Suicide, Attempted, Suicide and Self-harm
Conditions
Keywords
ecological momentary assessment, ecological momentary intervention, distress
Brief summary
The goal of this study is to provide an initial pilot test of an Ecological Momentary Intervention (EMI) designed the reduce the distress associated with negative emotion among individuals at risk for suicide that pairs content from a smartphone with a wearable physiological monitor. Participants will be 25 suicidal adult inpatients who will complete three brief therapy sessions with a study therapist and then complete exercises associated with the study for the duration of the inpatient period and for 28 days after they leave the hospital.
Detailed description
The goal of this study is to provide an initial pilot test of an Ecological Momentary Intervention (EMI) designed the reduce the distress associated with negative emotion among individuals at risk for suicide that pairs content from a smartphone with a wearable physiological monitor. Participants will be 25 suicidal adult inpatients who will complete three brief therapy sessions with a study therapist and then complete exercises associated with the study for the duration of the inpatient period and for 28 days after they leave the hospital. During the time they are in the study, participants will be asked to install on their smartphone a mobile application to deliver the therapeutic content and will wear a physiological monitoring device on their wrist (Empatica Embrace) which will monitor objective signals of physiological distress (e.g., skin conductance).
Interventions
BEHAVIORALEcological momentary intervention
Content of this intervention is based on pre-established transdiagnostic protocols for addressing the negative emotion associated with suicidal thoughts and behaviors.
Sponsors
National Institute of Mental Health (NIMH)
Massachusetts General Hospital
Harvard University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* A recent suicide attempt or serious suicidal ideation (i.e., ideation with at least 70% intent or a suicide plan with access to lethal means), * The ability to speak and write English fluently, access to an internet-capable smartphone (e.g., an iPhone or Android phone) * Providing at least one collateral contact in cases where the investigators cannot reach the participant.
Exclusion criteria
* The presence of any factor that impairs an individual's ability to comprehend and effectively participate in the study including: * An inability to speak or write English fluently * The presence of gross cognitive impairment due to florid psychosis, intellectual disability, dementia, or acute intoxication. * The presence of extremely agitated or violent behavior.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in momentary levels of self-reported distress | Through study completion (duration of inpatient stay + 4 weeks post-discharge) | Assessed via smartphone assessments |
| Change in momentary levels of physiological distress | Through study completion (duration of inpatient stay + 4 weeks post-discharge) | Skin conductance (assessed with wearable device) |
| Change in momentary levels of suicidal thinking | Through study completion (duration of inpatient stay + 4 weeks post-discharge) | Assessed via smartphone assessments |
Countries
United States
Contacts
Primary ContactEvan M Kleiman, Ph.D.
Outcome results
None listed