The dynamics of social support among suicide attempters: A smartphone-based daily diary study

Coppersmith, Daniel D L; Kleiman, Evan M.; Glenn, Catherine R.; Millner, Alexander J.; Nock, Matthew K.

doi:10.1016/j.brat.2018.11.016

Cited by 66 publications

(46 citation statements)

References 33 publications

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“… 60 Moreover, individuals with NSSI reported less daily attachment to others than individuals without NSSI. Coppersmith, Kleiman 61 found associations between daily social support and reports of suicidal ideation. While social factors were considered, other psychological risk factors related to suicide thoughts were also examined in several studies using EMA.…”

Section: Resultsmentioning

confidence: 99%

Suicidal thoughts, suicidal behaviours and self-harm in daily life: A systematic review of ecological momentary assessment studies

et al. 2020

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Background Ecological Momentary Assessments (EMA) offer an approach to understand the daily risk factors of suicide and self-harm of individuals through the use of self-monitoring techniques using mobile technologies. Objectives This systematic review aimed to examine the results of studies on suicidality risk factors and self-harm that used Ecological Momentary Assessments. Methods Pubmed and PsycINFO databases were searched up to April 2020. Bibliographies of eligible studies were hand-searched, and 744 abstracts were screened and double-coded for inclusion. Results The 49 studies using EMA included in the review found associations between daily affect, rumination and interpersonal interactions and daily non-suicidal self-injury (NSSI). Studies also found associations between daily negative affect and positive affect, social support, sleep, and emotions and a person’s history of suicide and self-harm. Associations between daily suicide thoughts and self-harm, and psychopathology factors measured at baseline were also observed. Conclusions Research using EMA has the potential to offer clinicians the ability to understand the daily predictors, or risk factors, of suicide and self-harm. However, there are no clear reporting standards for EMA studies on risk factors for suicide. Further research should utilise longitudinal study designs, harmonise datasets and use machine learning techniques to identify patterns of proximal risk factors for suicide behaviours.

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Section: Resultsmentioning

confidence: 99%

Suicidal thoughts, suicidal behaviours and self-harm in daily life: A systematic review of ecological momentary assessment studies

et al. 2020

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“…Social media provide a continuous stream of information about individuals’ daily lives that may be useful in capturing the dynamic nature of suicide risk, and some studies have found these data can be used to infer a person’s mental health as well as ongoing risk for suicide [ 23 , 26 - 29 ]. A disadvantage to using social media is that the age range of users is still very young [ 30 , 31 ]. Because of recent mishandling of social media data, people are also staying away from public social media platforms [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived Utility and Characterization of Personal Google Search Histories to Detect Data Patterns Proximal to a Suicide Attempt in Individuals Who Previously Attempted Suicide: Pilot Cohort Study

et al. 2021

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Background Despite decades of research to better understand suicide risk and to develop detection and prevention methods, suicide is still one of the leading causes of death globally. While large-scale studies using real-world evidence from electronic health records can identify who is at risk, they have not been successful at pinpointing when someone is at risk. Personalized social media and online search history data, by contrast, could provide an ongoing real-world datastream revealing internal thoughts and personal states of mind. Objective We conducted this study to determine the feasibility and acceptability of using personalized online information-seeking behavior in the identification of risk for suicide attempts. Methods This was a cohort survey study to assess attitudes of participants with a prior suicide attempt about using web search data for suicide prevention purposes, dates of lifetime suicide attempts, and an optional one-time download of their past web searches on Google. The study was conducted at the University of Washington School of Medicine Psychiatry Research Offices. The main outcomes were participants’ opinions on internet search data for suicide prediction and intervention and any potential change in online information-seeking behavior proximal to a suicide attempt. Individualized nonparametric association analysis was used to assess the magnitude of difference in web search data features derived from time periods proximal (7, 15, 30, and 60 days) to the suicide attempts versus the typical (baseline) search behavior of participants. Results A total of 62 participants who had attempted suicide in the past agreed to participate in the study. Internet search activity varied from person to person (median 2-24 searches per day). Changes in online search behavior proximal to suicide attempts were evident up to 60 days before attempt. For a subset of attempts (7/30, 23%) search features showed associations from 2 months to a week before the attempt. The top 3 search constructs associated with attempts were online searching patterns (9/30 attempts, 30%), semantic relatedness of search queries to suicide methods (7/30 attempts, 23%), and anger (7/30 attempts, 23%). Participants (40/59, 68%) indicated that use of this personalized web search data for prevention purposes was acceptable with noninvasive potential interventions such as connection to a real person (eg, friend, family member, or counselor); however, concerns were raised about detection accuracy, privacy, and the potential for overly invasive intervention. Conclusions Changes in online search behavior may be a useful and acceptable means of detecting suicide risk. Personalized analysis of online information-seeking behavior showed notable changes in search behavior and search terms that are tied to early warning signs of suicide and are evident 2 months to 7 days before a suicide attempt.

