Analyzing Trends in Suicidal Thoughts Among Patients With Psychosis in India: Exploratory Secondary Analysis of Smartphone Ecological Momentary Assessment Data
Abstract
Abstract Background India has the world’s largest number of suicides, but there is little research on the trends in suicidal thoughts, especially for individuals with psychosis. More research is necessary to develop preventive interventions. Smartphone-based ecological momentary assessments (EMAs) can assess dynamic symptoms, but most EMA studies are conducted in higher income settings and have shorter (≤1 month) follow-up periods. Objective This study aimed to examine the duration of onset to offset of suicidal ideation (SI) in tertiary hospital outpatients with psychosis in India. Methods This study is an exploratory, secondary analysis of smartphone EMA data nested within the ongoing “Smartphone Health Assessment for Relapse Prevention (SHARP)” project. Tertiary hospital outpatients (n=50) with early course schizophrenia at 2 socioculturally different sites in India were recruited and given the “mindLAMP” app for monitoring mood through daily EMA surveys. The mood survey matched the 9-item Patient Health Questionnaire; the ninth item was used to define an instance of SI (score ≥1). A total of 14 patients with ≥1 SI instances who met the site-specific EMA survey use cutoff were included. We examined the between- and within-person variability in SI and computed the timescale of “episodic” SI (sequences of consecutive daily observations of SI score ≥1). Positive and Negative Syndrome Scale (PANSS) was used to assess changes in psychosis symptoms and its relationship with the…
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Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 65 participants or records.
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