Comprehensive online self- monitoring to support clinicians manage risk of suicide in youth depression

A pilot study

Sarah E. Hetrick, Joanne Goodall, Hok Pan Yuen, Christopher G. Davey, Alexandra G. Parker, Jo Robinson, Debra J. Rickwood, Alison McRoberts, Lena Sanci, Jane Gunn, Simon Rice, Magenta B. Simmons

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. Aims: To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. Method: In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness. Results: The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation. Conclusion: The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.

Original languageEnglish
Pages (from-to)147-157
Number of pages11
JournalCrisis
Volume38
Issue number3
DOIs
Publication statusPublished - 2017

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Suicide
Depression
Suicidal Ideation
Risk Management
Tablets
Longitudinal Studies
Cohort Studies
Referral and Consultation
Therapeutics

Cite this

Hetrick, S. E., Goodall, J., Yuen, H. P., Davey, C. G., Parker, A. G., Robinson, J., ... Simmons, M. B. (2017). Comprehensive online self- monitoring to support clinicians manage risk of suicide in youth depression: A pilot study. Crisis, 38(3), 147-157. https://doi.org/10.1027/0227-5910/a000422
Hetrick, Sarah E. ; Goodall, Joanne ; Yuen, Hok Pan ; Davey, Christopher G. ; Parker, Alexandra G. ; Robinson, Jo ; Rickwood, Debra J. ; McRoberts, Alison ; Sanci, Lena ; Gunn, Jane ; Rice, Simon ; Simmons, Magenta B. / Comprehensive online self- monitoring to support clinicians manage risk of suicide in youth depression : A pilot study. In: Crisis. 2017 ; Vol. 38, No. 3. pp. 147-157.
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Hetrick, SE, Goodall, J, Yuen, HP, Davey, CG, Parker, AG, Robinson, J, Rickwood, DJ, McRoberts, A, Sanci, L, Gunn, J, Rice, S & Simmons, MB 2017, 'Comprehensive online self- monitoring to support clinicians manage risk of suicide in youth depression: A pilot study', Crisis, vol. 38, no. 3, pp. 147-157. https://doi.org/10.1027/0227-5910/a000422

Comprehensive online self- monitoring to support clinicians manage risk of suicide in youth depression : A pilot study. / Hetrick, Sarah E.; Goodall, Joanne; Yuen, Hok Pan; Davey, Christopher G.; Parker, Alexandra G.; Robinson, Jo; Rickwood, Debra J.; McRoberts, Alison; Sanci, Lena; Gunn, Jane; Rice, Simon; Simmons, Magenta B.

In: Crisis, Vol. 38, No. 3, 2017, p. 147-157.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comprehensive online self- monitoring to support clinicians manage risk of suicide in youth depression

T2 - A pilot study

AU - Hetrick, Sarah E.

AU - Goodall, Joanne

AU - Yuen, Hok Pan

AU - Davey, Christopher G.

AU - Parker, Alexandra G.

AU - Robinson, Jo

AU - Rickwood, Debra J.

AU - McRoberts, Alison

AU - Sanci, Lena

AU - Gunn, Jane

AU - Rice, Simon

AU - Simmons, Magenta B.

PY - 2017

Y1 - 2017

N2 - Background: Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. Aims: To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. Method: In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness. Results: The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation. Conclusion: The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.

AB - Background: Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. Aims: To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. Method: In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness. Results: The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation. Conclusion: The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.

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KW - Technology

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SN - 0227-5910

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