Effectiveness of mobile applications as intervention tools in suicidal ideation
a systematic review and meta-analysis
Palabras clave:
Mhealth, Mobile health, Smartphone, Telemedicine, TelepsychologyResumen
Objective
Evaluate the effectiveness of mobile applications developed for intervention in suicide risk in adults.
Method
Searches for articles were carried out in four databases (PubMed, Web of Science, Scopus and PsychINFO). For the meta-analyses, we used fixed effect modelling to assess the primary outcome. The PROSPERO register is CRD42020163876.
Results
After applying inclusion and exclusion criteria, six studies remained in the systematic review, of which four were eligible to the meta-analysis. There was no difference, or a little tendency in favor of control condition (usual treatment) comparing with applications.
Conclusion
Applications can be as effective as standard treatments in reducing suicide ideation. The results should be interpreted with caution once all studies presented at least one bias in their study design.
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Barnett, A. G., Van Der Pols, J. C., & Dobson, A. J. (2005). Regression to the mean: what it is and how to deal with it. International journal of Epidemiology, 34(1), 215-220. https://doi.org/10.1093/ije/dyh299
Bush, N. E., Smolenski, D. J., Denneson, L. M., Williams, H. B., Thomas, E. K., & Dobscha, S. K. (2017). A virtual hope box: randomized controlled trial of a smartphone app for emotional regulation and coping with distress. Psychiatric Services, 68(4), 330-336. https://doi.org/10.1176/appi.ps.201600283
Bruffaerts, R., Demyttenaere, K., Hwang, I., Chiu, W. T., Sampson, N., Kessler, R. C., Alonso, J., Borges, G., Girolamo, G., Graaf, R., Florescu, S., Gureje, O., Hu, C., Karam, E. G., Kawakami, N., Kostyuchenco, S., Kovess-Masfety, V., Lee, S., Levinson, D., Matschinger, H., … Nock, M. K. (2011). Treatment of suicidal people around the world. British Journal of Psychiatry, 199(1), 64-70. https://doi.org/10.1192/ bjp.bp.110.084129
Chen, J. I., Smolenski, D. J., Dobscha, S. K., Bush, N. E., & Denneson, L. M. (2018). Correlates of mental health smartphone application use among patients with suicidal ideation. Journal of Technology in Human Services, 36(4), 191-207. https://doi.org/10.1080/15228835.2018.1502119
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd ed. Erlbaum Associates.
Czyz, E. K., Horwitz, A. G., Eisenberg, D., Kramer, A., & King, C. A. (2013). College students at elevated risk for suicide. National Institutes of Health, 61(7), 398-406. https://doi.org/10.1080/07448481.2013.820731
Davis, C. E. (1976). The effect of regression to the mean in epidemiologic and clinical studies. American Journal of Epidemiology, 104(5), 493-498. https://doi.org/10.1093/oxfordjournals.aje.a112321
De la Torre, I., Castillo, G., Arambarri, J., López-Coronado, M., & Franco, M. A. (2017). Mobile Apps for suicide prevention: review of virtual stores and literature. JMIR MHealth and UHealth, 5(10), e130. https:// doi.org/10.2196/mhealth.8036
Denneson, L. M., Smolenski, D. J., Bauer, B. W., Dobscha, S. K., & Bush, N. E. (2019). The mediating role of coping self-efficacy in hope box use and suicidal ideation severity. Archives of Suicide Research, 23(2), 234-246. https://doi.org/10.1080/13811118.2018.1456383
Franklin, J. C., Fox, K. R., Franklin, C. R., Kleiman, E. M., Ribeiro, J. D., Jaroszewski, A. C., Hooley, J. M., & Nock, M. K. (2016). A brief mobile app reduces nonsuicidal and suicidal self-injury: evidence from three randomized controlled trials. Journal of Consulting and Clinical Psychology, 84(6), 544-557. https:// doi.org/10.1037/ccp0000093
Fukuda, C. C., Penso, M. A., Amparo, D. M., Almeida, B. C., & Morais, C. A. (2016). Mental health of young Brazilians: barriers to professional help-seeking. Estudos de Psicologia (Campinas), 33(2), 355-365. https://doi.org/10.1590/1982-02752016000200017
