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Detecting suicidal thoughts: The power of ecological momentary assessment
- Source :
- Depression and Anxiety. 38:8-16
- Publication Year :
- 2020
- Publisher :
- Hindawi Limited, 2020.
-
Abstract
- BACKGROUND Researchers and clinicians have typically relied on retrospective reports to monitor suicidal thoughts and behaviors. Smartphone technology has made real-time monitoring of suicidal thoughts possible via mobile ecological momentary assessment (EMA). However, little is known about how information gleaned from EMA compares with that obtained by retrospective reports. The authors sought to compare suicidal ideation (SI) assessed over 1 week using EMA with a retrospective gold-standard interviewer-administered measure covering the same period. METHODS Fifty-one adults with major depressive disorder completed 1 week of EMA (6×/day) assessing SI. Following completion of EMA, participants completed an interviewer-administered Scale for Suicide Ideation (SSI) retrospectively assessing the same week. RESULTS SI severity assessed through EMA was positively correlated with scores on the retrospective SSI. However, 58% of participants reporting ideation with EMA denied any past-week ideation on the SSI. Participants who endorsed SI during EMA but not on the SSI were no less likely to have a history of suicidal behavior than those who reported SI in both formats. CONCLUSION EMA captures instances of suicidal thinking that go undetected through retrospective report and thereby may help us to identify an at-risk subgroup otherwise missed.
- Subjects :
- Adult
Ecological Momentary Assessment
Poison control
Suicide prevention
Occupational safety and health
Suicidal Ideation
03 medical and health sciences
0302 clinical medicine
Injury prevention
Humans
Medicine
Suicidal ideation
Retrospective Studies
Depressive Disorder, Major
Ecology
business.industry
Human factors and ergonomics
Ideation
medicine.disease
humanities
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Major depressive disorder
Smartphone
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15206394 and 10914269
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Depression and Anxiety
- Accession number :
- edsair.doi.dedup.....04a2e1f08bf52395374c6cef073f7621