Abstract
The use of new technologies in the prevention and detection of suicidal behaviours have a strong potential to reach and offer immediate support to individuals at risk, their caregivers and in the long run to health care policymakers. In this paper, we describe the development of a computational platform to support suicide prevention activities through two main components. The first one is a Clinical Decision Support System developed to help specialists with the screening, treatment management, and the collection and analysis of suicide-related data for surveillance purposes. The second component of the platform is HelPath, a mobile-based application, addressed to individuals identified with suicidal behaviour (ideation, planning or attempt). HelPath offers support for the remote and continuous collection of data for the assessment of risk factors and offers suggestions and activities based on Cognitive Behaviour Therapy that can prevent to commit suicide. The main functionalities of each component are described emphasising how each of these functionalities impacts in the different key actions required to get an integral strategy for suicide prevention.
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References
Bernstein, D.A., Borkovec, T.D., Hazlett-Stevens, H.: New Directions in Progressive Relaxation Training: A Guidebook for Helping Professionals. Greenwood Publishing Group, Westport (2000)
de Beurs, D., Kirtley, O., Kerkhof, A., Portzky, G., O’Connor, R.: The role of mobile phone technology in understanding and preventing suicidal behavior. Crisis 36(2), 79–82 (2015)
Bickmore, T., Trinh, H., Asadi, R., Olafsson, S.: Safety first: conversational agents for health care. In: Moore, R.J., Szymanski, M.H., Arar, R., Ren, G.-J. (eds.) Studies in Conversational UX Design. HIS, pp. 33–57. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-95579-7_3
Calderón-Narváez, G.: Cuestionario clínico para el diagnóstico de los cuadros depresivos (Clinical questionnaire for the diagnosis of depressive profiles). Revista Médica del Instituto Mexicano del Seguro Social 30(5), 377–380 (1992)
Department of Health: Connecting for life: Ireland’s national strategy to reduce suicide 2015–2020. Technical report, National Office for Suicide Prevention (2015). https://www.healthpromotion.ie/hp-files/docs/HME00945.pdf. Accessed 13 Nov 2018
Etter, D.J., et al.: Suicide screening in primary care: use of an electronic screener to assess suicidality and improve provider follow-up for adolescents. J. Adolesc. Health 62, 191–197 (2018)
Franklin, J.C., et al.: A brief mobile app reduces nonsuicidal and suicidal self-injury: evidence from three randomized controlled trials. J. Consult. Clin. Psychol. 84(6), 544–557 (2016)
Gardner, W., et al.: Screening, triage, and referral of patients who report suicidal thought during a primary care visit. Pediatrics 125(5), 945–952 (2010)
Gould, M.S., Marrocco, F.A., Hoagwood, K., Kleinman, M., Amakawa, L., Altschuler, E.: Service use by at-risk youths after school-based suicide screening. Child Adolesc. Psychiatry 48(12), 1193–1201 (2009)
Guille, C., Zhao, Z., Krystal, J., Nichols, B., Brady, K., Sen, S.: Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: a randomized clinical trial. JAMA Psychiatry 72(12), 1192–1198 (2015)
Hamilton, M.: The assessment of anxiety states by rating. Br. J. Med. Psychol. 32(1), 50–55 (1959)
Hawton, K., et al.: Self-harm in England: a tale of three cities. Soc. Psychiatry Psychiatr. Epidemiol. 42(7), 513–521 (2007)
Hawton, K., van Heeringen, K.: Suicide. Lancet 373, 1372–1381 (2009)
Hill, R.M., Pettit, J.W.: Pilot randomized controlled trial of LEAP: a selective preventive intervention to reduce adolescents’ perceived burdensomeness. J. Clin. Child Adolesc. Psychol. 48(Sup1) (2019). https://doi.org/10.1080/15374416.2016.1188705
