Psychological Assessment,
Год журнала:
2023,
Номер
36(1), С. 66 - 80
Опубликована: Ноя. 3, 2023
Ecological
momentary
assessment
(EMA)
is
increasingly
used
to
study
suicidal
thoughts
and
behaviors
(STBs).
There
a
potential
ethical
obligation
for
researchers
intervene
when
receiving
information
about
in
real
time.
A
possible
concern,
however,
that
intervening
responses
indicate
high
risk
suicide
during
EMA
research
may
impact
how
participants
respond
questions
thus
affect
the
validity
integrity
of
collected
data.
We
leveraged
data
from
adults
adolescents
(
Psychological Medicine,
Год журнала:
2025,
Номер
55
Опубликована: Янв. 1, 2025
Abstract
Background
Recent
research
highlights
the
dynamics
of
suicide
risk,
resulting
in
a
shift
toward
real-time
methodologies,
such
as
ecological
momentary
assessment
(EMA),
to
improve
risk
identification.
However,
EMA’s
reliance
on
active
self-reporting
introduces
challenges,
including
participant
burden
and
reduced
response
rates
during
crises.
This
study
explores
potential
Screenomics—a
passive
digital
phenotyping
method
that
captures
intensive,
smartphone
screenshots—to
detect
through
text-based
analysis.
Method
Seventy-nine
participants
with
past-month
suicidal
ideation
or
behavior
completed
daily
EMA
prompts
provided
data
over
28
days,
approximately
7.5
million
screenshots.
Text
from
screenshots
was
analyzed
using
validated
dictionary
encompassing
suicide-related
general
language.
Results
indicated
significant
associations
between
planning
specific
language
patterns.
Detection
words
related
thoughts
risk-related
strongly
correlated
self-reported
distinct
between-
within-person
effects
highlighting
dynamic
nature
factors.
Conclusions
demonstrates
feasibility
leveraging
text
for
detection,
offering
scalable,
low-burden
alternative
traditional
methods.
Findings
suggest
dynamic,
individualized
monitoring
via
collection
could
enhance
prevention
efforts
by
enabling
timely,
tailored
interventions.
Future
should
refine
models
explore
diverse
populations
extend
generalizability
this
innovative
approach.
JMIR Formative Research,
Год журнала:
2025,
Номер
9, С. e67745 - e67745
Опубликована: Май 29, 2025
Abstract
Background
India
has
the
world’s
largest
number
of
suicides,
but
there
is
little
research
on
trends
in
suicidal
thoughts,
especially
for
individuals
with
psychosis.
More
necessary
to
develop
preventive
interventions.
Smartphone-based
ecological
momentary
assessments
(EMAs)
can
assess
dynamic
symptoms,
most
EMA
studies
are
conducted
higher
income
settings
and
have
shorter
(≤1
month)
follow-up
periods.
Objective
This
study
aimed
examine
duration
onset
offset
ideation
(SI)
tertiary
hospital
outpatients
psychosis
India.
Methods
an
exploratory,
secondary
analysis
smartphone
data
nested
within
ongoing
“Smartphone
Health
Assessment
Relapse
Prevention
(SHARP)”
project.
Tertiary
(n=50)
early
course
schizophrenia
at
2
socioculturally
different
sites
were
recruited
given
“mindLAMP”
app
monitoring
mood
through
daily
surveys.
The
survey
matched
9-item
Patient
Questionnaire;
ninth
item
was
used
define
instance
SI
(score
≥1).
A
total
14
patients
≥1
instances
who
met
site-specific
use
cutoff
included.
We
examined
between-
within-person
variability
computed
timescale
“episodic”
(sequences
consecutive
observations
score
Positive
Negative
Syndrome
Scale
(PANSS)
changes
symptoms
its
relationship
temporality
SI.
Results
Over
approximately
11
(SD
2.1)
months
reporting
average,
3253
surveys
filled
by
participants
(median
213,
IQR
147‐256).
521
reported.
Monthly
showed
substantial
within-
between-person
variations.
Timescale
summary
statistics
revealed
episodic
patterns
patients,
average
5.9
episodes
4.4;
range:1‐14;
n=65)
episode
lasting
2.5
days
1.5;
range:1‐5.3;
n=27).
There
lag
59,
66,
81
between
time
first
drop
PANSS
positive,
negative,
general
psychopathology
scores,
respectively,
last
reported
instance.
after
imputation
missing
12.1
228
(average
lag)
scores
indicated
that
enduring
vulnerability
subsequent
beginning
clinical
improvement
Conclusions
Our
adds
much-needed
evidence
base
measure
dynamics
thinking
individual,
more
targeted
Further
steps
highlighted
such
as
frequency
“burst”
hours
or
minutes,
inclusion
both
active
passive
markers
thinking.
Psychological Assessment,
Год журнала:
2023,
Номер
36(1), С. 66 - 80
Опубликована: Ноя. 3, 2023
Ecological
momentary
assessment
(EMA)
is
increasingly
used
to
study
suicidal
thoughts
and
behaviors
(STBs).
There
a
potential
ethical
obligation
for
researchers
intervene
when
receiving
information
about
in
real
time.
A
possible
concern,
however,
that
intervening
responses
indicate
high
risk
suicide
during
EMA
research
may
impact
how
participants
respond
questions
thus
affect
the
validity
integrity
of
collected
data.
We
leveraged
data
from
adults
adolescents
(
