在有自杀风险的社区成年人中,对生态瞬间评估的可行性和遵守
Hyein Kim1,2, Seongae Kwon3, Sunyoung Park4
1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
BMC nursing
|July 2, 2025
概括
生态瞬间评估 (EMA) 是可行的监测社区成年人的日常自杀风险. 调查结果表明,应量身定制EMA协议,以提高弱势群体在自杀预防工作中的坚持.
科学领域:
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 生态瞬间评估 (EMA) 在心理健康研究中越来越多地使用.
- 在社区环境中应用EMA进行日常自杀风险评估存在挑战,原因是坚持和学问题.
- 这项研究旨在评估EMA对有自杀念头的成年人日常自杀风险的监测的可行性和遵守性.
研究的目的:
- 评估使用EMA与智能手机和动画仪器监测日常自杀风险的可行性和遵守性.
- 确定影响社区成年人自杀念头坚持和响应率的因素.
- 使用事件标记数据探索自杀冲动发生的模式.
主要方法:
- 一项观察性研究的二次分析,涉及20名具有自杀想法的参与者.
- 参与者完成了为期28天的EMA在线调查,并使用了带有事件标记器的动图装置.
- 通过EMA响应和动图装置坚持率评估可行性;研究了与心理健康特征的相关性.
主要成果:
- 观察到高坚持行为图形设备 (98.1%) 和显著的EMA响应率 (82.05%).
- 在研究期间,EMA应答率下降;坚持与应答率有中等的相关性.
- 较高的抑郁,焦虑和感知压力与较低的坚持和响应率有关. 自杀的冲动在晚上达到顶峰.
结论:
- 使用智能手机和动作图的EMA是一种可行的补充工具,用于评估社区成年人的日常自杀风险.
- 在保持精神脆弱个体的坚持方面仍然存在挑战.
- 心理健康专业人员应该定制EMA的协议,以加强参与和坚持这一群体的自杀预防.
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