{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T03:25:43Z","timestamp":1774581943591,"version":"3.50.1"},"reference-count":37,"publisher":"BMJ","issue":"1","funder":[{"name":"This work was supported by the Dublin Region Homeless Executive and the Health Service Executive"},{"name":"This work was supported by the Dublin Region Homeless Executive and the Health Service Executive"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,9,18]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To calculate standardised mortality ratios (SMRs) for a cohort of homeless people in the Dublin region over a 5-year period and to examine leading causes of death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Homeless services reporting deaths from homeless persons in their care across the Dublin Homeless Region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Death data among people who experience homelessness was acquired from the Dublin Region Homeless Executive (2011\u20132015) and validated from both death certificates and records from the Dublin Coroner\u2019s Office.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Two hundred and nine deaths were recorded; of these 201 were verified (n=156 males, 77.6%). Deaths that could not be verified by certificate or coroners record were excluded from the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SMRs were 3\u201310 times higher in homeless men and 6\u201310 times higher in homeless women compared with the general population. Drug and alcohol-related deaths were the leading cause of death, accounting for 38.4% of deaths in homeless individuals. These were followed by circulatory (20%) and respiratory causes (13%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mortality rates among homeless persons are exceptionally high. 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