ArticleJournal of medical Internet research2017
Using New and Emerging Technologies to Identify and Respond to Suicidality Among Help-Seeking Young People: A Cross-Sectional Study.
Article in Journal of medical Internet research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- eHealth Tools That Assess and Track Health and Well-being in Children and Young People: Systematic Review.Journal of medical Internet research · 2022Pooled it
- The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Adolescent Psychosocial Profiles and Early Cyberbullying Histories: Longitudinal Associations and Patterns of Change Across Development.Journal of adolescence · 2026Article
- Using Digital Mental Health and Measurement-Based Care With Youth Experiencing Suicidal Thoughts and Behaviors: Qualitative Study of Clinician Barriers and Facilitators.JMIR human factors · 2026Article
- Safety Planning for Youth in the Emergency Department Who Have Suicide Risk.Journal of the American College of Emergency Physicians open · 2025Article
- Examining the Impact of Youth Mental Health Services Capacity Growth Trajectories and Digital Interventions on Youth Mental Health Outcomes: System Dynamics Modeling Analysis.Journal of medical Internet research · 2025Article
- Help-Seeking Needs Related to Suicide Prevention for Individuals in Contact With Mental Health Services: A Rapid Scoping Review.Journal of psychiatric and mental health nursing · 2025Article
- A Digital Approach for Addressing Suicidal Ideation and Behaviors in Youth Mental Health Services: Observational Study.Journal of medical Internet research · 2024Observational
- Incorporating Complexity and System Dynamics into Economic Modelling for Mental Health Policy and Planning.PharmacoEconomics · 2024Article
- The Impact of a Digital Referral Platform to Improve Access to Child and Adolescent Mental Health Services: A Prospective Observational Study with Real-World Data.International journal of environmental research and public health · 2024Observational
- A short-interval longitudinal study of associations between psychological distress and hippocampal grey matter in early adolescence.Brain imaging and behavior · 2024Article
- Perception of Apps for Mental Health Assessment With Recommendations for Future Design: United Kingdom Semistructured Interview Study.JMIR formative research · 2024Article
- Implementation of an Electronic Mental Health Platform for Youth and Young Adults in a School Context Across Alberta, Canada: Thematic Analysis of the Perspectives of Stakeholders.JMIR mental health · 2024Article
- Predictors of digital technology-based mental health programs in young adults for mental health support.Health promotion international · 2023Article
- Informing the Future of Integrated Digital and Clinical Mental Health Care: Synthesis of the Outcomes From Project Synergy.JMIR mental health · 2022Article
- Article
- Clinical and functional characteristics of a subsample of young people presenting for primary mental healthcare at headspace services across Australia.Social psychiatry and psychiatric epidemiology · 2021Article
- The Impact of Technology-Enabled Care Coordination in a Complex Mental Health System: A Local System Dynamics Model.Journal of medical Internet research · 2021Article
- Information and Communication Technology Use in Suicide Prevention: Scoping Review.Journal of medical Internet research · 2021Article
- Optimising the integration of technology-enabled solutions to enhance primary mental health care: a service mapping study.BMC health services research · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how best to use new and emerging technologies to facilitate person-centered systematic assessment and early intervention for suicidality is crucial to these efforts.
objectiveThe aim of this study was to examine the use of a suicidality escalation protocol to respond to suicidality among help-seeking young people.
methodsA total of 232 young people in the age range of 16-25 years were recruited from either a primary mental health care service or online in the community. Each young person used the Synergy Online System and completed an initial clinical assessment online before their face-to-face or online clinical appointment. A suicidality escalation protocol was used to identify and respond to current and previous suicidal thoughts and behaviors.
resultsA total of 153 young people (66%, 153/232) reported some degree of suicidality and were provided with a real-time alert online. Further levels of escalation (email or phone contact and clinical review) were initiated for the 35 young people (15%, 35/232) reporting high suicidality. Higher levels of psychological distress (P<.001) and a current alcohol or substance use problem (P=.02) predicted any level of suicidality compared with no suicidality. Furthermore, predictors of high suicidality compared with low suicidality were higher levels of psychological distress (P=.01), psychosis-like symptoms in the last 12 months (P=.01), a previous mental health problem (P=.01), and a history of suicide planning or attempts (P=.001).
conclusionsThis study demonstrates the use of new and emerging technologies to facilitate the systematic assessment and detection of help-seeking young people presenting with suicidality. This protocol empowered the young person by suggesting pathways to care that were based on their current needs. The protocol also enabled an appropriate and timely response from service providers for young people reporting high suicidality that was associated with additional comorbid issues, including psychosis-like symptoms, and a history of suicide plans and attempts.
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