Examining Feasibility, Acceptability, and Sustainability of a Novel Personalized Smartphone Intervention for Suicide - Randomized Trial

Butler Hospital

Status: Completed

Conditions: Suicide, Attempted; Suicidal Ideation; Suicide and Self-harm; Suicide

Treatments: Behavioral: Mobile Application to Prevent Suicide (MAPS); Behavioral: EMA Monitoring Only

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05202756

1678556

R34MH124971 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The primary aim of the present study is leverage existing infrastructure to develop novel technological features for a novel personalized smartphone intervention system, called the Mobile Application to Prevent Suicide (MAPS), and to establish feasibility, acceptability, safety, and estimate key parameters for primary outcomes (i.e., suicidal ideation and behavior; re-hospitalization), and target mechanisms.

Enrollment: 31 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presence of suicidal ideation and/or suicidal behavior in the past month
• Between the ages of 18 and 70
• Able to read, write, and understand English well enough to complete study procedures
• Owns a smartphone

Exclusion criteria

• Current psychotic or manic symptoms severe enough to interfere with completion of study procedures

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

31 participants in 2 patient groups

Mobile Application to Prevent Suicide (MAPS)

Experimental group

Description:

Participants receiving MAPS will receive the Safety Planning Intervention (SPI) which will be uploaded into the smartphone app. They will be prompted four times per day to complete a brief ecological momentary assessment "check-in" inquiring about their cognitions, affect, and behavior, including suicidal thoughts and behaviors. Based on these responses, they will be provided with coping strategies from their safety plans and from a database of coping strategies created by study staff. They will also have access to emergency phone numbers, the coping strategies database, and can communicate with their study clinician through a text-like interface in the app. They will receive this intervention for one month.

Treatment:

Behavioral: Mobile Application to Prevent Suicide (MAPS)

EMA Monitoring Only (EMO)

Active Comparator group

Description:

Participants in this condition will receive the Safety Planning Intervention (SPI) and will receive ecological momentary assessment prompts on the same schedule as the MAPS condition. However, they will not have access to any other MAPS features.

Treatment:

Behavioral: EMA Monitoring Only