Massive Mental Health Screening Using Smartphone in Milpa Alta Community, Mexico.
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 150,000
- 试验地点
- 1
- 主要终点
- Suicidal ideation
研究概览
简要总结
The objective of this study is to make a suicide screening in the entire population of Milpa Alta (approximately 150,000 inhabitants), taking into account other outcomes such as depression, anxiety, alcohol and drugs. For this, an app for Smartphone (MeMind) or a web platform (www.MeMind.net) will be used in which the participants will take a self-administered questionnaire, composed of several psychometric instruments .
It is expected that 70% of the population between 15 and 70 years old can do so directly with their own Smartphone, although web access posts will be enabled in educational and municipal units to avoid discrimination based on age or access to technology.
Our main hypothesis argues that the early identification of people at risk in almost the entire community can be done with an App for Smartphone, serving to depict a map of mental health and related needs of the population, serving for the planning of healthcare services of the local environment, and ultimately for the best assistance of groups and individuals with greater needs through their identification and early reference to medical assistance.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 15 Years 至 70 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Use a smartphone as personal or computer terminals enabled by the municipality of Milpa Alta or educational services.
- •Be able to understand the nature, purpose and methodology of the study.
- •Accept participation in the study and check the corresponding box in the app to verify that the informed consent has been expressly given.
排除标准
- •Subject deprived of liberty (by judicial or administrative decision)
- •Subject protected by law (guardianship or conservatorship)
结局指标
主要结局
Suicidal ideation
时间窗: 1 Day
Columbia-Suicide Severity Rating Scale (C-SSRS) is encompassed into MeMind for this purpose. In C-SSRS, four constructs are measured. The first is the severity of ideation, which is rated on a 5-point ordinal scale from 1="wish to be dead" to 5="suicidal intent with plan". The second is the intensity of ideation, which comprises 5 items, each rated on a 5-point ordinal scale: frequency, duration, controllability, deterrents, and reason for ideation. The third is the behavior, which is rated on a nominal scale that includes actual, aborted, and interrupted attempts; preparatory behavior; and nonsuicidal self-injurious behavior. And the fourth is the lethality, which assesses actual attempts; actual lethality is rated on a 6-point ordinal scale. Results are coded in the instrument itself with colored labels that indicates definitions of suicidal ideation and behavior, quantify both of them and gauge their severity. Definitions are available elsewhere (http://cssrs.columbia.edu).
次要结局
- Depression(1 Day)
- Anxiety(1 Day)
- Drug Utilization(1 Day)
- Alcohol Drinking(1 Day)