mHealth for suicide prevention: Design, development, and feasibility of a scalable SMS-based safety planning intervention

用于预防自杀的移动医疗：基于短信的可扩展安全规划干预措施的设计、开发和可行性

• 批准号: 10524928
• 负责人: Jonah Meyerhoff
• 金额: $ 18.06万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10524928
• 关键词: Address; Adherence; Adult; Age; Americas; Aptitude; Award; Caring; Cessation of life; Clinical; Collaborations; Communication; Communication Tools; Data; Development; Documentation; Educational workshop; Effectiveness; Ensure; Face; Feedback; Feeling hopeless; Feeling suicidal; Frequencies; Goals; Health; Individual; Infrastructure; Intervention; Knowledge; Life; Light; Maintenance; Measures; Mental Depression; Mental Health; Mental Health Services; Methods; Monitor; National Institute of Mental Health; Outcome; Pain; Pathway interactions; Patients; Pattern; Persons; Population; Populations at Risk; Preventive care; Privatization; Process; Randomized Controlled Trials; Reporting; Research; Research Activity; Research Methodology; Research Personnel; Research Priority; Research Project Grants; Risk; Running; Safety; Scientist; Self Management; Self-Direction; Services; Suicide; Suicide attempt; Suicide prevention; Surveys; Symptoms; Technology; Telephone; Testing; Text Messaging; Time; Touch sensation; Training; Training Activity; Translating; Waiting Lists; advocacy organizations; age group; base; career; community setting; control trial; coping; design; digital; digital mental health; efficacy testing; efficacy trial; evidence base; experience; feasibility trial; follow-up; implementation science; interest; intervention effect; iterative design; mHealth; online community; preference; preventive intervention; primary outcome; process optimization; programs; recruit; reducing suicide; screening; secondary outcome; suicidal; suicidal behavior; suicidal risk; therapeutic target; therapy design; tool; treatment effect; trial design; usability; user centered design; web site; young adult

PROJECT SUMMARY Young adults (ages 18-24) have the highest and fastest growing rates of suicidal thoughts and behaviors, but the lowest rates of mental health care. Attitudinal barriers, such as a low perceived need for treatment, time constraints, and preferences for self-management, are the primary reasons for low rates of mental health treatment among this age group. Despite low utilization of traditional mental health care, young adults are interested in using self-directed digital technologies to help manage their mental health symptoms. Digital suicide prevention interventions represent a key opportunity to overcome many of the major attitudinal barriers young adults face when seeking suicide-specific care. They can be short, private, and provide on-demand preventive care in the context of an individual’s everyday life. My career goal is to become a leading clinical scientist with an independent research program focused on designing and evaluating technology-enabled suicide prevention interventions that increase access to suicide prevention care. This proposal builds on my experience in depression intervention and suicide assessment research. It includes training and research activities that will enable me to develop: (1) expertise in formative and summative user centered design methods and scalable intervention designs, (2) expertise in suicide prevention interventions for adults, (3) expertise in efficient trial designs for digital mental health interventions, and (4) aptitude in implementation science research methods. In partnership with Mental Health America, the nation’s largest mental health advocacy organization, and individuals with lived experience of suicidal thoughts and behaviors, I will design an automated text message-based safety-planning intervention for young adults. My proposed intervention will operate by targeting suicide-related coping via a highly used communication pathway. To design this intervention, I will pursue the following specific aims: (1) conduct user centered design research activities, including elicitation workshops, design surveys, and usability testing to develop and refine the text message-based safety planning intervention. I will also produce an implementation plan to ensure that the developed safety planning intervention is sustainable and scalable within Mental Health America’s organizational infrastructure. (2) I will conduct a feasibility randomized controlled trial of my text message- based safety planning intervention among 60 young adults with current suicidal thoughts and behaviors. Results from this study will provide the data necessary for an R01 that tests the efficacy of the text message- based safety planning intervention in online community settings. The training achieved through this award will allow me to develop the necessary specialized knowledge that will launch my career as an independent investigator of technology-enabled suicide prevention interventions for adults.

项目概要 年轻人（18-24 岁）的自杀念头和行为发生率最高且增长最快， 但精神卫生保健的比率最低，例如对治疗的需求较低、时间较长。 自我管理的限制和偏好是心理健康率低的主要原因 尽管传统心理保健的利用率较低，但年轻人仍接受治疗。 有兴趣使用自主数字技术来帮助管理他们的心理健康症状。 自杀预防干预措施是克服许多主要态度障碍的关键机会 年轻人在寻求针对自杀的护理时所面临的问题可能是短期的、私密的，并且可以按需提供。 个人日常生活中的预防性护理。 我的职业目标是成为一名领先的临床科学家，其独立研究项目专注于 设计和评估技术支持的自杀预防干预措施，以增加自杀机会 该建议基于我在抑郁症干预和自杀评估方面的经验。 它包括培训和研究活动，使我能够发展：（1）形成方面的专业知识。 以及以用户为中心的总结性设计方法和可扩展的干预设计，(2) 自杀方面的专业知识 成人预防干预措施，(3) 数字心理健康干预措施有效试验设计的专业知识， (4) 与美国心理健康组织合作实施科学研究方法的能力。 全国最大的心理健康倡导组织，以及有自杀念头的生活​​经历的个人 和行为，我将为年轻人设计一种基于短信的自动安全规划干预措施。 我提出的干预措施将通过频繁使用的沟通来针对与自杀相关的应对方式 途径。 为了设计这个干预措施，我将追求以下具体目标：（1）进行以用户为中心的设计 研究活动，包括启发研讨会、设计调查和可用性测试，以开发和完善 基于短信的安全规划干预措施我还将制定一个实施计划，以确保 制定的安全规划干预措施在美国心理健康组织内具有可持续性和可扩展性 （2）我将对我的短信进行可行性随机对照试验—— 对 60 名当前有自杀想法和行为的年轻人进行基于安全规划的干预。 这项研究的结果将为 R01 提供测试短信有效性所需的数据 - 通过该奖项实现的培训将基于在线社区环境中的安全规划干预。 让我能够发展必要的专业知识，从而开启我作为独立人士的职业生涯 成人技术支持自杀预防干预措施的调查员。