PreprintCited by 10Suicide and Self-Harm StudiesMental Health Research TopicsDigital Mental Health Interventions

Smartphone-Based Safety Planning and Self-Monitoring for Suicidal Patients: A Conceptual Basis for the CASPAR (Continuous Assessment for Suicide Prevention and Research) Study

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Nuij, Chani, Van Ballegooijen, Wouter, Ruwaard, Jeroen, de Beurs, Derek, O'Connor, Rory C., Smit, Jan H., Riper, Heleen, Kerkhof, Ad·2017·Preprints.org

Abstract

Suicidal behaviour remains difficult to predict and prevent, even for experienced mental health care professionals. The known distal risk factors for suicidal behaviour are not sufficiently specific to fully understand the complex dynamic processes that precede a suicide attempt. Real-time mobile monitoring data can be used to analyse proximal risk mechanisms within the suicidal process. At the same time smartphone-based safety planning and self-monitoring may enhance a patient’s self-management skills thereby increasing their capacity to respond to a suicidal crisis and to become more aware of crisis symptoms. The current paper describes the theoretical and conceptual rationale for the CASPAR study which applies an innovative approach to the study of suicidal processes. It uses basic science approaches to inform the implementation of an innovative suicide prevention intervention. We aim to develop and implement mobile safety plan in conjunction with real-time monitoring in order to both directly implement suicide prevention interventions and to study the ongoing dynamics of individual suicidal behaviour by applying network analysis.

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Research works printed but not linked: 60

