Impact of age and clinical factors on the feasibility of mobile digital monitoring in people at risk of suicide
Year: 2026
Type: article
Abstract: OBJECTIVE: Assessing the risk of suicidal outcomes is challenging, particularly in older people. Smartphone-based digital phenotyping may help to monitor suicide risk through ecological momentary assessment (EMA) applications. In this real-world study, we investigated if age and other clinical factors were associated with participation in EMA at baseline, and with retention in EMA monitoring among patients at risk of suicide. METHODS: Participation in EMA was determined by quantifying the installation of the MEmind mobile application in individuals involved in the SmartCrisis 1.0 and 2.0 studies. The patients were followed-up over a 6-month period. RESULTS: N = 512 patients met inclusion criteria, of which 387 installed the MEmind application on their smartphone. While age as a continuous variable was not associated with using EMA at baseline, being aged older than 50 and being engaged in an intimate relationship were independently associated with longer participation in EMA (OR 2.070, 95%CI [1.054-4.066], and OR 2.103, 95%CI [1.076-4.110], respectively). In an exploratory survival analysis, we found that EMA retention increased with age (p < 0.001). CONCLUSION: Feasibility of EMA seems warranted in older people at risk of suicide. Clinicians should be encouraged to offer EMA monitoring to older adults, as they commonly face limitations in their access to healthcare facilities.
Source: PLoS ONE
Institutions: Centre National de la Recherche Scientifique, Inserm, Université de Montpellier, Institut de Génomique Fonctionnelle, Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Hospital Universitario Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Hospital Universitario Rey Juan Carlos, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Universidade de Santiago de Compostela, Centre Hospitalier Universitaire de Montpellier, Universidad Carlos III de Madrid, Catholic University of the Maule, Centro de Investigación Biomédica en Red de Salud Mental, Centre Hospitalier Universitaire de Nîmes, Comunidad de Madrid, University of Catania
Language: English
Subfield: Applied Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $2,382
Funders: Fundació la Marató de TV3, Universidad Autónoma de Madrid, Ministerio de Ciencia e Innovación, Universidad Nacional Autónoma de México, Université de Montpellier, Servier, H. Lundbeck A/S, Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Universidade de Santiago de Compostela, Instituto de Salud Carlos III, European Regional Development Fund, Agencia Estatal de Investigación, Cilag
Awards: G1175115578, G121809054, G1855990336, G1906350543, G2262748287, G2309174360, G2660406951, G2672435700, G279363373, G300979063, G327471870, G3427456795, G34346518, G3480869486, G3518538256, SURVIVE 2: Un estudio de cohorte extendida para investigar la conducta suicida en España y la eficacia de estrategias de prevención secundaria. SUB-PROYECTO 2. Fenotipo digital de la conducta suicida., G410571670, G425668148, G430777504, G451917667, G4580342868, G4680239310, G5080475149, G5338730000, G5421974903, G5539308778, G5967599077, G6234305841, G6240717411, G6368058359, G7084143925, G7536354676, G8696694383, G929308097, G975846285, G99296377
OpenAlex ID: W7154625547