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Using a Tablet-Based App to Deliver Evidence-Based Practices for Suicidal Patients in the Emergency Department: Pilot

Linda A Dimeff1, David A Jobes2, Kelly Koerner1

  • 1Evidence Based Practice Institute, Inc, Seattle, WA, United States.

JMIR Mental Health
|March 1, 2021
PubMed
Summary
This summary is machine-generated.

Jaspr Health, a tablet app, is a feasible and acceptable tool for suicide prevention in emergency departments (EDs). It demonstrated clinical effectiveness, improving patient satisfaction and coping skills for suicidal individuals in the ED.

Keywords:
digital technologyemergency departmentsuicidesuicide prevention

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Area of Science:

  • Emergency medicine
  • Psychiatry
  • Digital health

Background:

  • Emergency departments (EDs) face challenges in providing evidence-based suicide prevention due to resource limitations.
  • Jaspr Health, a tablet-based application, was developed to deliver 4 evidence-based suicide prevention practices directly to patients.
  • The app aims to enhance the standard of care for suicidal patients in the ED.

Purpose of the Study:

  • To evaluate the feasibility, acceptability, and effectiveness of the Jaspr Health app.
  • To assess the app's impact on suicidal adults seeking psychiatric crisis services in EDs.

Main Methods:

  • A pilot randomized controlled trial was conducted with acutely suicidal patients in the ED.
  • Participants were assigned to either the Jaspr Health app group (n=14) or the care-as-usual control group (n=17).
  • Assessments included baseline and 2-hour posttest measures via self-report and semistructured interviews.

Main Results:

  • No adverse events were reported; high app usage and user satisfaction were observed.
  • Participants using Jaspr Health showed statistically significant increases in receiving suicide prevention interventions and overall ED satisfaction.
  • Jaspr Health users reported decreased distress and agitation, and improved coping skills for suicidal thoughts compared to the control group.

Conclusions:

  • Jaspr Health is a feasible, acceptable, and clinically effective tool for suicidal patients in EDs.
  • The app shows preliminary support for improving suicide prevention interventions and patient experience in emergency settings.
  • Despite limited statistical power, the findings suggest Jaspr Health can enhance care for acutely suicidal individuals in crisis.