  1. O'Connor, R. C.; Nock, M. K. The psychology of suicidal behaviour. The Lancet Psychiatry 2014, 1, 73- 85.
  2. Franklin, J. C.; Ribeiro, J. D.; Fox, K. R.; Bentley, K. H.; Kleiman, E. M.; Huang, X.; Musacchio, K. M.; Jaroszewski, A. C.; Chang, B. P.; Nock, M. K. Risk Factors for Suicidal Thoughts and Behaviors: A Meta-Analysis of 50 Years of Research. Psychol. Bull. 2016, 143, 187-232.
  3. Ribeiro, J. D.; Joiner, T. E. The interpersonal-psychological theory of suicidal behavior: current status and future directions. J. Clin. Psychol. 2009, 65, 1291-1299.
  4. Nock, M. K.; Borges, G.; Bromet, E. J.; Cha, C. B.; Kessler, R. C.; Lee, S. Suicide and Suicidal Behavior. Epidemiol. Rev. 2008, 30, 133-154.
  5. Gysin-Maillart, A.; Schwab, S.; Soravia, L.; Megert, M.; Michel, K. A Novel Brief Therapy for Patients Who Attempt Suicide: A 24-months Follow-Up Randomized Controlled Study of the Attempted Suicide Short Intervention Program (ASSIP). PLoS Med. 2016, 13, e1001968.
  6. Luoma, J. B.; Martin, C. E.; Pearson, J. L. Contact With Mental Health and Primary Care Providers Before Suicide: A Review of the Evidence. Am. J. Psychiatry 2002, 159, 909-916.
  7. Klonsky, E. D.; May, A. M.; Saffer, B. Y. Suicide, Suicide Attempts, and Suicidal Ideation. Annu. Rev. Clin. Psychol. 2016, 12, 307-330.
  8. Pearson, J. L.; Stanley, B.; King, C. A.; Fisher, C. B. Intervention research with persons at high risk for suicidality: safety and ethical considerations. J. Clin. Psychiatry 2001, 62, 17-26.
  9. Kennard, B. D.; Biernesser, C.; Wolfe, K. L.; Foxwell, A. A.; Lee, S. J. C.; Rial, K. V; Patel, S.; Cheng, C.; Goldstein, T.; Mcmakin, D. Developing a brief suicide prevention intervention and mobile phone application : a qualitative report. J. Technol. Hum. Serv. 2015, 33, 345-357.
  10. Rudd, M. D.; Joiner, T.; Rajab, M. H. Treating suicidal behavior: an effective, time-limited approach; The Guildford Press: New York, 2001.
  11. Jobes, D. A. Managing suicidal risk: a collaborative approch; The Guildford Press: New York, 2006.
  12. Stanley, B.; Brown, G.; Brent, D. A.; Wells, K.; Poling, K.; Curry, J.; Kennard, B. D.; Wagner, A.; Cwik, M. F.; Klomek, A. B.; Goldstein, T.; Vitiello, B.; Barnett, S.; Daniel, S.; Hughes, J. Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability. J. Am. Acad. Child Adolesc. Psychiatry 2009, 48, 1005-1013.
  13. Stanley, B.; Brown, G. K. Safety Planning Intervention: A Brief Intervention to Mitigate Suicide Risk. Cogn. Behav. Pract. 2012, 19, 256-264.
  14. Kayman, D. J.; Goldstein, M. F.; Wilsnack, J.; Goodman, M. Safety Planning for Suicide Prevention. Curr. Treat. Options Psychiatry 2016, 3, 411-420.
  15. Brown, G. K.; Ten Have, T.; Henriques, G. R.; Xie, S. X.; Hollander, J. E.; Beck, A. T. Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial. JAMA 2005, 294, 563-570.
  16. de Beurs, D. P.; de Groot, M. H.; de Keijser, J.; Mokkenstorm, J.; van Duijn, E.; de Winter, R. F. P.; Kerkhof, A. J. F. M. The effect of an e-learning supported Train-the-Trainer programme on implementation of suicide guidelines in mental health care. J. Affect. Disord. 2015, 175, 446-453.
  17. Torous, J.; Roberts, L. W. The Ethical Use of Mobile Health Technology in Clinical Psychiatry. J. Nerv. Ment. Dis. 2017, 205, 4-8.
  18. World Health Organization Preventing suicide: a global imperative; 2014. Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 18 April 2017 doi:10.20944/preprints201704.0103.v1
  19. Larsen, M. E.; Nicholas, J.; Christensen, H. A Systematic Assessment of Smartphone Tools for Suicide Prevention. PLoS One 2016, 11, e0152285.
  20. Aguirre, R. T. P.; McCoy, M. K.; Roan, M. Development Guidelines from a Study of Suicide Prevention Mobile Applications (Apps). J. Technol. Hum. Serv. 2013, 31, 269-293.
  21. Larsen, J. L. S.; Frandsen, H.; Erlangsen, A. MYPLAN -A mobile phone application for supporting people at risk of suicide. Crisis 2016, 37, 236-240.
  22. Stone, A. A.; Shiffman, S. Ecological momentary assessment (EMA) in behavioral medicine. Ann. Behav. Med. 1994, 16, 199-202.
  23. Shiffman, S.; Stone, A. A.; Hufford, M. R. Ecological momentary assessment. Annu. Rev. Clin. Psychol. 2008, 4, 1-32.
