Just-in-Time Adaptive Interventions for Suicide Prevention: Promise, Challenges, and Future Directions

Coppersmith, Daniel D L; Dempsey, Walter; Kleiman, Evan M.; Bentley, Kate H.; Murphy, Susan A.; Nock, Matthew K.

doi:10.1080/00332747.2022.2092828

Cited by 52 publications

(43 citation statements)

References 88 publications

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“…The dynamic and heterogeneous nature of suicide necessitate the need to tailor treatment to the individual. For example, new smartphone applications with just-in-time interventions that are adaptive to internal states and external contexts are recommended (36).…”

Section: Discussionmentioning

confidence: 99%

Recent Stressful Experiences and Suicide Risk: Implications for Suicide Prevention and Intervention in U.S. Army Soldiers

Dempsey

Benedek

Zuromski

et al. 2023

PRCP

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Objectives To identify the extent to which the presence of recent stressful events are risk factors for suicide among active‐duty soldiers as reported by informants. Methods Next‐of‐kin (NOK) and supervisors (SUP) of active duty soldiers (n = 135) who died by suicide and two groups of living controls: propensity‐matched (n = 128) and soldiers who reported suicidal ideation in the past year, but did not die (SI) (n = 108) provided data via structured interviews from the Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Multivariate logistic regression analyses were used to create a risk score for suicide. Results The odds of suicide increased significantly for soldiers experiencing relationship problems, military punishment, and perceived failure or humiliation in the month prior to death. Suicide risk models with these risk factors predicted suicide death among those who reported SI in the past year (OR = 5.9, [95% CI = 1.5, 24.0] χ2 = 6.24, p = 0.0125, AUC, 0.73 (0.7, 0.8) NOK) and (OR = 8.6, [95% CI = 1.4, 51.5] χ2 = 5.49, p = 0.0191, AUC, 0.78 (0.7, 0.8); SUP) suggesting the combination of these recent stressors may contribute to the transition from ideation to action. Conclusions Our findings suggest for the first time recent stressors distinguished suicide ideating controls from suicide decedents in the month prior to death as reported by informants. Implications for preventive intervention efforts for clinicians, supervisors and family members in identifying the transition from ideation to action are discussed.

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Section: Discussionmentioning

confidence: 99%

Recent Stressful Experiences and Suicide Risk: Implications for Suicide Prevention and Intervention in U.S. Army Soldiers

Dempsey

Benedek

Zuromski

et al. 2023

PRCP

Self Cite

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“…Artificial intelligence has demonstrated utility in assessing risk of suicide for vulnerable populations such as LGBTQ teens and military veterans (Ohlheiser & Hao, 2021), and mobile technologies are developing for "Just-in-Time Adaptive" interventions for suicide prevention and response (Coppersmith et al, 2021). "Just in time" interventions measure fluctuations in suicidal thinking in real-time and can alert health care providers when rapid changes indicating suicidal behavior occurs.…”

Section: Discussionmentioning

confidence: 99%

The Instagram/Facebook ban on graphic self‐harm imagery: A sentiment analysis and topic modeling approach

Smith

Cipolli

2021

Policy & Internet

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Research indicates that adolescents who are vulnerable to self‐harm are likely to access social media specifically related to self‐harm, which often contains health myths and fails to provide linkages to appropriate resources. In this study, we examined the emotional discourse before and following a ban of graphic images of self‐harm on Facebook and Instagram. This observational case series study assesses a corpus of 8,013 tweets that specifically mention Facebook and/or Instagram between June 1, 2018, and May 31, 2019 (the ban occurred on February 7, 2019). Topical content was elucidated via statistical modeling to extract abstract topics in discourse. The graphic self‐harm ban produced emotional shifts in users of social media. A time series plot produced peaks of tweets on the banning of graphic images of self‐harm including political events, news coverage, and media exemplars of suicide (both celebrity and noncelebrity). We observed raw proportional differences with elevated emotions before the ban (i.e., disgust, joy, surprise, and trust) followed by elevated emotions occurring after the ban (i.e., anger, anticipation, and sadness). This study provides insight into how the policy‐change relating to self‐harm was received by those with a vested interest. These insights can be valuable to policymakers and advocates for those affected by self‐harm.

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“…Advances in smartphone-based technologies may provide one such opportunity to enhance continuity of services and therapeutic support, post-discharge with the use of experience sampling assessments (e.g., ecological momentary assessments, EMA) ( 36 , 37 ). These approaches can be culturally tailored and targeted tp Black males to enhance real-time pathways of identifying acute crisis and delivering brief interventions in the community setting ( 38 ). To date, the development and implementation of such approaches among Black males at high risk of suicide is limited and necessitates directed funding in the development of such smartphone-based adaptive interventions to support this population in times of crisis.…”

Section: Recommendations To Support Equity In Black Male Suicide Prev...mentioning

confidence: 99%

Achieving mental health equity in Black male suicide prevention

Adams

Thorpe

2023

Front. Public Health

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Despite a steady decrease in suicide rates in the United States, the rate among Black males has increased in recent decades. Moreover, suicide is now positioned as the third leading cause of death in this population, signaling a public health crisis. Enhancing the ability for future suicide prevention scholars to fully characterize and intervene on suicide risk factors is an emerging health equity priority, yet there is little empirical evidence to robustly investigate the alarming trends in Black male suicide. We present fundamental areas of expansion in suicide prevention research focused on establishing culturally responsive strategies to achieve mental health equity. Notably, we identify gaps in existing research and offer future recommendation to reduce suicide death among Black males. Our perspective aims to present important and innovative solutions for ensuring the inclusion of Black males in need of suicide prevention and intervention efforts.

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Just-in-Time Adaptive Interventions for Suicide Prevention: Promise, Challenges, and Future Directions

Cited by 52 publications

References 88 publications

Recent Stressful Experiences and Suicide Risk: Implications for Suicide Prevention and Intervention in U.S. Army Soldiers

Recent Stressful Experiences and Suicide Risk: Implications for Suicide Prevention and Intervention in U.S. Army Soldiers

The Instagram/Facebook ban on graphic self‐harm imagery: A sentiment analysis and topic modeling approach

Achieving mental health equity in Black male suicide prevention

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