Cited by 125Mental Health Research TopicsSuicide and Self-Harm StudiesDigital Mental Health Interventions

Feasibility and validity of ecological momentary assessment in the investigation of suicide risk

Husky, Mathilde, Olié, Emilie, Guillaume, Sébastien, Genty, Catherine, Swendsen, Joel, Courtet, Philippe·2014·Psychiatry Research

Abstract

Ecological Momentary Assessment has been used to investigate a wide range of behaviors and psychiatric conditions. Previous investigations have consistently obtained promising results with high acceptance and compliance rates, and with only minor reactive effects for specific variables. Despite the promise of this methodology for the study of severe psychiatric populations, little is known about its feasibility in samples at risk for suicide. In the present study, four samples at varying risk for suicide completed an Ecological Momentary Assessment study by responding to five electronic assessments per day over a one-week period. Samples included healthy controls (n=13), affective controls (n=21), past suicide attempters (n=20), and recent suicide attempters (n=42). The results demonstrate satisfactory participation rates and high compliance with daily life repeated assessments across all groups. Importantly, negative thoughts or suicidal ideation were not reactive to the duration of the study, indicating that the repeated assessment of such cognitions in daily life have little or no effect on their frequency. The findings provide support for the use of Ecological Momentary Assessment in the study of suicidal ideation and suggest that mobile technologies represent new opportunities for the assessment of high-risk cognitive states experienced by patients in daily life.

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Crossref · 10.1016/j.psychres.2014.08.019

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  • Fixed schedules were almost exclusively used in studies with once-daily prompts, whereas pseudo-random schedules were typically used for repeated within-day assessments.

    “Fixed schedules were almost exclusively used in studies with once-daily prompts (as well as three older studies with PDAs (45, 81, 82)), whereas pseudo-random schedules were typically used for repeated within-day assessments.”
  • Studies frequently (57%, n = 13) reported that participants could provide input about their daily schedules, allowing EMA prompt windows to be adjusted for each participant.

    “Studies frequently (57%, n = 13; (47, 51, 58, 60, 61, 69, 71, 79–81, 85, 86)) reported that participants could provide input about their daily schedules (incl. sleep and wake times), allowing EMA prompt windows to be adjusted for each participant”
  • Baseline depression severity (HAMD) predicted EMA-assessed sad mood and negative thoughts, including suicidal ideation.

    “Baseline depression severity [Hamilton Depression Rating Scale, HAMD (92)] predicted EMA-assessed sad mood and negative thoughts (incl. suicidal ideation) (81).”
  • Practice effects were observed by participant response times decreasing over time.

    “Practice effects were also observed by participant's response times decreasing over time (81).”
  • Acceptance was highest among outpatients with a recent history of a suicide attempt (88%), compared to clinical controls (68%) and healthy controls (77%).

    “Comparing three subgroups, acceptance was highest among outpatients with a recent history of a suicide attempt (88%), as compared to clinical controls (i.e., 68% outpatients without a history of suicide attempts), and healthy controls [77%; (81)].”

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Authors
Husky, M., Olié, E., Guillaume, S., Genty, C., Swendsen, J., & Courtet, P.
Affiliations
  • Institut Universitaire de France (FR)
  • Inserm (FR)
  • Centre National de la Recherche Scientifique (FR)
Corresponding author
Husky, Mathilde
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2014-12
Volume
220
Issue
1-2
Pages
564-570
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2095267443
Cited by
124
References
33
Citations by year
2026: 6 · 2025: 9 · 2024: 8 · 2023: 7 · 2022: 8 · 2021: 19 · 2020: 14 · 2019: 13 · 2018: 13 · 2017: 12 · 2016: 9 · 2015: 5 · 2014: 1
FWCI
12.49
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
ecological momentary assessment, suicide risk, suicidal ideation, suicide attempters, mobile technology, reactivity effects, participant compliance
MeSH terms
Adult, Mental Disorders, Female, Humans, Male, Middle Aged, Suicide, Attempted, Risk Assessment, Suicidal Ideation

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