Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments.

2018 ◽  
Vol 127 (8) ◽  
pp. 758-769 ◽  
Author(s):  
Thomas Forkmann ◽  
Lena Spangenberg ◽  
Dajana Rath ◽  
Nina Hallensleben ◽  
Ulrich Hegerl ◽  
...  
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Real Time ◽  
Psychometric Evaluation ◽  
Self Report ◽  
Ecological Momentary Assessments ◽  
Ecological Momentary

scholarly journals Do Feelings of Defeat and Entrapment Change over Time? An Investigation of the Integrated Motivational—Volitional Model of Suicidal Behaviour Using Ecological Momentary Assessments

2020 ◽  
Vol 17 (13) ◽  
pp. 4685
Author(s):  
Jana-Sophie Stenzel ◽  
Inken Höller ◽  
Dajana Rath ◽  
Nina Hallensleben ◽  
Lena Spangenberg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Real Time ◽  
Clinical Samples ◽  
Short Term ◽  
Change Over Time ◽  
Longitudinal Association ◽  
Ecological Momentary ◽  
Over Time ◽  
Short Term Variability

(1) Background. Defeat and entrapment have been highlighted as major risk factors of suicidal ideation and behavior. Nevertheless, little is known about their short-term variability and their longitudinal association in real-time. Therefore, this study aims to investigate whether defeat and entrapment change over time and whether defeat predicts entrapment as stated by the integrated motivational–volitional model of suicidal behavior. (2) Methods. Healthy participants (n = 61) underwent a 7-day smartphone-based ecological momentary assessment (EMA) on suicidal ideation/behavior and relevant risk factors, including defeat and entrapment and a comprehensive baseline (T0) and post (T2) assessment. (3) Results. Mean squared successive differences (MSSD) and intraclass correlations (ICC) support the temporal instability as well as within-person variability of defeat and entrapment. Multilevel analyses revealed that during EMA, defeat was positively associated with entrapment at the same measurement. However, defeat could not predict entrapment to the next measurement (approximately two hours later). (4) Conclusion. This study provides evidence on the short-term variability of defeat and entrapment highlighting that repeated measurement of defeat and entrapment—preferably in real time—is necessary in order to adequately capture the actual empirical relations of these variables and not to overlook significant within-person variability. Further research—especially within clinical samples—seems warranted.

Examination of real-time fluctuations in suicidal ideation and its risk factors: Results from two ecological momentary assessment studies.

2017 ◽  
Vol 126 (6) ◽  
pp. 726-738 ◽  
Author(s):  
Evan M. Kleiman ◽  
Brianna J. Turner ◽  
Szymon Fedor ◽  
Eleanor E. Beale ◽  
Jeff C. Huffman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Real Time ◽  
Ecological Momentary Assessment ◽  
Ecological Momentary ◽  
Momentary Assessment

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

Trauma-Related Shame, Sexual Assault Severity, Thwarted Belongingness, and Perceived Burdensomeness Among Female Undergraduate Survivors of Sexual Assault

Crisis ◽  
2019 ◽  
Vol 40 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Christopher R. DeCou ◽  
Stephanie P. Kaplan ◽  
Julie Spencer ◽  
Shannon M. Lynch
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Sexual Assault ◽  
Self Report ◽  
Psychosocial Risk ◽  
Thwarted Belongingness ◽  
Female Undergraduate ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
And Behavior

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.

Why Ecological Momentary Assessment Surveys Go Incomplete?: When It Happens and How It Impacts Data

2020 ◽  
Author(s):  
Yu-Hsiang Wu ◽  
Jingjing Xu ◽  
Elizabeth Stangl ◽  
Shareka Pentony ◽  
Dhruv Vyas ◽  
...  
Keyword(s):  
Real Time ◽  
Self Report ◽  
Data Logging ◽  
Time Data ◽  
Real Time Data ◽  
Report Data ◽  
Self Report Data ◽  
Ecological Momentary ◽  
The Impact ◽  
Momentary Assessment

