The feasibility of using smartphone apps as treatment components for depressed suicidal outpatients

Dados Bibliográficos

ID15529945
AutoresChani Nuij (0000-0002-8332-9703, Vrije Universiteit Amsterdam, autor correspondente), Wouter van Ballegooijen (0000-0002-9189-6695, Vrije Universiteit Amsterdam), Derek de Beurs (0000-0002-0166-6897, Trimbos Institute), Remco F P de Winter (0000-0003-4129-8440, Vrije Universiteit Amsterdam), Renske Gilissen (0000-0002-8009-6326, GGD Amsterdam), Rory C O''Connor (0000-0002-3650-4994, University of Glasgow), Rory C O’connor (0000-0002-6473-0032), Johannes H Smit (0000-0002-2062-8378, Amsterdam University Medical Centers), Jan H Smit, Ad Kerkhof, A J F M Kerkhof (0000-0003-1701-5332, Vrije Universiteit Amsterdam), Heleen Riper (0000-0002-8144-8901, Amsterdam University Medical Centers)
Ano2022
Volume13
Páginas971046-971046
Data de publicação2022-09-27
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1664-0640 • E-ISSN: 1664-0640
EditoraFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.971046
PMID36238944
OpenAlexW4297370323
IdiomaEN
Citações recebidas4
Referências citadas37

Mental health smartphone apps could increase the safety and self-management of patients at risk of suicide, but it is still unclear whether it is feasible to integrate such apps into routine mental healthcare. This study reports on the feasibility of using a safety planning app (BackUp) and a self-monitoring app (mEMA) as components of the routine treatment of depressed outpatients with suicidal ideation. Clinicians were trained in working with both of the apps, and they invited their eligible patients with suicidal ideation for study participation. Patients used the apps for 3 months and discussed these with their clinician during treatment. Patients completed assessments at baseline (T 0 ), 4 weeks (T 1 ) and post-test (T 2 , 12 weeks after baseline). Both patients and clinicians also participated in telephone interviews. Feasibility was assessed in terms of usability (score > 70 on System Usability Scale, SUS), acceptability (score > 20 on Client Satisfaction Questionnaire-8, CSQ-8), and uptake (sufficient rates of component completion and app usage in treatment). The sample included 17 adult outpatients (52.9% male, age range 20-50 years) diagnosed with a depressive disorder and suicidal ideation at baseline. BackUp was rated by patients at above the cut-off scores for usability (SUS mean score at T 1 75.63 and at T 2 77.71) and acceptability (CSQ-8 mean score at T 1 23.42 and at T 2 23.50). mEMA was similarly rated (SUS mean score at T 1 75.83 and at T 2 76.25; CSQ-8 mean score at T 1 23.92 and at T 2 22.75). Telephone interviews with patients and clinicians confirmed the usability and acceptability. The uptake criteria were not met. Our findings suggest that mobile safety planning and mobile self-monitoring can be considered acceptable and usable as treatment components for depressed suicidal outpatients, but the integration of apps into routine treatment needs to be further explored

Medical emergency · Mental health · Poison control · Psychiatry · Smartphone app · Suicidal ideation · Suicide prevention · Usability · World Wide Web · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access · Suicide and Self-Harm Studies