhanced version of the 60-item Youth Experiences Survey (YES). Results: Approximately 53% of the sample reported experiencing suicidal ideation at some point in their lifetime and the odds of a youth experiencing homelessness who had experienced sex trafficking reporting suicidal ideation was 3.87 times higher than the odds of a youth experiencing homelessness who had not experienced sex trafficking. Additionally, of those who reported experiencing suicidal ideation, the majority (84.4%) reported they had attempted suicide in their lifetime. Limitations: This study relied on a convenience sample of youth receiving services in the Kentuckiana region and brief, self-report measures yielding categorical data. Conclusion: Programs servicing youth experiencing homelessness should require additional training and resources regarding the identification, screening, and assessment of youth who are at risk of or who have experienced sex trafficking in order to more quickly connect youth with much-needed, trauma-informed services.<\/jats:p>","DOI":"10.1027\/0227-5910\/a000557","type":"journal-article","created":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T10:40:51Z","timestamp":1540896051000},"page":"240-248","source":"Crossref","is-referenced-by-count":34,"title":["Suicidal Ideation and Behavior Among Youth Victims of Sex Trafficking in Kentuckiana"],"prefix":"10.1027","volume":"40","author":[{"given":"Laura M.","family":"Frey","sequence":"first","affiliation":[{"name":"Kent School of Social Work, University of Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Middleton","sequence":"additional","affiliation":[{"name":"Kent School of Social Work, University of Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice N.","family":"Gattis","sequence":"additional","affiliation":[{"name":"Kent School of Social Work, University of Louisville, KY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Fulginiti","sequence":"additional","affiliation":[{"name":"Graduate School of Social Work, University of Denver, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2016.1224989"},{"key":"c2","unstructured":"Bigelsen, J. & Vuotto, S. (2013).Homelessness, survival sex, and human trafficking: As experienced by the youth of Covenant House New York. Retrieved from http:\/\/www.covenanthouse.org\/sites\/default\/files\/attachments\/Covenant-Housetrafficking-study.pdf"},{"key":"c3","volume-title":"Statistical power analysis for the behavioral sciences.","author":"Cohen J.","year":"1988"},{"key":"c4","unstructured":"Columbia Lighthouse Project. (2016).Screener with triage for primary care settings.Retrieved from http:\/\/cssrs.columbia.edu\/documents\/c-ssrs-screener-triage-primary-care\/"},{"key":"c5","unstructured":"Covenant House. (2017).Teen homelessness statistics.Retrieved from https:\/\/www.covenanthouse.org\/homeless-teen-issues\/statistics"},{"key":"c6","volume-title":"Finding a path to recovery: Residential facilities for minor victims of domestic sex trafficking. Human trafficking: Data and documents, paper 10.","author":"Clawson H. J.","year":"2007"},{"key":"c7","first-page":"e22","volume":"6","author":"Deshpande N. A.","year":"2013","journal-title":"Reviews in Obstetrics & Gynecology"},{"key":"c8","volume-title":"Suicide: A study in sociology (J. A. Spaulding & G. Simpson, Trans.).","author":"Durkheim E.","year":"1951"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3203_07"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1037\/e457292008-001"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1177\/0192513X13515885"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000374"},{"key":"c13","doi-asserted-by":"crossref","DOI":"10.5040\/9798216985358","volume-title":"Runaway kids and teenage prostitution.","author":"Flowers R. B.","year":"2001"},{"key":"c14","volume-title":"Sex crimes, predators, perpetrators, prostitutes, and victims: An examination of sexual criminality and victimization.","author":"Flowers R. B.","year":"2001"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1080\/01488376.2011.633814"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1037\/ort0000096"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7374.1207"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2008.10.003"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2012.42.2.178"},{"key":"c20","unstructured":"International Labour Organization. (2014).Profits and poverty: The economics of forced labour.Retrieved from http:\/\/www.ilo.org\/wcmsp5\/groups\/public\/-ed_norm\/-declaration\/docu\u200bments\/publication\/wcms_243391.pdf"},{"key":"c21","volume-title":"Why people die by suicide.","author":"Joiner T.","year":"2005"},{"key":"c22","doi-asserted-by":"publisher","DOI":"10.1080\/13811110903478997"},{"key":"c23","first-page":"61","volume":"23","author":"Lederer L. J.","year":"2014","journal-title":"Annals of Health Law"},{"key":"c24","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-012-0292-0"},{"key":"c25","unstructured":"President's Interagency Taskforce to Monitor and Combat Trafficking in Persons. (2014).Federal strategic action plan on services for victims of human trafficking in the United States, 2013\u20132017.Washington, DC: US Department of Justice, US Department of Health and Human Services, and US Department of Homeland Security. Retrieved from http:\/\/www.ovc.gov\/pubs\/FederalHumanTraffickingStrategicPlan.pdf"},{"key":"c26","volume-title":"Sex trafficking of women in the United States: International and domestic trends. US Department of Justice.","author":"Raymond J. G.","year":"2001"},{"key":"c27","volume-title":"Youth experiences survey: Exploring the sex trafficking experiences of homeless young adults in Arizona, Year 3. Office of Sex Trafficking Intervention Research.","author":"Roe-Sepowitz D.","year":"2016"},{"key":"c28","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-015-9545-2"},{"key":"c29","volume-title":"2012 National strategy for suicide prevention: Goals and objectives for action.","author":"US Department of Health and Human Services (HHS), Office of the Surgeon General and National Action Alliance for Suicide Prevention","year":"2012"},{"key":"c30","unstructured":"US Department of State, Office to Monitor and Combat Trafficking in Persons. (2000).Victims of trafficking and violence protection act of 2000.Retrieved from https:\/\/www.state.gov\/j\/tip\/laws\/61124.htm"},{"key":"c31","unstructured":"US Department of State, Office to Monitor and Combat Trafficking in Persons. (2013).Trafficking in persons report.Retrieved from https:\/\/www.state.gov\/documents\/organization\/210737.pdf"},{"key":"c32"},{"key":"c33","volume-title":"Ending the commercial sexual exploitation of children: A call for multisystem collaboration in California.","author":"Walker K.","year":"2013"},{"key":"c34","unstructured":"West Coast Children's Clinic. (2012).Research to action: Sexually exploited minors (SEM) needs and strengths.Oakland, CA: West Coast Children's Clinic. Retrieved from http:\/\/www.westcoastcc.org\/WCC_SEM_Needs-and-Strengths_FINAL.pdf"},{"key":"c35","doi-asserted-by":"publisher","DOI":"10.1111\/1467-8624.00181"},{"key":"c36","first-page":"293","volume":"17","author":"Wiklander M.","year":"2003","journal-title":"Nordic College of Caring Sciences"},{"key":"c37","unstructured":"World Health Organization. (2012).Human trafficking: Understanding and addressing violence against women.Retrieved from http:\/\/www.who.int\/reproductivehealth\/publications\/violence"},{"key":"c38","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-007-9163-y"},{"key":"c39","unstructured":"Zimmerman, C., Hossain, M., Yun, K., Roche, B., Morison, L. & Watts, C. (2006).Stolen smiles: A summary report on the physical and psychological health consequences of women and adolescents trafficked in Europe.London, UK: London School of Hygiene & Tropical Medicine. 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