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. 2020 Dec 21;3(2):57–66. doi: 10.1176/appi.prcp.20200029

TABLE 1.

Issues to consider before data collection begins in digital monitoring studies of those at risk for suicide and related behaviors

Issue Question Answer
Exclusion of participants Should any potential participants be excluded due to elevated risk of suicide? (Select one) No, we should be collecting data from everyone, even those at the highest levels of suicide risk 90.5%
Yes, people who are too high risk should not participate in research 9.5%
Conditions to staying in the study Should there be certain conditions participants must agree to in order to enter/stay in a study, such as agreeing that they will go to treatment sessions or call a hotline when at high risk? (Select one) No, we can encourage people to do these things but should not set any such conditions 85.7%
Yes, there should be conditions participants must agree to enter/stay in the study 14.3%
Informed Consent Should participants be explicitly informed of the following during informed consent? (Select all that apply) Whether responses can trigger follow‐up and/or intervention actions by the research team and/or clinicians, which may include breaking of confidentiality 100%
Information that the participant should not rely on the study monitoring to keep them safe/alive 100%
Information about who will have access to their data including third party software developers to improve their app product 100%
How often researchers will check participants' responses 95.2%
Circumstances under which the subject's participation may be terminated by the investigator without regard to the subject's consent 95.2%
Who to contact in case of crisis 95.2%
Information that there can be technology failures 95.2%
Information that the participant won't be automatically hospitalized if their responses trigger a follow up assessment by the research team 90.5%
How and what information will be shared with participants and others if confidentiality is breached 90.0%
What risk monitoring activities and interventions will be taking place 76.2%
Issue Question Answer Adults Adolescents
Contact information What contact information, including collateral contact information, should studies be required to collect? (Select all that apply) Participant cell phone number 100% 95.2%
Parent contact information 90.5%
Participant home address 88.9% 76.2%
Participant email address 83.3% 71.4%
Collateral contact 72.2% 61.9%
Multiple collateral contacts 38.9% 33.3%
Participant's clinician 27.8% 28.6%
Participant's social media account(s) 11.1% 9.5%
None 14.3% 0%
Issue Question Answer
Technological and safety procedures Which issues should researchers address BEFORE data collection begins in a real‐time monitoring study?
Technology (select all that apply) Figure out what to do when technology fails 100%
Test the alert system 100%
In a standardized manner, go over items of incidental data collection (medical information, voice, video) being obtained and the process of alerting and collecting data 100%
Determine how to store and potentially share location data 95.2%
Safety (select all that apply) Provide the participant with emergency contact information 100%
Determine what criteria should be used to delineate specific criteria for triggering further risk assessment or intervention 100%
Train study staff with risk assessment protocol for assessing and responding to participant suicidal ideation and behavior 100%
Solicit feedback from participant about their desired response from research team for varying levels of risk 55.0%