Heart Rate Variability and Its Ability to Detect Worsening Suicidality in Adolescents: A Pilot Trial of Wearable Technology

Sheridan, David C.; Baker, Steven; Dehart, Ryan; Lin, Amber; Hansen, Matthew; Tereshchenko, Larisa G.; Le, Nancy; Newgard, Craig D.; Nagel, Bonnie J.

doi:10.30773/pi.2021.0057

Cited by 15 publications

(29 citation statements)

References 28 publications

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“…Consistent with these findings, one of the two studies only included in the qualitative synthesis found that adolescents who displayed a decrease in suicidality over time displayed an increase in HRV at rest during night-time, but not during the day (Sheridan et al, 2021), whereas the other study found no group differences on RSA or PEP (Yang et al, 2019).…”

Section: Cardiac Measuresmentioning

confidence: 56%

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: a systematic review and meta-analysis

Bellato¹,

Shephard²,

Michelini³

2022

Preprint

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Background. Self-injurious thoughts and behaviours (SITBs) have been associated with dysfunction of the Autonomic Nervous System (ANS) in children and young people, suggesting that objective ANS measures may aid assessment of suicide risk, but a systematic synthesis of this literature is currently lacking. Methods. Following a pre-registered protocol (PROSPERO CRD42022327605), we conducted a systematic search of PubMed, Medline, Embase, PsycINFO, and Web of Science, for empirical studies published until 10th May 2022 that compared indices of ANS functioning in individuals aged 0-25 years with versus without SITBs, or reported continuous associations between ANS measures and SITBs. Study quality was assessed with the Newcastle-Ottawa Scales. Pooled effect sizes (Hedge’s g) were estimated with random-effects meta-analytic models.Results. Twenty studies (1979 participants) were included in systematic review, with 17 included in meta-analyses. Results suggested that SITBs were associated with altered cardiac indices of arousal (g = -0.308, p < 0.001), which was driven by lower heart rate variability in individuals with SITBs (g = -0.367, p < 0.001). Overall results for electrodermal activity were not significant (g = 0.026, p = 0.857), but moderator analyses showed increased activity in individuals who engaged specifically in non-suicidal self-harm (g = 0.249, p = 0.014) but decreased activity in the remaining studies (g = -0.567, p = 0.004).Conclusions. Our systematic review and meta-analysis found evidence of reduced parasympathetic regulation as well as more tentative evidence of altered electrodermal activity in children and young people displaying SITBs. Future longitudinal studies should test the clinical utility of these markers for detecting and monitoring suicide risk.

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Section: Cardiac Measuresmentioning

confidence: 56%

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: a systematic review and meta-analysis

Bellato¹,

Shephard²,

Michelini³

2022

Preprint

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“…The lack of studies on using PPG to evaluate other forms of mental health issues shows a clear gap in the literature. Preliminary studies, such as the one conducted by Sheridan et al [31], shows that PPG could be greatly beneficial for application in depression-specifically in detecting and intervening during acute suicidality-or for assistance in monitoring PTSD.…”

Section: Methods Classification Classesmentioning

confidence: 99%

“…There was only one paper was related to detection of suicidal behavior using PPG wearables [31]. In this study, 51 patients presented to the emergency department or admitted to the psychiatric unit for acute suicidality were asked to wear a PPG wristworn device for 7 days.…”

Section: Brief Summary Of Anxiety and Depression-related Papersmentioning

confidence: 99%

Photoplethysmography Enabled Wearable Devices and Stress Detection: A Scoping Review

Namvari

Lipoth

Knight

et al. 2022

JPM

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Background: Mental and physical health are both important for overall health. Mental health includes emotional, psychological, and social well-being; however, it is often difficult to monitor remotely. The objective of this scoping review is to investigate studies that focus on mental health and stress detection and monitoring using PPG-based wearable sensors. Methods: A literature review for this scoping review was conducted using the PRISMA (Preferred Reporting Items for the Systematic Reviews and Meta-analyses) framework. A total of 290 studies were found in five medical databases (PubMed, Medline, Embase, CINAHL, and Web of Science). Studies were deemed eligible if non-invasive PPG-based wearables were worn on the wrist or ear to measure vital signs of the heart (heart rate, pulse transit time, pulse waves, blood pressure, and blood volume pressure) and analyzed the data qualitatively. Results: Twenty-three studies met the inclusion criteria, with four real-life studies, eighteen clinical studies, and one joint clinical and real-life study. Out of the twenty-three studies, seventeen were published as journal-based articles, and six were conference papers with full texts. Because most of the articles were concerned with physiological and psychological stress, we decided to only include those that focused on stress. In twelve of the twenty articles, a PPG-based sensor alone was used to monitor stress, while in the remaining eight papers, a PPG sensor was used in combination with other sensors. Conclusion: The growing demand for wearable devices for mental health monitoring is evident. However, there is still a significant amount of research required before wearable devices can be used easily and effectively for such monitoring. Although the results of this review indicate that mental health monitoring and stress detection using PPG is possible, there are still many limitations within the current literature, such as a lack of large and diverse studies and ground-truth methods, that need to be addressed before wearable devices can be globally useful to patients.

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“…Twenty-one (50%) of the included articles were from North America, 12 (29%) [30,[46][47][48][49][50][51][52][53][54][55][56] from Europe, and 9 from Asia (21%) [49,[57][58][59][60][61][62][63][64]. The included studies were conducted in 15 different countries, most commonly in the USA (n = 20, 48%) [25][26][27][28][29][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45], India (n = 4, 10%) [57,58,61,63], and Netherlands (n = 3, 7%) [47,55,56]. A total of 32 (76%) articles were published between 2019 and 2022…”

Section: Demographicsmentioning

confidence: 99%

Wireless monitoring devices in hospitalized children: a scoping review

et al. 2023

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The purpose of this study is to provide a structured overview of existing wireless monitoring technologies for hospitalized children. A systematic search of the literature published after 2010 was conducted in Medline, Embase, Scielo, Cochrane, and Web of Science. Two investigators independently reviewed articles to determine eligibility for inclusion. Information on study type, hospital setting, number of participants, use of a reference sensor, type and number of vital signs monitored, duration of monitoring, type of wireless information transfer, and outcomes of the wireless devices was extracted. A descriptive analysis was applied. Of the 1130 studies identified from our search, 42 met eligibility for subsequent analysis. Most included studies were observational studies with sample sizes of 50 or less published between 2019 and 2022. Common problems pertaining to study methodology and outcomes observed were short duration of monitoring, single focus on validity, and lack information on wireless transfer and data management. Conclusion : Research on the use of wireless monitoring for children in hospitals has been increasing in recent years but often limited by methodological problems. More rigorous studies are necessary to establish the safety and accuracy of novel wireless monitoring devices in hospitalized children. What is Known: • Continuous monitoring of vital signs using wired sensors is the standard of care for hospitalized pediatric patients. However, the use of wires may pose significant challenges to optimal care. What is New: • Interest in wireless monitoring for hospitalized pediatric patients has been rapidly growing in recent years. • However, most devices are in early stages of clinical testing and are limited by inconsistent clinical and technological reporting. Supplementary Information The online version contains supplementary material available at 10.1007/s00431-023-04881-w.

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Heart Rate Variability and Its Ability to Detect Worsening Suicidality in Adolescents: A Pilot Trial of Wearable Technology

Cited by 15 publications

References 28 publications

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: a systematic review and meta-analysis

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: a systematic review and meta-analysis

Photoplethysmography Enabled Wearable Devices and Stress Detection: A Scoping Review

Wireless monitoring devices in hospitalized children: a scoping review

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