Suicide is a major health problem that causes annually a million death worldwide. Suicide and suicide attempts are preventable. A history of self-injuries or suicidal attempts are known to be the most important risk factor for death by suicide. Suicidal ideation is also strongly correlated with suicide attempts. The development of Smartphones applications offers new possibilities for data collection and transmission. Moreover, the online help function, when a suicidal crisis occurs, is the most effective strategy for prevention of suicidal behavior. Specific technologies have been developed to analyse behaviors and experiences of patients in a natural environment, in real life. That is the goal of Ecological Momentary Assessment. The aim of the study is to develop an algorithm to assess and predict the risk of suicidal event occurrence, in order to detect as soon as possible the signs of suicidal crisis. EMMA will be the first application in French, meeting the recommendations for health applications, developed by experts on suicidal behavior and in collaboration with patients which aims to predict suicidal risk. A subsequent study, conducted on a larger population, should allow to validate the predictive algorithm of EMMA. Long-term goal is to improve the care of patients at risk for suicidal behavior.
100 patients having recently attempted suicide or having suicidal ideation will be recruited. They will be asked to use the application EMMA during 6 months and will be followed up during this period. An optional qualitative study conducted on 25 patients will allow to evaluate more finely their subjective experience of the use of the application. Initial visit (inclusion) : clinical, biological and neuropsychological assessment and installation of the application EMMA. First visit (1st month) and second visit (3rd month) : clinical assessment Last visit (6th month) : clinical, biological and neuropsychological assessment and optional qualitative interview.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
97
Emma proposes four types of assessments during 6 months:1) 5 times a day during 3 days, every month (5 minutes): patients can assess their emotions, their thoughts, their behavior and their occurrence context. 2) Weekly (7 minutes): consists of a summary of the week, about their emotions, thoughts, behavior, their relationships (family, work, friends, and their quality of life.3) Monthly (5 minutes): assessment of the usefulness and satisfaction about the application.4) Assessment available at any time An action plan is designed to support the participants, to help them facing difficult emotions and feelings, and to encourage them to ask for help. They can contact a relative or call the psychiatric emergency service directly by clicking on a button.
MontpellierUniversity Hopital
Montpellier, France
Occurrence of a suicidal event during the follow-up
Occurrence of a suicidal event will be checked by the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire and medical records at the end of study.
Time frame: At 6 months
Evaluation of the frequency of connection of the patient to the EMMA application
The use is automatically measured by the application with the connection frequency
Time frame: At 1 month
Evaluation of the frequency of connection of the patient to the EMMA application
The use is automatically measured by the application with the connection frequency
Time frame: At 2 months
Evaluation of the frequency of connection of the patient to the EMMA application
The use is automatically measured by the application with the connection frequency
Time frame: At 3 months
Evaluation of the frequency of connection of the patient to the EMMA application
The use is automatically measured by the application with the connection frequency
Time frame: At 4 months
Evaluation of the frequency of connection of the patient to the EMMA application
The use is automatically measured by the application with the connection frequency
Time frame: At 5 months
Evaluation of the frequency of connection of the patient to the EMMA application
The use is automatically measured by the application with the connection frequency
Time frame: At 6 months
Acceptability of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 1 month
Acceptability of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 2 months
Acceptability of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 3 months
Acceptability of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 4 months
Acceptability of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 5 months
Acceptability of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 6 months
Acceptability of EMMA assessed by the self assessment questionnaire Mobile Application Rating Scale (MARS)
Time frame: At 6 months
Acceptability of EMMA assessed by a qualitative interview
The qualitative interview is optional
Time frame: At 6 months
Satisfaction of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 1 month
Satisfaction of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 2 months
Satisfaction of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 3 months
Satisfaction of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 4 months
Satisfaction of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 5 months
Satisfaction of EMMA assessed by the Smartphone application
Questionnaire passed with the application (Likert scales)
Time frame: At 6 months
Satisfaction of EMMA assessed by the satisfaction questionnaire
Time frame: At 6 months
Satisfaction of EMMA assessed by a qualitative interview
The qualitative interview is optional
Time frame: At 6 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.