scholarly journals Youth Codesign of a Mobile Phone App to Facilitate Self-Monitoring and Management of Mood Symptoms in Young People With Major Depression, Suicidal Ideation, and Self-Harm (Preprint)

2017 ◽  
Author(s):  
Sarah Elisabeth Hetrick ◽  
Jo Robinson ◽  
Eloise Burge ◽  
Ryan Blandon ◽  
Bianca Mobilio ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Suicidal Ideation ◽  
Young People ◽  
Well Being ◽  
Depression Symptom ◽  
Clinical Services ◽  
Treatment Progress ◽  
Self Monitoring ◽  
Face To Face ◽  
Self Harm

BACKGROUND Effective treatment of depression in young people is critical, given its prevalence, impacts, and link to suicide. Clinical practice guidelines point to the need for regular monitoring of depression symptom severity and the emergence of suicidal ideation to track treatment progress and guide intervention delivery. Yet, this is seldom integrated in clinical practice. OBJECTIVE The objective of this study was to address the gap between guidelines about monitoring and real-world practice by codesigning an app with young people that allows for self-monitoring of mood and communication of this monitoring with a clinician. METHODS We engaged young people aged 18 to 25 years who had experienced depression, suicidal ideation including those who self-harm, as well as clinicians in a codesign process. We used a human-centered codesign design studio methodology where young people designed the features of the app first individually and then as a group. This resulted in a minimal viable product design, represented through low-fidelity hand-drawn wireframes. Clinicians were engaged throughout the process via focus groups. RESULTS The app incorporated a mood monitoring feature with innovative design aspects that allowed customization, and was named a “well-being tracker” in response to the need for a positive approach to this function. Brief personalized interventions designed to support young people in the intervals between face-to-face appointments were embedded in the app and were immediately available via pop-ups generated by a back-end algorithm within the well-being tracker. Issues regarding the safe incorporation of alerts generated by the app into face-to-face clinical services were raised by clinicians (ie, responding in a timely manner) and will need to be addressed during the full implementation of the app into clinical services. CONCLUSIONS The potential to improve outcomes for young people via technology-based enhancement to interventions is enormous. Enhancing communication between young people and their clinicians about symptoms and treatment progress and increasing access to timely and evidence-based interventions are desirable outcomes. To achieve positive outcomes for young people using technology- (app) based interventions, it is critical to understand and incorporate, in a meaningful way, the expectations and motivations of both young people and clinicians.

scholarly journals Youth Codesign of a Mobile Phone App to Facilitate Self-Monitoring and Management of Mood Symptoms in Young People With Major Depression, Suicidal Ideation, and Self-Harm

2018 ◽  
Vol 5 (1) ◽  
pp. e9 ◽  
Author(s):  
Sarah Elisabeth Hetrick ◽  
Jo Robinson ◽  
Eloise Burge ◽  
Ryan Blandon ◽  
Bianca Mobilio ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Suicidal Ideation ◽  
Young People ◽  
Well Being ◽  
Depression Symptom ◽  
Clinical Services ◽  
Treatment Progress ◽  
Self Monitoring ◽  
Face To Face ◽  
Self Harm

Background Effective treatment of depression in young people is critical, given its prevalence, impacts, and link to suicide. Clinical practice guidelines point to the need for regular monitoring of depression symptom severity and the emergence of suicidal ideation to track treatment progress and guide intervention delivery. Yet, this is seldom integrated in clinical practice. Objective The objective of this study was to address the gap between guidelines about monitoring and real-world practice by codesigning an app with young people that allows for self-monitoring of mood and communication of this monitoring with a clinician. Methods We engaged young people aged 18 to 25 years who had experienced depression, suicidal ideation including those who self-harm, as well as clinicians in a codesign process. We used a human-centered codesign design studio methodology where young people designed the features of the app first individually and then as a group. This resulted in a minimal viable product design, represented through low-fidelity hand-drawn wireframes. Clinicians were engaged throughout the process via focus groups. Results The app incorporated a mood monitoring feature with innovative design aspects that allowed customization, and was named a “well-being tracker” in response to the need for a positive approach to this function. Brief personalized interventions designed to support young people in the intervals between face-to-face appointments were embedded in the app and were immediately available via pop-ups generated by a back-end algorithm within the well-being tracker. Issues regarding the safe incorporation of alerts generated by the app into face-to-face clinical services were raised by clinicians (ie, responding in a timely manner) and will need to be addressed during the full implementation of the app into clinical services. Conclusions The potential to improve outcomes for young people via technology-based enhancement to interventions is enormous. Enhancing communication between young people and their clinicians about symptoms and treatment progress and increasing access to timely and evidence-based interventions are desirable outcomes. To achieve positive outcomes for young people using technology- (app) based interventions, it is critical to understand and incorporate, in a meaningful way, the expectations and motivations of both young people and clinicians.