  24. Bolger, N.; Davis, A.; Rafaeli, E. Diary methods: capturing life as it is lived. Annu. Rev. Psychol. 2003, 54, 579-616.
  25. Trull, T. J.; Ebner-Priemer, U. W. Using experience sampling methods/ecological momentary assessment (ESM/EMA) in clinical assessment and clinical research: Introduction to the special section. Psychol. Assess. 2009, 21, 457-462.
  26. Courvoisier, D. S.; Eid, M.; Lischetzke, T.; Schreiber, W. H. Psychometric properties of a computerized mobile phone method for assessing mood in daily life. Emotion 2010, 10, 115-124.
  27. Torous, J.; Staples, P.; Shanahan, M.; Lin, C.; Peck, P.; Keshavan, M.; Onnela, J.-P. Utilizing a Personal Smartphone Custom App to Assess the Patient Health Questionnaire-9 (PHQ-9) Depressive Symptoms in Patients With Major Depressive Disorder. JMIR Ment. Heal. 2015, 2, e8.
  28. Groot, P. C. Patients can diagnose too: How continuous self-assessment aids diagnosis of, and recovery from, depression. J. Ment. Health 2010, 19, 352-362.
  29. Freedman, M. J.; Lester, K. M.; McNamara, C.; Milby, J. B.; Schumacher, J. E. Cell phones for ecological momentary assessment with cocaine-addicted homeless patients in treatment. J. Subst. Abuse Treat. 2006, 30, 105-111.
  30. Schrimsher, G.; Filtz, K. Assessment Reactivity: Can Assessment of Alcohol Use During Research be an Active Treatment? Alcohol. Treat. Q. 2011, 29, 108-115.
  31. Aaron, L. A.; Mancl, L.; Turner, J. A.; Sawchuk, C. N.; Klein, K. M. Reasons for missing interviews in the daily electronic assessment of pain, mood, and stress. Pain 2004, 109, 389-398.
  32. Nock, M. K.; Prinstein, M. J.; Sterba, S. K. Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. J. Abnorm. Psychol. 2009, 118, 816-827.
  33. Eynan, R.; Bergmans, Y.; Antony, J.; Cutcliffe, J. R.; Harder, H. G.; Ambreen, M.; Balderson, K.; Links, P. S. The effects of suicide ideation assessments on urges to self-harm and suicide. Crisis 2014, 35, 123- 131.
  34. Palmius, N.; Tsanas, A.; Saunders, K. E. A.; Bilderbeck, A. C.; Geddes, J. R.; Goodwin, G. M.; De Vos, M. Detecting Bipolar Depression from Geographic Location Data. IEEE Trans. Biomed. Eng. 2016, 1-1.
  35. Asselbergs, J.; Ruwaard, J.; Ejdys, M.; Schrader, N.; Sijbrandij, M.; Riper, H. Mobile Phone-Based Unobtrusive Ecological Momentary Assessment of Day-to-Day Mood: An Explorative Study. J. Med. Internet Res. 2016, 18, e72.
  36. Kroenke, K.; Spitzer, R. L.; Williams, J. B. The PHQ-9: validity of a brief depression severity measure. J. Gen. Intern. Med. 2001, 16, 606-613.
  37. Griffiths, A. W.; Wood, A. M.; Maltby, J.; Taylor, P. J.; Panagioti, M.; Tai, S. The Development of the Short Defeat and Entrapment Scale (SDES). Psychol. Assess. 2015, 27, 1182.
  38. Wichers, M.; Simons, C. J. P.; Kramer, I. M. A.; Hartmann, J. A.; Lothmann, C.; Myin-Germeys, I.; van Bemmel, A. L.; Peeters, F.; Delespaul, P.; van Os, J. Momentary assessment technology as a tool to help patients with depression help themselves. Acta Psychiatr. Scand. 2011, 124, 262-272.
  39. Preprints (www.preprints.org) | NOT PEER-REVIEWED | Posted: 18 April 2017 doi:10.20944/preprints201704.0103.v1
  40. Nock, M. K.; Borges, G.; Bromet, E. J.; Cha, C. B.; Kessler, R. C.; Lee, S. Suicide and suicidal behavior. Epidemiol. Rev. 2008, 30, 133-154.
  41. O'Connor, R. C. Towards an Integrated Motivational-Volitional Model of Suicidal Behaviour. In International handbook of suicide prevention: Research, policy and practice; O'Connor, R. C.; Platt, S.; Gordon, J., Eds.; Wiley-Blackwell: Chichester, UK, 2011; pp. 181-198.
  42. Ajzen, I. The theory of planned behavior. Organ. Behav. Hum. Decis. Process. 1991, 50, 179-211.
  43. Schotte, D. E.; Clum, G. A. Problem-solving skills in suicidal psychiatric patients. J. Consult. Clin. Psychol. 1987, 55, 49-54.
  44. Williams, J. M. G. Suicide and Attempted Suicide: Understanding the cry of pain.; Penguin: London, 2001.
  45. Tucker, R. P.; O'Connor, R. C.; Wingate, L. R. An Investigation of the Relationship Between Rumination Styles, Hope, and Suicide Ideation Through the Lens of the Integrated Motivational- Volitional Model of Suicidal Behavior. Arch. Suicide Res. 2016, 20, 553-566.
