Patients at high risk of suicide before and during a COVID-19 lockdown: ecological momentary assessment study
Open accessAbstract
The coronavirus disease 2019 (COVID-19) outbreak may have affected the mental health of patients at high risk of suicide. In this study we explored the wish to die and other suicide risk factors using smartphone-based ecological momentary assessment (EMA) in patients with a history of suicidal thoughts and behaviour. Contrary to our expectations we found a decrease in the wish to die during lockdown. This is consistent with previous studies showing that suicide rates decrease during periods of social emergency. Smartphone-based EMA can allow us to remotely assess patients and overcome the physical barriers imposed by lockdown.
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In two studies, research personnel conducted an unspecified suicide risk assessment halfway through the 2-week EMA period, and in another study participants completed the CSSRS at baseline and follow-up and test assistants referred acute cases to the emergency department.
“In two studies, research personnel conducted an unspecified suicide risk assessment halfway through the 2-week EMA period (69), and in the other study participants completed the CSSRS at baseline and at follow-up and test assistants referred acute cases to the emergency department (70).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [70]
Digital phenotyping of suicidal ideators based on EMA data has so far been implemented by few.
“but so far implemented by few (50, 57, 70).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [70]
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References 14 · Cited by 18
- Authors
- Cobo, A., Porras-Segovia, A., Pérez-Rodríguez, M. M., Artés-Rodríguez, A., Barrigón, M. L., Courtet, P., & Baca-García, E.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Inserm (FR)
- ORCID
- Venue
- BJPsych Open
- Publisher
- Royal College of Psychiatrists
- Published
- 2021-04-16
- Volume
- 7
- Issue
- 3
- Pages
- e82-e82
- ISSN
- 2056-4724 (ISSN-L)
- PMC
- PMC8060530
- OpenAlex
- W3152933662
- Cited by
- 18
- References
- 14
- Citations by year
- 2026: 2 · 2025: 4 · 2023: 5 · 2022: 5 · 2021: 2
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BJPsych Open (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- e-Archivo (Carlos III University of Madrid) (submittedVersion, cc-by)
- Funders
- American Foundation for Suicide Prevention (20151073, RTI2018-099655-B-I00, (LSRG-1-005-16), TEC2017-92552-EXP)
- Comunidad de Madrid (Y2018/TCS-4705, PRACTICO-CM, TEC2017-92552-EXP, Y2018/TCS-4705)
- Ministerio de Ciencia, Innovación y Universidades (TEC2017-92552-EXP, RTI2018-099655-B-I00, RTI2018)
- Instituto de Salud Carlos III (ISCIII PI13/02200, ISCIII PI13/, LSRG-1-005-16, 20151073, CM19/00026, PI13/02200, PI16/01852)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- suicide risk, desire for death, COVID-19 lockdown, suicidal ideation, smartphone-based ecological momentary assessment, social emergency, mental health during pandemic
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