Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Mar;78(3):883-893.
doi: 10.1111/jan.15142. Epub 2022 Jan 7.

Ecological momentary assessment of mental health in adults at suicide risk: An observational study protocol

Hyein Kim  1   2 , Sunyoung Park  3 , Youkyung Kim  1 , Seongae Kwon  1 , Heejung Kim  1   4
Affiliations

Ecological momentary assessment of mental health in adults at suicide risk: An observational study protocol

Hyein Kim et al. J Adv Nurs. 2022 Mar.

Abstract

Aims: To describe the research protocol for an ecological momentary assessment (EMA) designed to examine patterns of suicidal ideation and relevant psychosocial stress indicators in adults at risk for suicide.

Design: This observational and longitudinal study will collect data for 28 consecutive days.

Methods: A total of 150 adults at risk for suicide will be recruited from a single suicide prevention centre and an outpatient clinic in Korea. Self-report questionnaires will be administrated during weeks 0, 1, 3 and 5. Participants will receive text messages three times a day for 4 weeks prompting them to access an online survey link for daily mood survey including depression, anxiety, stress and suicidal ideation. In addition, for the first 2 weeks, they will wear an actigraphy device designed to collect actigraphic data in terms of sleep patterns and physical activity. Data analyses such as descriptive statistics, independent t-tests, one-way ANOVA, chi-squared statistics and time-series and correlation analyses will be performed using IBM SPSS 26.0 and SAS version 9.3. The study received funding from National Research Foundation of Korea in February 2020. Institutional Review Board approval for our study was obtained in April 2021.

Discussions: This study will yield fundamental information about daily patterns of suicide ideation and psychosocial stress indicators to develop preventive interventions for adults at risk for suicide.

Impact: Our study will contribute to the development of EMAs and interventions for adults at risk for suicide aimed at providing timely and individualized mental health services in a community setting.

Trial registration: The trial is registered with the Clinical Research Information Service (CRIS). CRIS Registration Number: KCT0006165.

Keywords: anxiety; depression; ecological momentary assessment; longitudinal observation; mental health; protocol; psychiatric nursing; suicidal ideation.

PubMed Disclaimer

Conflict of interest statement

No conflict of interest to declare.

Figures

FIGURE 1
FIGURE 1
Conceptual framework based on stress‐vulnerability model
FIGURE 2
FIGURE 2
Data collection and data analysis process of the study
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Adams, L. , Igbinedion, G. , DeVinney, A. , Azasu, E. , Nestadt, P. , Thrul, J. , & Joe, S. (2021). Assessing the real‐time influence of racism‐related stress and suicidality among black men: Protocol for an ecological momentary assessment study. JMIR Research Protocols, 10(10), e31241. 10.2196/31241 - DOI - PMC - PubMed
    1. Beck, A. T. , & Steer, R. A. (1991). Manual for the beck scale for suicide ideation. Psychological Corporation.
    1. Beck, A. T. , Steer, R. A. , & Ranieri, W. F. (1988). Scale for suicide ideation: Psychometric properties of a self‐report version. Journal of Clinical Psychology, 44(4), 499–505. 10.1002/1097-4679(198807)44:4<499:AID-JCLP2270440404>3.0.CO;2-6 - DOI - PubMed
    1. Bentley, K. H. , Franklin, J. C. , Ribeiro, J. D. , Kleiman, E. M. , Fox, K. R. , & Nock, M. K. (2016). Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta‐analytic review. Clinical Psychology Review, 43, 30–46. 10.1016/j.cpr.2015.11.008 - DOI - PMC - PubMed
    1. Ben‐Zeev, D. , Scherer, E. A. , Brian, R. M. , Mistler, L. A. , Campbell, A. T. , & Wang, R. (2017). Use of multimodal technology to identify digital correlates of violence among inpatients with serious mental illness: A pilot study. Psychiatric Services, 68(10), 1088–1092. 10.1176/appi.ps.201700077 - DOI - PMC - PubMed