Use of Ecological Momentary Assessment to Study Suicidal Thoughts and Behavior: a Systematic Review

Sedano-Capdevila, Alba; Porras-Segovia, Alejandro; Bello, Hugo J.; Baca‐García, Enrique; Barrigón, María Luisa

doi:10.1007/s11920-021-01255-7

Cited by 92 publications

(71 citation statements)

References 77 publications

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“…Additionally, implicit cognition tests could be combined with other mobile health assessment tools, such as Ecological Momentary Assessment (EMA). EMA is based on self-report by users in their usual environment, without the direct supervision of a clinician, and is being increasingly employed in suicide research [71].…”

Section: Future Lines Of Researchmentioning

confidence: 99%

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Moreno

Guitérrez-Rojas

Porras-Segovia

2022

Curr Psychiatry Rep

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Purpose of Review Suicide risk assessment is a challenge in clinical practice. Implicit measures may present with advantages with respect to explicit methods, and therefore may be useful for the assessment of suicide risk. We conducted a systematic review of 2 databases (PubMed and EMBASE) about implicit tests that measure suicide risk to explore their validity and reliability.Recent Findings Initial research revealed 321 articles. After the selection process, 31 articles were included in the review. The most death-related implicit cognition test used was the Death/Suicide Implicit association test (D/S IAT), followed by the Suicide Stroop Task. The Suicide Affect Misattribution Procedure (S-AMP) and the Death version of the Implicit Relational Assessment Procedure (D-IRAP) were also used. Summary We found that the measures reviewed were generally valid for the assessment of past and future suicidal thoughts and behaviors, with statistically significant results regarding retrospective and prospective associations.

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Section: Future Lines Of Researchmentioning

confidence: 99%

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Moreno

Guitérrez-Rojas

Porras-Segovia

2022

Curr Psychiatry Rep

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“…Although these studies have made noteworthy contributions, there are still important gaps related to the use of EMA with SI and SA. In this regard, the majority of EMA studies have included a fairly short follow-up period (one or two weeks), primarily with adults ( 45 , 51 ).…”

Section: Introductionmentioning

confidence: 99%

Trajectory Analysis of Suicidal Ideation in Spanish College Students Using Ecological Momentary Assessment

et al. 2022

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IntroductionSuicide is a preventable death in young people. It is well known that suicide behavior is a multicausal phenomenon. However, suicidal ideation (SI) commonly underlies suicide, and Ecological Momentary Assessment (EMA) can help us to better characterize it and its risk and protective factors in the short term. We aimed, first, to investigate the estimated prevalence and trajectories of SI in a community sample of Spanish college students using an EMA methodology and, second, explore the associations between risk and protective factors and SI categorized as moderate or low.Materials and MethodsA total of 737 participants followed the EMA during a period of 6 months. We estimated the prevalence and trajectories of SI and the associations between depressive symptoms, positive and negative affect, thwarted belongingness, perceived burdensomeness, cognitive reappraisal, emotional suppression, and purpose in life with the MEmind smartphone App. SI was assessed 14 times during this period.ResultsTwenty-eight participants referred to SI at least once in longitudinal assessments. We found a lack of curvature and, thus, a relatively stable trajectory of SI. Two groups of latent dimensions were observed related to risk and protective factors of SI. One latent dimension of the risk factors (higher levels of thwarted belongingness, perceived burdensomeness, depressive symptoms, negative affect, and emotional suppression) best represented the group with moderate levels of SI, and a second latent dimension of protective variables (positive affect, cognitive reappraisal, and purpose in life) best represented the group with lower levels of SI.DiscussionThese findings may indicate that students with a sense of having a life worth living, in addition to having the ability to reevaluate their negative beliefs, are less likely to experience high levels of SI. Therefore, purpose in life would be a protective factor against the presence of SI.

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“…Our intended study sample for this pilot study is 50 participants, which will yield initial feasibility data for the recruitment and retention approach of our study protocol for future scalable projects. The sample size was derived from previous EMA studies focused on suicide assessment in psychiatric populations [ 20 - 22 ]. For this sample size and study duration, we conservatively anticipate an 80% compliance rate, defined as completion of 23 surveys over the 7-day period.…”

Section: Methodsmentioning

confidence: 99%

Assessing the Real-time Influence of Racism-Related Stress and Suicidality Among Black Men: Protocol for an Ecological Momentary Assessment Study

et al. 2021

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Background Suicide is the third leading cause of death among Black adults aged 18-35 years. Although men represent a majority of suicide deaths among Black adults, less is known regarding the extent to which unique cultural stressors, such as racism-related stress (eg, racial discrimination), are salient in exacerbating suicide risk among Black men. Moreover, few studies examine the daily influence of racism-related stressors on suicide outcomes using real-time smartphone-based approaches. Smartphone-based mobile health approaches using ecological momentary assessments (EMA) provide an opportunity to assess and characterize racism-related stressors as a culturally sensitive suicide risk factor among Black young adult men. Objective The goal of this study is to describe a protocol development process that aims to capture real-time racism-related stressors and suicide outcomes using a smartphone-based EMA platform (MetricWire). Methods Guided by the Interpersonal Theory of Suicide (ITS), we developed a brief EMA protocol using a multiphased approach. First, we conducted a literature review to identify brief measures previously used in EMA studies, with special emphasis on studies including Black participants. The identified measures were then shortened to items with the highest construct validity (eg, factor loadings) and revised to reflect momentary or daily frequency. Feasibility and acceptability of the study protocol will be assessed using self-report survey and qualitative responses. To protect participants from harm, a three-tier safety protocol was developed to identify participants with moderate, elevated, and acute risk based on EMA survey response to trigger outreach by the study coordinator. Results The final EMA protocol, which will be completed over a 7-day period, is comprised of 15 questions administered 4 times per day and a daily questionnaire of 22 items related to sleep-related impairment and disruption, as well as racism-related stress. Study recruitment is currently underway. We anticipate the study will be completed in February 2023. Dissemination will be conducted through peer-reviewed publications and conference presentations. Conclusions This protocol will address gaps in our understanding of Black men’s suicide outcomes in the social contexts that they regularly navigate and will clarify the temporal role of racism-related stressors that influence suicidal outcomes. International Registered Report Identifier (IRRID) PRR1-10.2196/31241

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Use of Ecological Momentary Assessment to Study Suicidal Thoughts and Behavior: a Systematic Review

Abstract: Use of ecological momentary assessment to study suicidal thoughts and behavior: A systematic review. Current Psychiatry Reports, 23(7), 41.

Cited by 92 publications

References 77 publications

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Trajectory Analysis of Suicidal Ideation in Spanish College Students Using Ecological Momentary Assessment

Assessing the Real-time Influence of Racism-Related Stress and Suicidality Among Black Men: Protocol for an Ecological Momentary Assessment Study

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