Examining Feasibility, Acceptability, and Sustainability of a Novel Personalized Smartphone Intervention for Suicide - Open Trial

Butler Hospital10 enrolled

Overview

The primary aim of the present study is leverage existing infrastructure to develop novel technological features for a novel personalized smartphone intervention system, called the Mobile Application to Prevent Suicide (MAPS), and to establish feasibility, acceptability, safety, and estimate key parameters for secondary outcomes (i.e., suicidal ideation and behavior; re-hospitalization).

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Suicide and Self-harm Suicide Suicide, Attempted Suicidal Ideation

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Presence of suicidal ideation and/or suicidal behavior in the past month * Between the ages of 18 and 70 * Able to read, write, and understand English well enough to complete study procedures * Owns a smartphone Exclusion Criteria: * Current psychotic or manic symptoms severe enough to interfere with completion of study procedures

Locations (2)

Butler Hospital

Providence, Rhode Island, United States

Brown University

Providence, Rhode Island, United States

Outcomes

Primary Outcomes

Patient Satisfaction

Measured using the Client Satisfaction Questionnaire, a self-report measure of satisfaction with treatment. Scores range from 8 to 32, with higher scores representing higher satisfaction.

Time frame: Following intervention (assessed at 1-month follow-up)

Acceptability of Research (Recruitment)

The acceptability of research outcome is measured by the recruitment rate (number of patients enrolled divided by the total number of patients approached).

Time frame: Baseline

Acceptability of Research (Dropout)

Acceptability of research is measured by dropout rate (number of participants who dropped out over the entire number of participants enrolled). This does not include participants who were lost to follow-up.

Time frame: Baseline through 1-month follow-up

Satisfaction With MAPS Intervention

Satifaction with the MAPS intervention was measured by protocol completion rate.

Time frame: Following intervention (assessed at 1-month follow-up)

Ecological Momentary Assessment (EMA) Adherence

The Ecological Momentary Assessment (EMA) adherence outcome is measured by the percentage of EMA surveys completed.

Time frame: During 28 days of intervention

Secondary Outcomes

Change in Suicidal Ideation Severity

Will be assessed using the Columbia Suicide Severity Rating Scale, which provides a suicidal ideation severity score ranging from 0 to 5 with higher scores representing more severe ideation.

Time frame: Comparing 28 days prior to baseline to the 28 days using MAPS intervention

Number of Suicide Attempts

Total number of suicide attempts reported among participants using MAPS (across whole sample).

Time frame: During the 28 days of the intervention

Rehospitalization

Average number of inpatient rehospitalizations will be assessed using the Treatment History Interview and medical records review.

Time frame: During the 28 days of the intervention

Emergency Department Visits

Average number of emergency department visits will be assessed using the Treatment History Interview and medical records review.

Time frame: During the 28 days of the intervention