Smartphone-based safety planning and self-monitoring for suicidal patients: Rationale and study protocol of the CASPAR (Continuous Assessment for Suicide Prevention And Research) study

Nuij, C. et al. (2018) Smartphone-based safety planning and self-monitoring for suicidal patients: Rationale and study protocol of the CASPAR (Continuous Assessment for Suicide Prevention And Research) study. Internet Interventions, 13, pp. 16-23. (doi: 10.1016/j.invent.2018.04.005) (PMID:30206514) (PMCID:PMC6112103)

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Abstract

Background: It remains difficult to predict and prevent suicidal behaviour, despite growing understanding of the aetiology of suicidality. Clinical guidelines recommend that health care professionals develop a safety plan in collaboration with their high-risk patients, to lower the imminent risk of suicidal behaviour. Mobile health applications provide new opportunities for safety planning, and enable daily self-monitoring of suicide-related symptoms that may enhance safety planning. This paper presents the rationale and protocol of the Continuous Assessment for Suicide Prevention And Research (CASPAR) study. The aim of the study is two-fold: to evaluate the feasibility of mobile safety planning and daily mobile self-monitoring in routine care treatment for suicidal patients, and to conduct fundamental research on suicidal processes. Methods: The study is an adaptive single cohort design among 80 adult outpatients or day-care patients, with the main diagnosis of major depressive disorder or dysthymia, who have an increased risk for suicidal behaviours. There are three measurement points, at baseline, at 1 and 3 months after baseline. Patients are instructed to use their mobile safety plan when necessary and monitor their suicidal symptoms daily. Both these apps will be used in treatment with their clinician. Conclusion: The results from this study will provide insight into the feasibility of mobile safety planning and self-monitoring in treatment of suicidal patients. Furthermore, knowledge of the suicidal process will be enhanced, especially regarding the transition from suicidal ideation to behaviour.

Item Type:Articles
Additional Information:The CASPAR study is funded by the Netherlands organisation for health research and development (ZonMw project number 537001008).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:O'Connor, Professor Rory
Authors: Nuij, C., van Ballegooijen, W., Ruwaard, J., de Beurs, D., Mokkenstorm, J., van Duijn, E., de Winter, R. F.P., O'Connor, R., Smit, J. H., Riper, H., and Kerkhof, A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:Internet Interventions
Publisher:Elsevier
ISSN:2214-7829
ISSN (Online):2214-7829
Published Online:05 May 2018
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in Internet Interventions 13: 16-23
Publisher Policy:Reproduced under a Creative Commons License

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