Horrocks, M., Michail, M., Aubeeluck, A., Wright, N., Morriss, R.: An electronic clinical decision support system for the assessment and management of suicidality in primary care. JMIR Res. Protoc. (2018, in press). http://eprints.nottingham.ac.uk/52831/. Accessed 03 Nov 2018
Kisser, R., Walters, A., Rogmans, W., Turner, S., Lyons, R.A.: Injuries in the European Union 2013–2015. Technical report, European Association for Injury Prevention and Safety Promotion (EuroSafe) (2017). http://www.eurosafe.eu.com/uploads/inline-files/IDB%202013-2015_suppl%20to%206th%20edition%20Injuries%20in%20the%20EU.pdf. Accessed 04 Nov 2018
Lobo, A., Chamorro, L., Luque, A., Dal-Ré, R., Badia, X., Baró, E.: Validación de las versiones en español de la montgomery-asberg depression rating scale y la hamilton anxiety rating scale para la evaluación de la depresión y de la ansiedad. Medicina Clínica 118, 493–499 (2002)
Luxton, D.D., June, J.D., Chalker, S.A.: Mobile health technologies for suicide prevention: feature review and recommendations for use in clinical care. Curr. Treat. Options Psychiatry 2(4), 349–362 (2015)
Martínez-Miranda, J.: Embodied conversational agents for the detection and prevention of suicidal behaviour: current applications and open challenges. J. Med. Syst. 41, 135 (2017)
Mewton, L., Andrews, G.: Cognitive behavioral therapy for suicidal behaviors: improving patient outcomes. Psychol. Res. Behav. Manage. 9, 21–29 (2016)
Mishara, B., Kerkhof, A.: Suicide Prevention and New Technologies: Evidence Based Practice. Palgrave Macmillan, New York (2013)
Morales-Ramírez, M., Ocampo-Andréyeva, V., de la Mora, L., Alvarado-Calvillo, R.: Validez y confiabilidad del cuestionario clínico del síndrome depresivo (Validity and reliability of the depressive syndrome clinical questionnaire). Archivos de Neurociencias 1(1), 11–15 (1996)
Muñoz-Sánchez, J.L., Delgado, C., Sánchez-Prada, A., Pérez-López, M., Franco-Martín, M.: Use of new technologies in the prevention of suicide in europe: an exploratory study. JMIR Ment. Health 4(2), e23 (2017)
Oquendo, M.A., Currier, D., Mann, J.J.: Prospective studies of suicidal behavior in major depressive and bipolar disorders: what is the evidence for predictive risk factors? Acta Psychiatr. Scand. 114(3), 151–158 (2006)
Oyama, H., et al.: A community-based survey and screening for depression in the elderly: the short-term effect on suicide risk in Japan. Crisis J. Crisis Interv. Suicide Prev. 31(2), 100–108 (2010)
Patterson, W.M., Dohn, H.H., Bird, J., Patterson, G.A.: Evaluation of suicidal patients: the SAD PERSONS scale. Psychosomatics 24(4), 343–349 (1983)
Peña, J.B., Caine, E.D.: Screening as an approach for adolescent suicide prevention. Suicide Life Threat. Behav. 36(6), 614–637 (2006)
Perry, I.J., Corcoran, P., Fitzgerald, A.P., Keeley, H.S., Reulbach, U., Arensman, E.: The incidence and repetition of hospital-treated deliberate self harm: findings from the world’s first national registry. PLoS ONE 7(2), e31663 (2012)
Plutchick, R., van Praga, H.M., Conte, H.R., Picard, S.: Correlates of suicide and violence risk: the suicide risk measure. Compr. Psychiatry 30(4), 296–302 (1989)
Roberts, R.E., Chen, Y.W.: Depressive symptoms and suicidal ideation among mexican-origin and anglo adolescents. J. Am. Acad. Child Adolesc. Psychiatry 34(1), 81–90 (1995)
Robinson, J., et al.: Can an internet-based intervention reduce suicidal ideation, depression and hopelessness among secondary school students: results from a pilot study. Early Interv. Psychiatry 10(1), 28–35 (2016)
Rosales-Pérez, J.C., Córdova-Osnaya, M., Cortés-Granados, R.: Reliability and validity of Roberts’ suicidal scale. J. Behav. Health Soc. Issues 7(2), 31–41 (2016)