scholarly journals Risk Factors for Suicidal Ideation and Self-Harm among Undergraduate Students in a Private University in Ogun State, Nigeria

2021 ◽  
Vol 4 (6) ◽  
pp. 29-42
Author(s):  
Johnson F.A. ◽  
Ogunsanmi L. ◽  
Ayokanmi I.
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Young People ◽  
Significant Relationship ◽  
Suicide Ideation ◽  
Rating Scale ◽  
Intrapersonal Factors ◽  
Factors Influencing ◽  
Point Rating Scale ◽  
Self Harm

Background: Today, the most prevalent and the leading cause of death among young people is suicide. Worldwide, suicide accounts for an estimated 6% of all deaths among young people. The study examined the various risk factors for suicidal ideation and self-harm amongst Babcock University undergraduates. Method: Descriptive survey research design was utilized with a multistage sampling technique to select 398 undergraduates. The instrument for data collection was a semi-structured questionnaire that sought information on the environmental, social, and intrapersonal factors influencing suicide ideation and self-harm. Results were presented via means and percentages for descriptive statistics; correlation and regression were used to determine the associations between suicidal ideation and the risk factors. Ethical clearance was sought from Babcock University Health Research Ethics Committee. Results: The distribution of participants showed that 46.0% (183) were males while 54.0% (215) were females. Environmental factors influencing suicidal ideation were computed and measured on a 21-point rating scale with a mean ± SD of 13.38±3.458. The respondents' mean ± SD for the social factors measured on a 27-point rating scale was 17.15±5.772. Correlation analysis showed that suicide ideation had a statistically significant relationship with gender (p<0.01), parents' spousal relationship (p<0.01), environmental (p<0.01), social (p<0.01), and intrapersonal factors (p<0.01). Self-harm had a significant relationship with parents' relationship (p<0.01), environmental (p<0.01), social (p<0.01) and intrapersonal factors (p<0.01). However, the practice of self-harm was not different across the two genders (p = 0.170). Conclusion: Suicidal behaviors have been seen to be a serious public health concern. The prevention and intervention programs of suicide and self-harm should consider the particular characteristics of adolescent suicide and self-harm. This should include social transmission and recognition of mental health disorders.

Life, lifestyle and location: examining the complexities of psychological distress in young adult Indigenous and non-Indigenous Australians

2017 ◽  
Vol 8 (5) ◽  
pp. 541-549 ◽  
Author(s):  
B. Davison ◽  
T. Nagel ◽  
G. R. Singh
Keyword(s):  
Mental Health ◽  
Young Adults ◽  
Psychological Distress ◽  
Suicidal Ideation ◽  
Emotional Health ◽  
Well Being ◽  
Indigenous Australians ◽  
Physical And Mental Health ◽  
Increased Risk ◽  
Self Harm

Mental health is fundamental to an individual’s health and well-being. Mental health disorders affect a substantial portion of the Australian population, with the most vulnerable time in adolescence and young adulthood. Indigenous Australians fare worse than other Australians on almost every measure of physical and mental health. Cross-sectional data from young adults (21–27 years) participating in the Life Course Program, Northern Territory, Australia, is presented. Rates of psychological distress were high in remote and urban residing Indigenous and urban non-Indigenous young adults. This rate was more pronounced in young women, particularly in Indigenous remote and urban residing women. Young adults with high psychological distress also had lower levels of positive well-being, higher perceived stress levels, experienced a higher number of major life events and were at an increased risk of suicidal ideation and/or self-harm. This study supports the need for a continued focus on early screening and treatment at this vulnerable age. The significant association seen between psychological distress and other markers of emotional well-being, particularly risk of suicidal ideation and/or self-harm, highlights the need for a holistic approach to mental health assessment and treatment. A concerted focus on improving the environs of young adults by lowering levels of stress, improving access to adequate housing, educational and employment opportunity, will assist in improving the emotional health of young adults.

