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The Association Between App-Administered Depression Assessments and Suicidal Ideation in User Comments: Retrospective
Shelly DeForte1, Yungui Huang1, Tran Bourgeois1
1Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States.
Multifeatured depression apps are safer and more helpful than assessment-only apps, reducing risks of self-harm and increasing user satisfaction. These apps offer crucial support, unlike basic assessment tools.
Area of Science:
- Digital mental health
- Mobile health applications
- Psychiatry
Background:
- Many individuals utilize mobile applications for managing depression symptoms.
- While convenient, app-based depression questionnaires may lack essential support resources, posing potential risks.
Purpose of the Study:
- To compare the risks and benefits of depression self-diagnosis apps.
- To differentiate between assessment-only apps and multifeatured apps.
- To identify app features that may mitigate potential risks.
Main Methods:
- Retrospective observational study of Google Play Store apps.
- Categorization into assessment-only and multifeatured apps.
- Thematic analysis of user reviews using chi-square tests.
Main Results:
- Multifeatured apps showed significantly less suicidal ideation (2.3%) versus assessment-only apps (9.4%).
- Users found multifeatured apps over three times more helpful, citing features like mood tracking and journaling.
- Assessment-only apps had a significantly higher proportion of users under 18 (12%) compared to multifeatured apps (0.04%).
Conclusions:
- Assessment-only depression apps pose higher risks, especially for adolescents.
- Multifeatured apps offer greater helpfulness and safety through integrated support.
- Depression self-assessment apps require caution, emphasizing evidence-based features and encouraging professional help.
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