Morgiève Margot, Yasri Daniel, Genty Catherine, Dubois Jonathan, Leboyer Marion, Vaiva Guillaume, Berrouiguet Sofian, Azé Jérôme, Courtet Philippe
Université Paris Cité, CNRS, Inserm, Cermes3, Paris, France.
Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.
Front Psychiatry. 2022 Aug 11;13:952865. doi: 10.3389/fpsyt.2022.952865. eCollection 2022.
As mHealth may contribute to suicide prevention, we developed , an application using Ecological Momentary Assessment and Intervention (EMA/EMI).
This study evaluated usage rate and acceptability during the first month and satisfaction after 1 and 6 months of use.
Ninety-nine patients at high risk of suicide used for 6 months. The acceptability and usage rate of the EMA and EMI modules were monitored during the first month. Satisfaction was assessed by questions in the monthly EMA (Likert scale from 0 to 10) and the Mobile App Rating Scale (MARS; score: 0-5) completed at month 6. After inclusion, three follow-up visits (months 1, 3, and 6) took place.
Seventy-five patients completed at least one of the proposed EMAs. Completion rates were lower for the daily than weekly EMAs (60 and 82%, respectively). The daily completion rates varied according to the question position in the questionnaire (lower for the last questions, LRT = 604.26, df = 1, -value < 0.0001). Completion rates for the daily EMA were higher in patients with suicidal ideation and/or depression than in those without. The most used EMI was the emergency call module ( = 12). Many users said that they would recommend this application (mean satisfaction score of 6.92 ± 2.78) and the MARS score at month 6 was relatively high (overall rating: 3.3 ± 0.87).
can target and involve patients at high risk of suicide. Given the promising users' satisfaction level, could rapidly evolve into a complementary tool for suicide prevention.
由于移动健康可能有助于预防自杀，我们开发了一款使用生态瞬时评估与干预（EMA/EMI）的应用程序。
本研究评估了该应用程序在第一个月的使用率和可接受性，以及使用1个月和6个月后的满意度。
99名自杀高危患者使用该应用程序6个月。在第一个月监测EMA和EMI模块的可接受性和使用率。通过每月EMA中的问题（0至10的李克特量表）和第6个月完成的移动应用评分量表（MARS；分数：0 - 5）评估满意度。纳入研究后，进行了三次随访（第1、3和6个月）。
75名患者至少完成了一项提议的EMA。每日EMA的完成率低于每周EMA（分别为60%和82%）。每日完成率根据问卷中的问题位置而有所不同（最后几个问题的完成率较低，LRT = 604.26，自由度 = 1，P值 < 0.0001）。有自杀意念和/或抑郁的患者每日EMA的完成率高于没有这些情况的患者。使用最多的EMI是紧急呼叫模块（n = 12）。许多用户表示他们会推荐这个应用程序（平均满意度评分为6.92 ± 2.78），第6个月的MARS评分相对较高（总体评分：3.3 ± 0.87）。
该应用程序可以针对自杀高危患者并让他们参与进来。鉴于用户满意度前景良好，它可能会迅速发展成为预防自杀的辅助工具。