Suicidality, Self-Injurious Behavior, and Eating Disorders

2017 ◽  
pp. 79-94
Author(s):  
Leslie K. Anderson ◽  
April Smith ◽  
Scott Crow
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
Dialectical Behavior Therapy ◽  
Contingency Management ◽  
Evidence Based ◽  
Self Monitoring ◽  
Specific Diagnosis ◽  
Chain Analysis ◽  
Self Harm ◽  
Telephone Coaching

Regardless of specific diagnosis, individuals with eating disorders have strikingly high rates of self-injurious behavior and suicidal ideation. It is essential that clinicians working with individuals who have eating disorders conduct regular and thorough assessments of suicidality and self-harm in their patients and understand a variety of strategies for intervention with these problems. This chapter outlines evidence-based approaches to assessment and intervention with suicidality and self-harm. It discusses the literature on lethality assessment, no-suicide contracts, involving family, hospitalization, and means restriction. It also focuses on strategies from dialectical behavior therapy for managing both self-harm and suicide risk, such as contingency management, diary card self-monitoring, telephone coaching, and behavioral chain analysis.

scholarly journals Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study

2020 ◽  
Vol 10 (1) ◽  
pp. 821-829 ◽  
Author(s):  
Brijesh Sathian ◽  
Ritesh G Menezes ◽  
Mohammad Asim ◽  
Ahammed Mekkodathil ◽  
Jayadevan Sreedharan ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Young People ◽  
Dose Response ◽  
Health Care Professionals ◽  
Adult Population ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Smoking Group ◽  
Mental Well Being

Background: Worldwide, tobacco smoking is a major risk factor for morbidity and early mortality among adult population. The present study aimed to find out the association between current smoking and suicidal ideation among young people in Nepal. Materials and Methods: A cross-sectional questionnaire-based survey was carried out among 452 youths from Pokhara, Nepal. The present study included both genders (age 18-24 years) who were smokers as well as non-smokers. Results: Across the study period, 452 participants were identified after matching for age, and sex (226 in the smoking group and 226 in the non-smoking group). The mean age of participants was 21.6±1.2 years and 58.8% were males. The overall rate of suicidal ideation in our cohort was 8.9%. Smokers were slightly more likely to report suicidal ideation than non-smokers (aOR 1.12). The risk of developing suicidal ideation was 3.56 (95% CI 1.26-10.09) times more in individuals who smoked greater than 3.5 cigarettes per week (p=0.01). Conclusion: The rate of suicidal ideation was slightly higher among smokers and a dose-response relationship was identified with the number of cigarettes smoked per week. Being aware of the link between smoking and suicidal ideation may help health care professionals working with young people to address more effectively the issues of mental well-being and thoughts about suicide.

Comprehensive Online Self-Monitoring to Support Clinicians Manage Risk of Suicide in Youth Depression

Crisis ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 147-157 ◽  
Author(s):  
Sarah E. Hetrick ◽  
Joanne Goodall ◽  
Hok Pan Yuen ◽  
Christopher G. Davey ◽  
Alexandra G. Parker ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Young People ◽  
Suicide Risk ◽  
Depression Symptoms ◽  
Monitoring Tool ◽  
Self Monitoring ◽  
Online Tool ◽  
Youth Depression ◽  
Appropriate Treatment ◽  
Routine Monitoring

Abstract. Background: Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. Aims: To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. Method: In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness. Results: The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation. Conclusion: The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.

scholarly journals Cyberbullying and its impact on young people's emotional health and well-being

2013 ◽  
Vol 37 (5) ◽  
pp. 167-170 ◽  
Author(s):  
Helen Cowie
Keyword(s):  
Young People ◽  
Emotional Disturbance ◽  
Emotional Health ◽  
Peer Group ◽  
Well Being ◽  
Clinical Implications ◽  
Children And Young People ◽  
Safety Issues ◽  
Face To Face ◽  
Health And Well Being

Aims and methodThe upsurge of cyberbullying is a frequent cause of emotional disturbance in children and young people. The situation is complicated by the fact that these interpersonal safety issues are actually generated by the peer group and in contexts that are difficult for adults to control. This article examines the effectiveness of common responses to cyberbullying.ResultsWhatever the value of technological tools for tackling cyberbullying, we cannot avoid the fact that this is an interpersonal problem grounded in a social context.Clinical implicationsPractitioners should build on existing knowledge about preventing and reducing face-to-face bullying while taking account of the distinctive nature of cyberbullying. Furthermore, it is essential to take account of the values that young people are learning in society and at school.

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