Department of Psychology, Harvard University, Cambridge, MA, United States.
Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States.
JMIR Ment Health. 2024 Oct 31;11:e58409. doi: 10.2196/58409.
Real-time monitoring captures information about suicidal thoughts and behaviors (STBs) as they occur and offers great promise to learn about STBs. However, this approach also introduces questions about how to monitor and respond to real-time information about STBs. Given the increasing use of real-time monitoring, there is a need for novel, effective, and scalable tools for responding to suicide risk in real time.
The goal of this study was to develop and test an automated tool (ResourceBot) that promotes the use of crisis services (eg, 988) in real time through a rule-based (ie, if-then) brief barrier reduction intervention.
ResourceBot was tested in a 2-week real-time monitoring study of 74 adults with recent suicidal thoughts.
ResourceBot was deployed 221 times to 36 participants. There was high engagement with ResourceBot (ie, 87% of the time ResourceBot was deployed, a participant opened the tool and submitted a response to it), but zero participants reported using crisis services after engaging with ResourceBot. The most reported reasons for not using crisis services were beliefs that the resources would not help, wanting to handle things on one's own, and the resources requiring too much time or effort. At the end of the study, participants rated ResourceBot with good usability (mean of 75.6 out of 100) and satisfaction (mean of 20.8 out of 32).
This study highlights both the possibilities and challenges of developing effective real-time interventions for suicide risk and areas for refinement in future work.
实时监测可捕捉到自杀意念和行为（STB）发生时的信息，为了解 STB 提供了很大的帮助。然而，这种方法也引发了一些问题，即如何监测和回应实时的 STB 信息。鉴于实时监测的使用越来越多，需要开发新颖、有效且可扩展的工具来实时应对自杀风险。
本研究的目的是开发和测试一种自动化工具（ResourceBot），通过基于规则的（即如果-那么）简短障碍减少干预措施，实时促进对危机服务（例如 988）的使用。
ResourceBot 在一项为期 2 周的 74 名近期有自杀意念的成年人实时监测研究中进行了测试。
ResourceBot 共向 36 名参与者部署了 221 次。ResourceBot 的参与度很高（即 87%的时间 ResourceBot 被部署时，参与者会打开工具并对其做出回应），但没有参与者在与 ResourceBot 互动后报告使用危机服务。不使用危机服务的最常见原因是认为资源不会有帮助、想要自己处理问题以及资源需要太多时间或精力。在研究结束时，参与者对 ResourceBot 的可用性（满分 100 分，平均 75.6 分）和满意度（满分 32 分，平均 20.8 分）评价良好。
本研究突出了为自杀风险开发有效实时干预措施的可能性和挑战，以及未来工作中需要改进的领域。