Rubio, G., et al.: Validación de la escala de riesgo suicida de plutchik en población española (Validation of the plutchik suicide risk scale in Spanish population). Archivos de Neurobiología 61(2), 143–152 (1998)
Sarracino, D., Dimaggio, G., Ibrahim, R., Popolo, R., Sassaroli, S., Ruggiero, G.M.: When REBT goes difficult: applying ABC-DEF to personality disorders. J. Rational-Emot. Cognitive-Behav. Ther. 35(3), 278–295 (2017)
Schwartz-Lifshitz, M., Zalsman, G., Giner, L., Oquendo, M.: Can we really prevent suicide? Curr. Psychiatry Rep. 14(6), 624–633 (2012)
Stanley, B., et al.: Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability. J. Am. Acad. Child Adolesc. Psychiatry 48(10), 1005–1013 (2009)
Tarrier, N., Taylor, K., Gooding, P.: Cognitive-behavioral interventions to reduce suicide behavior: a systematic review and meta-analysis. Behav. Modif. 32(1), 77–108 (2008)
Tighe, J., Shand, F., Ridani, R., Mackinnon, A., Mata, N.D.L., Christensen, H.: Ibobbly mobile health intervention for suicide prevention in australian indigenous youth: a pilot randomised controlled trial. BMJ Open 7(1), e013518 (2017)
Vancayseele, N., Jaegere, E.D., Portzky, G., van Heeringen, C.: De epidemiologie van suïcidepogingen in Groot Gent (The epidemiology of suicide attempts in bigger Gent). Technical report, Universiteit Gent (2012). https://www.eenheidzelfmoordonderzoek.be/pdf/14082014-083537-Jaarverslag%20Groot%20Gent%202012.pdf. Accessed 04 Nov 2018
Veale, D.: Behavioural activation for depression. Adv. Psychiatr. Treat. 14, 29–36 (2008)
WHO: Preventing suicide: a resource for counsellours. Technical report, World Health Organisation (2006). http://apps.who.int/iris/bitstream/handle/10665/43487/9241594314_eng.pdf?sequence=1. Accessed 01 Nov 2018
WHO: Preventing suicide: a global imperative. Technical report, World Health Organisation (2014). http://apps.who.int/iris/bitstream/handle/10665/131056/9789241564779_eng.pdf?sequence=1. Accessed 01 Nov 2018
WHO: Practice manual for establishing and maintaining surveillance systems for suicide attempts and self-harm. Technical report, World Health Organisation (2016). http://www.who.int/mental_health/suicide-prevention/attempts_surveillance_systems/en/. Accessed 04 Nov 2018
WHO: World Health Statistics 2017 - Monitoring Health for the SDGs. Technical report, World Health Organisation (2017). http://apps.who.int/iris/bitstream/handle/10665/255336/9789241565486-eng.pdf?sequence=1. Accessed 01 Nov 2018
Witt, K., et al.: Effectiveness of online and mobile telephone applications (‘apps’) for the self-management of suicidal ideation and self-harm: a systematic review and meta-analysis. BMC Psychiatry 17(297), 1–18 (2017)
Zalsman, G., et al.: Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry 3(7), 646–659 (2016)
Acknowledgements
This work has been funded by the “Fondo Sectorial de Investigación en Salud y Seguridad Social – FOSISS/CONACyT” under the research project 2016-1-273163 “Desarrollo de nuevas tecnologías y su integración al sector salud como ayuda a una estrategia integral de prevención del suicidio”. The first author also acknowledges the “Cátedras CONACyT” program funded by the Mexican National Research Council (CONACyT).
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Martínez-Miranda, J. et al. (2019). Development of a Computational Platform to Support the Screening, Surveillance, Prevention and Detection of Suicidal Behaviours. In: Cipresso, P., Serino, S., Villani, D. (eds) Pervasive Computing Paradigms for Mental Health. MindCare 2019. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 288. Springer, Cham. https://doi.org/10.1007/978-3-030-25872-6_7
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