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“…Compared to children, adolescents spend more time with peers than family (Barnes, Hoffman, Welte, Farrell, & Dintcheff, 2007;Larson, 2001), have less stability in peer relationships (Cairns et al, 1995), and place greater importance on peer relationships (Brown, 1990). The need for social belonging is a fundamental human drive (Baumeister & Leary, 1995), and a lack of social support is associated with elevated risk for many negative outcomes, including anxiety and depression (Cacioppo & Hawkley, 2003;Coppersmith et al, 2019;Weeks et al, 1980). This is especially true during adolescence (Somerville, 2013); adolescents exhibit heightened emotional and physiological responses to peer evaluation relative to children or adults (Rodman et al, 2017;Sebastian et al, 2010;Silk et al, 2012;Somerville et al, 2013;Stroud et al, 2009) and social rejection is strongly associated with anxiety and depression symptoms during this period (Prinstein & Aikins, 2004;Williams, 2007).…”

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confidence: 99%

“…Adolescents who endorsed seeking out parental and peer social support following SLEs had enhanced life and relationship satisfaction (Saha et al, 2014), and fewer depression symptoms over time (Murberg & Bru, 2005). Additionally, the quality of parental and peer relationships, including the ability to utilize these relationships for support, is a protective factor associated with lower depression symptoms (Coppersmith et al, 2019;Prinstein et al, 2000), particularly following exposure to stress during adolescence (Alto et al, 2018). Thus, social engagement, even through digital means, following SLEs could be associated with reduced subsequent depression and anxiety symptoms.…”

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confidence: 99%

A year in the social life of a teenager: Within-person fluctuations in stress, phone communication, and anxiety and depression

Rodman¹,

Bustamante²,

Dennison³

et al. 2020

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Stressful life events (SLEs) are strongly associated with the emergence of adolescent anxiety and depression, but the underlying mechanisms remain poorly understood, especially at the within-person level. We investigated how adolescent social communication (i.e., frequency of calls and texts) following SLEs relates to changes in internalizing symptoms in a multi-timescale intensive year-long study (N=30; n=355 monthly observations; n=~5,000 experience-sampling observations). Within-person increases in SLEs were associated with receiving more calls than usual at both monthly- and momentary-levels, and making more calls at the monthly-level. Increased calls were prospectively associated with worsening internalizing symptoms at the monthly-level only, suggesting that SLEs rapidly influences phone communication patterns, but these communication changes may have a more protracted, cumulative influence on internalizing symptoms. Finally, increased incoming calls prospectively mediated the association between SLEs and anxiety at the monthly-level. We identify adolescent social communication fluctuations as a potential mechanism conferring risk for stress-related internalizing psychopathology.

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The dynamics of social support among suicide attempters: A smartphone-based daily diary study

Cited by 66 publications

References 33 publications

Suicidal thoughts, suicidal behaviours and self-harm in daily life: A systematic review of ecological momentary assessment studies

Suicidal thoughts, suicidal behaviours and self-harm in daily life: A systematic review of ecological momentary assessment studies

Perceived Utility and Characterization of Personal Google Search Histories to Detect Data Patterns Proximal to a Suicide Attempt in Individuals Who Previously Attempted Suicide: Pilot Cohort Study

A year in the social life of a teenager: Within-person fluctuations in stress, phone communication, and anxiety and depression

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