Hayes, J. F., Maughan, D. L., & Grant-Peterkin, H. (2016). Interconnected or disconnected? Promotion of mental health and prevention of mental disorder in the digital age. British Journal of Psychiatry, 208(3), 205-207. https://doi.org/10.1192/bjp.bp.114.161067
Hetrick, S. E., Robinson, J., Spittal, M. J., & Carter, G. (2016). Effective psychological and psychosocial approaches to reduce repetition of self-harm: a systematic review, meta-analysis and meta-regression. BMJ Open, 6(9), e011024. http://dx.doi.org/10.1136/bmjopen-2016-011024
Higgins J. P. T., & Green S. (2011). Cochrane handbook for Systematic Reviews of Interventions Version 5.1.0. Wiley Blackwell. www.handbook.cochrane.org
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. The British Medical Journal, 327(7414), 557-560. https://doi.org/10.1136/bmj.327.7414.557
Khabsa, M., Elmagarmid, A., Ilyas, I., Hammady, H., & Ouzzani, M. (2016). Learning to identify relevant studies for systematic reviews using random forest and external information. Machine Learning, 102(3), 465-482. https://doi.org/10.1007/s10994-015-5535-7
Knaak, S., Mantler, E., & Szeto, A. (2017). Mental illness-related stigma in healthcare: barriers to access and care and evidence-based solutions. Healthcare Management Forum, 30(2), 111-116. https://doi. org/10.1177/0840470416679413
Lean, M., Fornells-Ambrojo, M., Milton, A., Lloyd-Evans, B., Harrison-Stewart, B., Yesufu-Udechuku, A., Kendall, T., & Johnson, S. (2019). Self-management interventions for people with severe mental illness: systematic review and meta-analysis. British Journal of Psychiatry, 214(5), 260-268. https:// doi.org/10.1192/bjp.2019.54
Leavey, K., & Hawkins, R. (2017). Is cognitive behavioural therapy effective in reducing suicidal ideation and behaviour when delivered face-to-face or via e-health? A systematic review and meta-analysis. Cognitive Behaviour Therapy, 46(5), 353-374. https://doi.org/10.1080/16506073.2017.1332095
Lopes, C. S., Hellwig, N., E Silva, G. D. A., & Menezes, P. R. (2016). Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS. International Journal for Equity in Health, 15(1), 1-8. https://doi.org/10.1186/s12939-016-0446-1
O’Toole, M. S., Arendt, M. B., & Pedersen, C. M. (2019). Testing an app-assisted treatment for suicide prevention in a randomized controlled trial: effects on suicide risk and depression. Behavior Therapy, 50(2), 421-429. https://doi.org/10.1016/j.beth.2018.07.007
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 1-10. https://doi.org/10.1186/s13643-016-0384-4
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., Stewart, L. A., ... Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71), 1-9. https://doi.org/10.1136/bmj.n71
Priester, M. A., Browne, T., Iachini, A., Clone, S., DeHart, D., & Seay, K. D. (2016). Treatment Access barriers and disparities among individuals with co-occurring mental health and substance use disorders: an integrative literature review. Journal of Substance Abuse Treatment, 61, 47-59. https://doi.org/10.1016/j. jsat.2015.09.006
Schwarzer, G. (2019). General package for meta-analysis. The R Project for Statistical Computing. https://cran.r-project.org/web/packages/meta/meta.pdf
Tighe, J., Shand, F., Ridani, R., Mackinnon, A., De La Mata, N., & Christensen, H. (2017). Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial. BMJ Open, 7(1), e013518. http://dx.doi.org/10.1136/bmjopen-2016-013518
Witt, K., Spittal, M. J., Carter, G., Pirkis, J., Hetrick, S., Currier, D., Robinson, J., & Milner, A. (2017). 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(1), 297. http://dx.doi. org/10.1186/s12888-017-1458-0
World Health Organization (2019). Suicide in the world: global health estimates. https://www.who.int/ publications-detail/suicide-in-the-world
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Derechos de autor 2023 Nicolas de Oliveira CARDOSO, Eduarda Zorgi SALVADOR , Ketlin da Rosa TAGLIAPIETRA, Marcela Alves SANSEVERINO, João Ricardo Nickenig VISSOCI, Wagner de Lara MACHADO
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.