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%