Abstract Background Ecological momentary assessment (EMA) often requires respondents to complete surveys in the moment to report real-time experiences. Because EMA may seem disruptive or intrusive, respondents may not complete surveys as directed in certain circumstances. Purpose This article aims to determine the effect of environmental characteristics on the likelihood of instances where respondents do not complete EMA surveys (referred to as survey incompletion), and to estimate the impact of survey incompletion on EMA self-report data. Research Design An observational study. Study Sample Ten adults hearing aid (HA) users. Data Collection and Analysis Experienced, bilateral HA users were recruited and fit with study HAs. The study HAs were equipped with real-time data loggers, an algorithm that logged the data generated by HAs (e.g., overall sound level, environment classification, and feature status including microphone mode and amount of gain reduction). The study HAs were also connected via Bluetooth to a smartphone app, which collected the real-time data logging data as well as presented the participants with EMA surveys about their listening environments and experiences. The participants were sent out to wear the HAs and complete surveys for 1 week. Real-time data logging was triggered when participants completed surveys and when participants ignored or snoozed surveys. Data logging data were used to estimate the effect of environmental characteristics on the likelihood of survey incompletion, and to predict participants' responses to survey questions in the instances of survey incompletion. Results Across the 10 participants, 715 surveys were completed and survey incompletion occurred 228 times. Mixed effects logistic regression models indicated that survey incompletion was more likely to happen in the environments that were less quiet and contained more speech, noise, and machine sounds, and in the environments wherein directional microphones and noise reduction algorithms were enabled. The results of survey response prediction further indicated that the participants could have reported more challenging environments and more listening difficulty in the instances of survey incompletion. However, the difference in the distribution of survey responses between the observed responses and the combined observed and predicted responses was small. Conclusion The present study indicates that EMA survey incompletion occurs systematically. Although survey incompletion could bias EMA self-report data, the impact is likely to be small.

Comparing ecological momentary assessment to sensor-based approaches in predicting dietary lapse

2021 ◽  
Author(s):  
Rebecca J Crochiere ◽  
Fengqing (Zoe) Zhang ◽  
Adrienne S Juarascio ◽  
Stephanie P Goldstein ◽  
J Graham Thomas ◽  
...  
Keyword(s):  
Risk Factors ◽  
Weight Loss ◽  
Ecological Momentary Assessment ◽  
Self Report ◽  
Gps Tracking ◽  
Future Research ◽  
Model Accuracy ◽  
Prediction Rate ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Ecological momentary assessment (EMA; brief self-report surveys) of dietary lapse risk factors (e.g., cravings) has shown promise in predicting and preventing dietary lapse (nonadherence to a dietary prescription), which can improve weight loss interventions. Passive sensors also can measure lapse risk factors and may offer advantages over EMA (e.g., objective, automatic, semicontinuous data collection), but currently can measure only a few lapse predictors, a notable limitation. This study preliminarily compared the burden and accuracy of commercially available sensors versus established EMA in lapse prediction. N = 23 adults with overweight/obesity completed a 6-week commercial app-based weight loss program. Participants wore a Fitbit, enabled GPS tracking, completed EMA, and reported on EMA and sensor burden poststudy via a 5-point Likert scale. Sensed risk factors were physical activity and sleep (accelerometer), geolocation (GPS), and time, from which 233 features (measurable characteristics of sensor signals) were extracted. EMA measured 19 risk factors, lapse, and categorized GPS into meaningful geolocations. Two supervised binary classification models (LASSO) were created: the sensor model predicted lapse with 63% sensitivity (true prediction rate of lapse) and 60% specificity (true prediction rate of non-lapse) and EMA model with 59% sensitivity and 72% specificity. EMA model accuracy was higher, but self-reported EMA burden (M = 2.96, SD = 1.02) also was higher (M = 1.50, SD = 0.94). EMA model accuracy was superior, but EMA burden was higher than sensor burden. Findings highlight the promise of sensors in contributing to lapse prediction, and future research may use EMA, sensors, or both depending on prioritization of accuracy versus participant burden.

scholarly journals The PING Project: Using Ecological Momentary Assessments to Better Understand When and How Woodland Owner Group Members Engage with Their Woodlands

Forests ◽  
2020 ◽  
Vol 11 (9) ◽  
pp. 944
Author(s):  
Emily S. Huff ◽  
David B. Kittredge
Keyword(s):  
Public Goods ◽  
Real Time ◽  
The United States ◽  
Forest Owner ◽  
Family Forest ◽  
The Public ◽  
Time Period ◽  
Group Members ◽  
Ecological Momentary Assessments ◽  
Ecological Momentary

Research Highlights: Ecological momentary assessments (EMAs) are a fresh approach to measuring behavior by querying the subject in real time. Typical studies of FFO behavior use self-reported survey data. FFOs across the United States collectively own more forested land than any other ownership category, and their actions will impact the public goods these forests provide. Thus, better measures of FFO actions are critical to understanding how these public goods may be affected. Background and Objectives: In this pilot study, we evaluated the potential of ecological momentary assessments to understand family forest owner (FFO) engagement with their woods. We sought to test recruitment, attrition, and participant reaction to the method. Materials and Methods: FFOs belong to woodland owner associations were sent the same questions weekly for a month, asking about woodland engagement. Results: Nearly 90% of participants completed all four surveys and the majority found the method reasonable. Most participants thought about their woods weekly, but a longer time period is needed to measure temporal management trends. Conclusions: This approach may yield real-time and useful information about natural resource engagement to inform conservation-based programming and outreach.

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