Ecological assessment of daily suicidal thoughts and attempts among suicidal teens after psychiatric hospitalization: Lessons about feasibility and acceptability

Psychiatry Research
Ewa K CzyzI Nahum-Shani

Abstract

Despite its potential to yield information about the dynamic course of suicidal ideation/behavior in individuals' natural environment, Ecological Momentary Assessment (EMA) has been strikingly underutilized among suicidal teens. This study reports on feasibility and acceptability of ecological assessment of daily suicide risk-related outcomes ("daily diaries," a special case of EMA) among adolescent inpatients in the critical post-discharge period. Thirty-four adolescents (76% female; ages 13-17) responded to daily electronic surveys for four weeks after discharge. Survey adherence was 69% (n = 650 days) and decreased each week. Adherence was half as likely among adolescents without attempt history (OR = 0.50, CI = 0.27-0.95). Mid- and end-point study responses indicated high acceptability of daily diaries. Most adolescents reported no change or more positive change in their thoughts/mood after daily surveys. Suicidal ideation was reported on 24.4% (n = 159) of the days. In the month post discharge, more teens reported suicidal thoughts using daily surveys (70.6%) compared to end-of-study assessment (45.2%) (Chi-square = 4.24, p = .039). Two participants (5.9%) reported an attempt. Ideation frequency and duration varied across ...Continue Reading

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Citations

Aug 25, 2018·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·E K CzyzB J Biermann
Sep 25, 2018·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Ewa K CzyzCheryl A King
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May 19, 2021·Current Psychiatry Reports·Alba Sedano-CapdevilaMaria Luisa Barrigon
Jun 3, 2021·International Journal of Environmental Research and Public Health·Inken HöllerThomas Forkmann
Jul 16, 2020·Journal of Affective Disorders·Alejandro Porras-SegoviaEnrique Baca-García

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