  46. O'Connor, R. C.; Smyth, R.; Ferguson, E.; Ryan, C.; Williams, J. M. G. Psychological processes and repeat suicidal behavior: A four-year prospective study. J. Consult. Clin. Psychol. 2013, 81, 1137-1143.
  47. O'Connor, R. C.; Rasmussen, S.; Hawton, K. Distinguishing adolescents who think about self-harm from those who engage in self-harm. Br. J. Psychiatry 2012, 200, 330-335.
  48. Lubin, G.; Werbeloff, N.; Halperin, D.; Shmushkevitch, M.; Weiser, M.; Knobler, H. Y. Decrease in suicide rates after a change of policy reducing access to firearms in adolescents: a naturalistic epidemiological study. Suicide Life. Threat. Behav. 2010, 40, 421-424.
  49. Mann, J. J.; Apter, A.; Bertolote, J.; Beautrais, A.; Currier, D.; Haas, A.; Hegerl, U.; Lonnqvist, J.; Malone, K.; Marusic, A.; Mehlum, L.; Patton, G.; Phillips, M.; Rutz, W.; Rihmer, Z.; Schmidtke, A.; Shaffer, D.; Silverman, M.; Takahashi, Y.; Varnik, A.; Wasserman, D.; Yip, P.; Hendin, H. Suicide Prevention Strategies: A Systematic Review. JAMA 2005, 294, 2064.
  50. de Beurs, D.; Kirtley, O.; Kerkhof, A.; Portzky, G.; O'Connor, R. C. The Role of Mobile Phone Technology in Understanding and Preventing Suicidal Behavior. Crisis 2015, 36, 79-82.
  51. Bagozzi, R. P.; Yi, Y. Specification, evaluation, and interpretation of structural equation models. J. Acad. Mark. Sci. 2012, 40, 8-34.
  52. Borsboom, D.; Cramer, A. O. Network analysis: an integrative approach to the structure of psychopathology. Annu.Rev.Clin.Psychol. 2013, 9, 91-121.
  53. Schmittmann, V. D.; Cramer, A. O. J.; Waldorp, L. J.; Epskamp, S.; Kievit, R. A.; Borsboom, D. Deconstructing the construct: A network perspective on psychological phenomena. New Ideas Psychol. 2013, 31, 43-53.
  54. Isvoranu, A.-M.; van Borkulo, C. D.; Boyette, L.-L.; Wigman, J. T. W.; Vinkers, C. H.; Borsboom, D.; Group Investigators A Network Approach to Psychosis: Pathways Between Childhood Trauma and Psychotic Symptoms. Schizophr. Bull. 2017, 43, 187-196.
  55. Cramer, A. O. J.; van der Sluis, S.; Noordhof, A.; Wichers, M.; Geschwind, N.; Aggen, S. H.; Kendler, K. S.; Borsboom, D. Dimensions of Normal Personality as Networks in Search of Equilibrium: You Can't Like Parties if You Don't Like People. Eur. J. Pers. 2012, 26, 414-431.
  56. van Borkulo, C.; Boschloo, L.; Borsboom, D.; Penninx, B. W. J. H.; Waldorp, L. J.; Schoevers, R. A. Association of Symptom Network Structure With the Course of longitudinal Depression. JAMA psychiatry 2015, 72, 1219-1226.
  57. Fried, E. I.; Epskamp, S.; Nesse, R. M.; Tuerlinckx, F.; Borsboom, D. What are "good" depression symptoms? Comparing the centrality of DSM and non-DSM symptoms of depression in a network analysis. J. Affect. Disord. 2016, 189, 314-320.
  58. Brooke, J. SUS: A quick and dirty usability scale. Usebility Eval. Ind. 1996, 189, 4-7.
  59. Bangor, A.; Kortum, P. T.; Miller, J. T. An Empirical Evaluation of the System Usability Scale. Int. J. Hum. Comput. Interact. 2008, 24, 574-594.
  60. Mishara, B. L.; Weisstub, D. N. Ethical and legal issues in suicide research. Int. J. Law Psychiatry 2005, 28, 23-41.

Cited by

Sorted by citations

Authors
Nuij, C., Van Ballegooijen, W., Ruwaard, J., de Beurs, D., O'Connor, R. C., Smit, J. H., Riper, H., & Kerkhof, A.
Affiliations
Vrije Universiteit Amsterdam (NL)
Corresponding author
Nuij, Chani
Venue
Preprints.org
Publisher
MDPI AG
Published
2017-04-18
Pages
2017040103
OpenAlex
W2613282026
Cited by
10
References
2
Citations by year
2024: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 2
Type
posted content
Language
en
Open access
Locations
  • Preprints.org (acceptedVersion, cc-by)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Preprints
Funders
ZonMw (537001008)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
suicide prevention, suicidal behavior, safety planning, self-monitoring, smartphone-based monitoring, mobile health, proximal risk factors, suicide prevention interventions, network analysis, self-management, crisis symptoms

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