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Practices for monitoring and responding to incoming data on self-injurious thoughts and behaviors in intensive longitudinal studies: A systematic review.
Bentley, Kate H; Maimone, Joseph S; Kilbury, Erin N; Tate, Marshall S; Wisniewski, Hannah; Levine, M Taylor; Roberg, Regina; Torous, John B; Nock, Matthew K; Kleiman, Evan M.
Afiliación
  • Bentley KH; Massachusetts General Hospital, Department of Psychiatry, United States of America; Harvard Medical School, Department of Psychiatry, United States of America. Electronic address: kbentley@mgh.harvard.edu.
  • Maimone JS; Massachusetts General Hospital, Department of Psychiatry, United States of America; Harvard University, Department of Psychology, United States of America.
  • Kilbury EN; Massachusetts General Hospital, Department of Psychiatry, United States of America; Harvard University, Department of Psychology, United States of America.
  • Tate MS; Harvard University, Department of Psychology, United States of America.
  • Wisniewski H; Beth Israel Deaconess Medical Center/Harvard Medical School, Department of Psychiatry and Division of Digital Psychiatry, United States of America.
  • Levine MT; Massachusetts General Hospital, Department of Psychiatry, United States of America.
  • Roberg R; Massachusetts General Hospital, Department of Psychiatry, United States of America.
  • Torous JB; Beth Israel Deaconess Medical Center/Harvard Medical School, Department of Psychiatry and Division of Digital Psychiatry, United States of America.
  • Nock MK; Massachusetts General Hospital, Department of Psychiatry, United States of America; Harvard University, Department of Psychology, United States of America.
  • Kleiman EM; Rutgers University, Department of Psychology, United States of America.
Clin Psychol Rev ; 90: 102098, 2021 12.
Article en En | MEDLINE | ID: mdl-34763126
Advancements in the understanding and prevention of self-injurious thoughts and behaviors (SITBs) are urgently needed. Intensive longitudinal data collection methods-such as ecological momentary assessment-capture fine-grained, "real-world" information about SITBs as they occur and thus have the potential to narrow this gap. However, collecting real-time data on SITBs presents complex ethical and practical considerations, including about whether and how to monitor and respond to incoming information about SITBs from suicidal or self-injuring individuals during the study. We conducted a systematic review of protocols for monitoring and responding to incoming data in previous and ongoing intensive longitudinal studies of SITBs. Across the 61 included unique studies/samples, there was no clear most common approach to managing these ethical and safety considerations. For example, studies were fairly evenly split between either using automated notifications triggered by specific survey responses (e.g., indicating current suicide risk) or monitoring and intervening upon (generally with a phone-based risk assessment) incoming responses (36%), using both automated notifications and monitoring/intervening (35%), or neither using automated notifications nor monitoring/intervening (29%). Certain study characteristics appeared to influence the safety practices used. Future research that systematically evaluates optimal, feasible strategies for managing risk in real-time monitoring research on SITBs is needed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intento de Suicidio / Conducta Autodestructiva Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Ethics Límite: Humans Idioma: En Revista: Clin Psychol Rev Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intento de Suicidio / Conducta Autodestructiva Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Ethics Límite: Humans Idioma: En Revista: Clin Psychol Rev Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos