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: 10654851
• 负责人: Jonah Meyerhoff
• 金额: $ 17.96万
• 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/10654851
• 关键词: Acceleration; Address; Adherence; Adult; Age; Aptitude; Attitude; 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 Direction; Self Management; 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; automated text message; career; community setting; control trial; coping; design; digital; digital mental health; digital technology; 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 individual; suicidal risk; suicide rate; 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.

项目摘要 年轻人（18-24岁）的自杀思想和行为的增长率最高，增长最快， 但是心理保健的最低率。态度障碍，例如人们对治疗的需求低，时间 限制和自我管理的偏好是降低心理健康率的主要原因 该年龄段的治疗。尽管传统心理保健的利用率较低，但年轻人还是 有兴趣使用自我指导的数字技术来帮助管理其心理健康症状。数字的 预防自杀干预措施是克服许多主要态度障碍的关键机会 年轻人在寻求自杀特异性护理时面对。他们可以是短暂的，私人的，并提供按需 在个人日常生活的背景下进行预防性护理。 我的职业目标是成为一个专注于独立研究计划的领先临床科学家 设计和评估支持技术的自杀预防干预措施，以增加自杀的机会 预防护理。这项提案以我在抑郁干预和自杀评估方面的经验为基础 研究。它包括将使我发展的培训和研究活动：（1）格式专家 和总结用户以用户为中心的设计方法和可扩展的干预设计，（2）自杀专业知识 成人的预防干预措施，（3）数字心理健康干预措施有效试验设计专家 （4）实施科学研究方法的才能。与美国心理健康合作， 国家最大的心理健康倡导组织和具有自杀思想的现场经验的个人 和行为，我将为年轻人设计一种自动化的基于文本消息的安全计划干预措施。 我建议的干预措施将通过高度使用的沟通来针对自杀相关的应对 路径。 为了设计这种干预措施，我将追求以下特定目标：（1）进行用户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 基于短信的安全计划干预。我还将制定一个实施计划，以确保 发达的安全计划干预措施在美国心理健康中是可持续的和可扩展的 组织基础设施。 （2）我将对我的文本消息进行可行性随机对照试验 - 60名具有自杀思想和行为的年轻人中的基于安全计划干预措施。 这项研究的结果将为R01提供必要的数据，以测试文本消息的效率 - 基于在线社区环境中的安全计划干预。通过该奖项获得的培训将 允许我发展必要的专业知识，以启动我作为独立的职业 针对成年人的技术预防技术预防干预措施的研究者。