Alon Noy, Perret Sarah, Segal Rebecca, Torous John
Division of Digital Psychiatry (Alon, Perret, Torous) and mental health services consultant (Segal), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston.
Focus (Am Psychiatr Publ). 2023 Apr;21(2):160-165. doi: 10.1176/appi.focus.20220073. Epub 2023 Apr 14.
Smartphone apps offer accessible new tools that may help prevent suicide and that offer support for individuals with active suicidal ideation. Numerous smartphone apps for mental health conditions exist; however, their functionality is limited, and evidence is nascent. A new generation of apps using smartphone sensors and integrating real-time data on evolving risk offers the potential of more personalized support, but these apps present ethical risks and currently remain more in the research domain than in the clinical domain. Nevertheless, clinicians can use apps to benefit patients. This article outlines practical strategies to select safe and effective apps for the creation of a digital toolkit that can augment suicide prevention and safety plans. By creating a unique digital toolkit for each patient, clinicians can help ensure that the apps selected will be most relevant, engaging, and effective.
智能手机应用程序提供了便捷的新工具，可能有助于预防自杀，并为有活跃自杀意念的个人提供支持。目前存在许多针对心理健康状况的智能手机应用程序；然而，它们的功能有限，相关证据也尚在初期阶段。新一代利用智能手机传感器并整合有关不断变化风险的实时数据的应用程序，具有提供更个性化支持的潜力，但这些应用程序存在伦理风险，目前更多地仍处于研究领域而非临床领域。尽管如此，临床医生可以利用应用程序使患者受益。本文概述了一些实用策略，用于选择安全有效的应用程序，以创建一个可增强自杀预防和安全计划的数字工具包。通过为每位患者创建独特的数字工具包，临床医生可以帮助确保所选的应用程序将最具相关性、吸引力和有效性。
