Reducing suicidal ideation by biofeedback-guided respiration – heart rate coherence

Jelinek, Herbert F.; Khandoker, Ahsan H.

doi:10.1080/2575517x.2020.1732733

Cited by 5 publications

(5 citation statements)

References 50 publications

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“…For instance, these indicators can be used to assess the mechanisms of therapeutic change [22], and to develop applications for predicting the suicide risk [111]. Similarly, techniques, such as the respiratory-heart rate coherence biofeedback, can be used as specific treatments in patients with suicidal behavior [112].…”

Section: Discussionmentioning

confidence: 99%

From Social Stress and Isolation to Autonomic Nervous System Dysregulation in Suicidal Behavior

Alacreu-Crespo,

Sebti,

Moret

et al. 2024

Curr Psychiatry Rep

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Purpose of Review In this narrative review we wanted to describe the relationship of autonomic nervous system activity with social environment and suicidal spectrum behaviors. Recent Findings Patients with suicidal ideation/suicide attempt have higher sympathetic nervous system (SNS) and lower parasympathetic nervous system (PNS) activity in resting conditions and during acute stress tasks compared with patients without suicidal ideation/suicide attempt. Death by suicide and violent suicide attempt also are related to SNS hyperactivation. Similarly, a SNS/PNS imbalance has been observed in people with childhood trauma, stressful life events or feelings of loneliness and isolation. Social support seems to increase PNS control and resilience. Summary Due to the importance of the social context and stressful life events in suicidal behavior, SNS/PNS imbalance could act as a mediator in this relationship and be a source of relevant biomarkers. Childhood trauma and stressful life events may impair the autonomic nervous system response in suicidal patients. Loneliness, isolation and social support may act as moderators in acute stress situations.

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Section: Discussionmentioning

confidence: 99%

From Social Stress and Isolation to Autonomic Nervous System Dysregulation in Suicidal Behavior

Alacreu-Crespo,

Sebti,

Moret

et al. 2024

Curr Psychiatry Rep

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“…One area of research has focused on the impact of biofeedback, such as breathing, targeted to change HRV in patients with mental health disorders. [23][24][25] This could be employed using a mobile application in conjunction with an alert for worsening HF HRV. Previous studies have shown the ability to utilize biofeedback guided by dynamic changes in HRV resulting in improved overall symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…There are several potential interventions patients could implement upon receiving an alert. One area of research has focused on the impact of biofeedback, such as breathing, targeted to change HRV in patients with mental health disorders [ 23 - 25 ]. This could be employed using a mobile application in conjunction with an alert for worsening HF HRV.…”

Section: Discussionmentioning

confidence: 99%

Heart Rate Variability and Its Ability to Detect Worsening Suicidality in Adolescents: A Pilot Trial of Wearable Technology

Sheridan

Baker

Dehart

et al. 2021

Psychiatry Investig

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Objective Suicide is the 2nd leading cause of death in adolescence, and acute pediatric mental health emergency department (ED) visits have doubled in the past decade. The objective of this study was to evaluate physiologic parameters relationship to suicide severity.Methods This was a prospective, observational study from April 2018 thru November 2019 in a tertiary care pediatric emergency department (ED) and inpatient pediatric psychiatric unit enrolling acutely suicidal adolescent patients. Patients wore a wrist device that used photoplethysmography for 7 days during their acute hospitalization to measure heart rate variability (HRV). During that time, Columbia Suicide Severity Scores (CSSRS) were assessed at 3 time points.Results There was complete device data and follow-up for 51 patients. There was an increase in the high frequency (HF) component of HRV in patients that had a 25% or greater decrease in their CSSRS (mean difference 11.89 ms/ Hz ; p-value 0.005). Patients with a CSSRS≥15 on day of enrollment had a lower, although not statistically significant, HF component (mean difference -8.34 ms/ Hz; p-value 0.071).Conclusion We found an inverse correlation between parasympathetic activity measured through the HF component and suicidality in an acutely suicidal population of adolescents. Wearable technology may have the ability to improve outpatient monitoring for earlier detection and intervention.

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“…The combination of reduced PNS activity and increased SNS activity indicates more cardiac stress (Baevsky & Karnikova, 2017). The reverse is also true; Jelinek, and Khandoker, (Jelinek & Khandoker, 2020) found that by using biofeedback to raise PNS activity and lower SNS activity suicidal ideation was reduced in adolescent patients.…”

Section: Introductionmentioning

confidence: 99%

Implicit Measures of Extreme Psychological Distress in Young Healthy Adults: Cardiac Autonomic Activity and Attentional Bias

H. Zohar,

Levi-Belz,

Linetzky

2023

PSYCH

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Background: There is research showing that cardiac sympathetic autonomous activity is elevated and cardiac parasympathetic autonomous activity is decreased in individuals contending with serious psychopathology. There is also work showing that attentional bias to emotionally distressing stimuli is affected by depression and anxiety. This study hypothesized that individuals who were high on suicide-related attention bias (AB) and cardiac sympathetic activity (SNS index) would also have elevated psychological distress, even in the absence of a diagnosable disorder. Methods: Participants were 181 healthy college students, 42.5% male. Personality traits, depression, hopelessness and suicidal ideation/behaviour were self-reported. Cardiac activity was measured using bodyguard2, and the SNS index was used as a measure of stress. AB was measured using stimuli salient in the context of death and suicide. Results: Correlations were in the expected direction. Cluster analysis using AB and the SNS index produced three clusters, of which Cluster 3, 19.7% of the sample, had elevated AB and SNS index, and by far the most distressed psychological profile, above the clinical cut-off point for depression. Conclusions: The study results indicate a strong association between objective and subjective measures of distress uncovered by cluster analysis. Such result may help to identifying a group of extremely distressed individuals among healthy adults. Individuals with a distressed personality profile, who are depressed and reject life, can be distinguished by their cardiac stress and AB.

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Reducing suicidal ideation by biofeedback-guided respiration – heart rate coherence

Cited by 5 publications

References 50 publications

From Social Stress and Isolation to Autonomic Nervous System Dysregulation in Suicidal Behavior

From Social Stress and Isolation to Autonomic Nervous System Dysregulation in Suicidal Behavior

Heart Rate Variability and Its Ability to Detect Worsening Suicidality in Adolescents: A Pilot Trial of Wearable Technology

Implicit Measures of Extreme Psychological Distress in Young Healthy Adults: Cardiac Autonomic Activity and Attentional Bias

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