成年人自杀风险下心理健康的生态瞬时评估:一项观察性研究方案。

Ecological momentary assessment of mental health in adults at suicide risk: An observational study protocol.

机构信息

College of Nursing, Yonsei University, Seoul, Republic of Korea.

Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea.

出版信息

J Adv Nurs. 2022 Mar;78(3):883-893. doi: 10.1111/jan.15142. Epub 2022 Jan 7.

Abstract

AIMS

To describe the research protocol for an ecological momentary assessment (EMA) designed to examine patterns of suicidal ideation and relevant psychosocial stress indicators in adults at risk for suicide.

DESIGN

This observational and longitudinal study will collect data for 28 consecutive days.

METHODS

A total of 150 adults at risk for suicide will be recruited from a single suicide prevention centre and an outpatient clinic in Korea. Self-report questionnaires will be administrated during weeks 0, 1, 3 and 5. Participants will receive text messages three times a day for 4 weeks prompting them to access an online survey link for daily mood survey including depression, anxiety, stress and suicidal ideation. In addition, for the first 2 weeks, they will wear an actigraphy device designed to collect actigraphic data in terms of sleep patterns and physical activity. Data analyses such as descriptive statistics, independent t-tests, one-way ANOVA, chi-squared statistics and time-series and correlation analyses will be performed using IBM SPSS 26.0 and SAS version 9.3. The study received funding from National Research Foundation of Korea in February 2020. Institutional Review Board approval for our study was obtained in April 2021.

DISCUSSIONS

This study will yield fundamental information about daily patterns of suicide ideation and psychosocial stress indicators to develop preventive interventions for adults at risk for suicide.

IMPACT

Our study will contribute to the development of EMAs and interventions for adults at risk for suicide aimed at providing timely and individualized mental health services in a community setting.

TRIAL REGISTRATION

The trial is registered with the Clinical Research Information Service (CRIS). CRIS Registration Number: KCT0006165.

摘要

目的

描述一项生态瞬时评估(EMA)的研究方案,旨在研究有自杀风险的成年人的自杀意念模式和相关心理社会应激指标。

设计

本观察性和纵向研究将连续收集 28 天的数据。

方法

将从韩国的一个自杀预防中心和一个门诊诊所招募 150 名有自杀风险的成年人。将在第 0、1、3 和 5 周进行自我报告问卷。参与者将在四周内每天收到三次短信提示,以访问在线调查链接,进行每日情绪调查,包括抑郁、焦虑、压力和自杀意念。此外,在前两周,他们将佩戴一个活动记录仪,用于收集睡眠模式和身体活动方面的活动记录仪数据。将使用 IBM SPSS 26.0 和 SAS 版本 9.3 进行描述性统计、独立 t 检验、单因素方差分析、卡方检验以及时间序列和相关分析等数据分析。本研究于 2020 年 2 月获得韩国国家研究基金会的资助。我们的研究于 2021 年 4 月获得机构审查委员会的批准。

讨论

本研究将产生关于自杀意念和心理社会应激指标的日常模式的基本信息,以开发针对有自杀风险的成年人的预防干预措施。

影响

我们的研究将有助于 EMA 的发展和针对有自杀风险的成年人的干预措施,旨在在社区环境中提供及时和个性化的心理健康服务。

试验注册

该试验在临床研究信息服务(CRIS)注册。CRIS 注册号:KCT0006165。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4535/9303451/3888f84aa493/JAN-78-883-g001.jpg

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