Effectiveness of mobile applications as intervention tools in suicidal ideation: a systematic review and meta-analysis

Cardoso, Nicolas de Oliveira; Salvador, Eduarda Zorgi; Tagliapietra, Ketlin da Rosa; Sanseverino, Marcela Alves; Vissoci, João Ricardo Nickenig; Machado, Wagner de Lara

doi:10.1590/1982-0275202340e210035

Nicolas de Oliveira Cardoso Correspondence to: N.O. CARDOSO. E-mail: nicolas.deoliveira@hotmail.com.

all phases of the study

Pontifícia Universidade Católica do Rio Grande do Sul, Departamento de Psicologia. Porto Alegre, RS, Brasil.

http://orcid.org/0000-0002-1555-1409

Eduarda Zorgi Salvador

conception and design

data collection

extraction for the systematic review and meta-analysis

Pontifícia Universidade Católica do Rio Grande do Sul, Departamento de Psicologia. Porto Alegre, RS, Brasil.

http://orcid.org/0000-0002-3772-0453

Ketlin da Rosa Tagliapietra

conception and design

data collection

extraction for the systematic review and meta-analysis

Pontifícia Universidade Católica do Rio Grande do Sul, Departamento de Psicologia. Porto Alegre, RS, Brasil.

http://orcid.org/0000-0002-5926-257X

Marcela Alves Sanseverino

design of the initial study

data discussion

review

approval of the final document

Pontifícia Universidade Católica do Rio Grande do Sul, Departamento de Psicologia. Porto Alegre, RS, Brasil.

http://orcid.org/0000-0002-4002-589X

João Ricardo Nickenig Vissoci

data analyses

discussion of the results

approval of the final document.

Duke University, Duke Global Health Institute. Durham, NC, United States of America.

http://orcid.org/0000-0001-7276-0402

Wagner de Lara Machado

all phases of the study

Pontifícia Universidade Católica do Rio Grande do Sul, Departamento de Psicologia. Porto Alegre, RS, Brasil.

http://orcid.org/0000-0001-5555-5116

Correspondence to: N.O. CARDOSO. E-mail: nicolas.deoliveira@hotmail.com.

Editor

Raquel Souza Lobo Guzzo, André Luiz Monezi de Andrade

Conflict of interest

The authors declare they have no conflict of interests.

nº	Author / Country	Study Design	Treatment Length (n° of total sessions)	Sessions Frequency (minutes per use)	MAs	Control Condition	Outcome Measures² 2 For suicide risk.	Suicide Risk Reduction¹ 1 Based in outcome measures differences between pre/post intervention;
1	Denneson et al. (2019) / USA	RCT (Secondary Data)	12 weeks (NR)	Whenever needed (NR)	VHB	ETAU	BSS	Yes
2	O’Toole et al. (2019) / Denmark	RCT with 4-month follow-up	NR (9.4 ± 4.1)	Daily (NR)	LifeApp’tite	TAU	SSFIIR	Yes
3	Chen et al. (2018) / USA	RCT (Secondary Data)	12 weeks (86 median)	Whenever needed (109 median)	VHB	ETAU	BSS	Yes
4	Tighe et al. (2017) / Australia	RCT	6 weeks (NR)	NR	Ibobbly	Waitlist	DSI-SS	Yes
5	Bush et al. (2017) / USA	RCT	12 weeks (NR)	Whenever needed (NR)	VHB	ETAU	BSS	Yes
6	Franklin et al. (2016) / International	3 RCT with 1-month follow-up	4 weeks (NR)	Whenever needed (1-2)	TEC	Control TEC	SITBI	Yes

nº	Sample	Mean Age (SD)	Sex	Suicide Risk	Medication use (name)	Previous psychotherapy experience
1	117	47.5 (14.0)	80M; 37F	Suicidal ideation	Yes (NR)	Yes
2	129	28.7 (9.5)	45M; 84F	Suicidal ideation	NR	Yes
3	58	46.50 (13.7)	36M; 22F	Suicidal ideation	Yes (NR)	Yes
4	61	26.25 (8.13)	22M; 39F	Suicidal ideation	NR	Yes
5	118	47.5 (14.0)	81M; 37F	Suicidal ideation	Yes (NR)	Yes
6	114 [1]; 131 [2]; 163 [3]	23.02 (5.47) [1]; 22.91(4.99) [2]; 24.50 (6.61) [3]	22M; 92F [1]; 34M; 97F [2]; 65M; 98F [3]	Suicidal ideation (SITBs)	Yes (NR)	Yes

Study	Selection bias	Performance bias	Detection bias	Attrition bias	Reporting bias	Other bias
Study	Selection bias	Performance bias	Detection bias	Attrition bias	Reporting bias	Missing data bias	Treatment bias
Denneson et al. (2019)Denneson, L. M., Smolenski, D. J., Bauer, B. W., Dobscha, S. K., & Bush, N. E. (2019). The mediating role of coping self-efficacy in hope box use and suicidal ideation severity. Archives of Suicide Research, 23(2), 234-246. https://doi.org/10.1080/13811118.2018.1456383 https://doi.org/10.1080/13811118.2018.14... Chen et al. (2018)Chen, J. I., Smolenski, D. J., Dobscha, S. K., Bush, N. E., & Denneson, L. M. (2018). Correlates of mental health smartphone application use among patients with suicidal ideation. Journal of Technology in Human Services, 36(4), 191-207. https://doi.org/10.1080/15228835.2018.1502119 https://doi.org/10.1080/15228835.2018.15... Bush et al. (2017)Bush, N. E., Smolenski, D. J., Denneson, L. M., Williams, H. B., Thomas, E. K., & Dobscha, S. K. (2017). A virtual hope box: randomized controlled trial of a smartphone app for emotional regulation and coping with distress. Psychiatric Services, 68(4), 330-336. https://doi.org/10.1176/appi.ps.201600283 https://doi.org/10.1176/appi.ps.20160028...	-	+	-	-	?	+	-
O’Toole et al. (2019)	-	-	-	-	-	+	+
Tighe et al. (2017)Tighe, J., Shand, F., Ridani, R., Mackinnon, A., De La Mata, N., & Christensen, H. (2017). Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial. BMJ Open, 7(1), e013518. http://dx.doi.org/10.1136/bmjopen-2016-013518 https://doi.org/10.1136/bmjopen-2016-013...	-	+	-	-	-	+	+
Franklin et al. (2016)Franklin, J. C., Fox, K. R., Franklin, C. R., Kleiman, E. M., Ribeiro, J. D., Jaroszewski, A. C., Hooley, J. M., & Nock, M. K. (2016). A brief mobile app reduces nonsuicidal and suicidal self-injury: evidence from three randomized controlled trials. Journal of Consulting and Clinical Psychology, 84(6), 544-557. https://doi.org/10.1037/ccp0000093 https://doi.org/10.1037/ccp0000093...	-	-	-	-	?	+	-

[1] Correspondence to: N.O. CARDOSO. E-mail: nicolas.deoliveira@hotmail.com.

Brasil

Brasil

Effectiveness of mobile applications as intervention tools in suicidal ideation: a systematic review and meta-analysis

Eficácia dos aplicativos móveis como ferramentas de intervenção na ideação suicida: uma revisão sistemática e meta-análise

Abstract

Objective

Method

Results

Conclusion