ReliefLink: A Preventative Mobile Toolkit for Follow-Up Care of Psychiatric Patients

Change in scores on 10-item Life Orientation Test - Revised

时间窗: Baseline, 6 Months

Measures positive and negative expectancies about future events. It consists of 20 statements referring to negative expectancies and 10 statements referring to positive expectancies. Participants answer on a 5-point scale (5 = I agree a lot, 1 = I DISagree a lot). A lower score indicates a decreased degree of life orientation.

Number of participants experiencing hospitalizations

时间窗: 6 Months

Number of hospitalizations self-reported by participants during semi-structured interview. No or infrequent hospitalizations would indicate successful support for the participant via the RL app.

Number of participants experiencing self-injury events

时间窗: 6 Months

Number of self-injury events reported during semi-structured interview. No or infrequent self-injury events would indicate successful support for the participant via the RL app.

Change in scores on 20-item R-UCLA Loneliness Scale

时间窗: Baseline, 6 Months

A 20-item scale designed to measure one's subjective feelings of loneliness as well as feelings of social isolation. Participants rate each item on a scale from 1 (Never) to 4 (Often). A higher score indicates an increased degree of loneliness.

Change in scores on 6 item Columbia Suicide Severity Rating Scale Screener (C-SSRS)

时间窗: Baseline, 6 Months

A comprehensive, semi-structured interview measure that uniquely measures the full spectrum of suicidality including passive and active suicidal ideation, suicidal intent as well as suicidal behaviors. It rates an individual's degree of suicidal ideation on a scale, ranging from "wish to be dead" to "active suicidal ideation with specific plan and intent." A higher number of "yes" responses indicated an increased degree of suicidal ideation.

Change in scores on 20-item Positive-Negative Affect Scale (PANAS)

时间窗: Baseline, 6 Months

Consists of 10 positively and 10 negatively valanced word items. Items are rated by the participant for the extent they are feeling this "right now" on a scale of 1- slightly or not at all through 5- extremely. Total scores can range from 10-50, with higher scores representing higher levels of positive effect and lower scores having negative effect.

Change in scores on 14-item Mental Health Continuum Short Form (MHC-SF)

时间窗: Baseline, 6 Months

Consists of 14 items and measures the degree of emotional well-being as defined in terms of positive affect/satisfaction with life; social well-being, social acceptance, social actualization, social contribution, social coherence social integration, psychological well-being, personal growth, positive relations with others, purpose in life and self-acceptance. Choices for these items vary between 1 to 7. Individuals who exhibit low levels (i.e., 'never' or 'once or twice' during the past month) on at least one measure of hedonic well-being and low levels on at least six measures of positive functioning are diagnosed with languishing mental health.

Change in scores on 12-item Flourishing Scale (FS)

时间窗: Baseline, 6 Months

A measure of the participant's self-perceived success in relationships, self-esteem, purpose, and optimism. Items are rated on a seven point rating scale from 1 Strongly disagree to 7 Strongly agree. The scale provides a single psychological well-being score. A lower score indicates a decreased degree of well-being.

Change in scores on 8-item Grit-S scale

时间窗: Baseline, 6 Months

Measures the individual's tendency to sustain interest in and effort toward very long-term goals. Eight items are assessed using a Likert-like scale (1 = Not like me at all, 5 = Very much like me). There are two sub-scales: Perseverance of Effort and Consistency of Interests. A lower score indicates a decreased decreased levels of perseverance and passion for long-term goals.

11-item Effectiveness of Obtaining Resources scale (EOR)

时间窗: 6 Months

Calculates the mean of the effectiveness scores for obtaining resources from 11 different types of community resources including mental health treatment, church or clergy, health care, legal services, police, or social services.

Change in scores on 25-item Connor Davidson Resilience Inventory

时间窗: Baseline, 6 Months

Measures resilience. Range of scores (0-100). A score of 0 is suggestive of no resilience, a score of 100 is suggestive of high level of resilience.

Change in scores on 21-item Posttraumatic Growth Inventory

时间窗: Baseline, 6 Months

Self-reported measure of post-traumatic growth on a scale of 0 (Did not experience change as a result of their crisis) to 5 (experienced to a very great degree as a result of their crisis). A lower score indicates a decreased degree of posttraumatic growth.