Evidence map›Paper›PMID 39652869›Full record

SynthesisJMIR mental health2024

Ecological Momentary Assessment of Self-Harm Thoughts and Behaviors: Systematic Review of Constructs From the Integrated Motivational-Volitional Model.

Lizzy Winstone, Jon Heron, Ann John, Olivia J Kirtley, Paul Moran, Jennifer Muehlenkamp, Rory C O'Connor, Becky Mars

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lizzy WinstonePopulation Health Sciences, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-5547-6087
Jon HeronPopulation Health Sciences, University of Bristol, Bristol, United Kingdom.ORCID 0000-0001-6199-5644
Ann JohnSwansea University Medical School, Swansea University, Swansea, United Kingdom.ORCID 0000-0002-5657-6995
Olivia J KirtleyCenter for Contextual Psychiatry, KU Leuven, Leuven, Belgium.ORCID 0000-0001-5879-4120
Paul MoranPopulation Health Sciences, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-9257-8699
Jennifer MuehlenkampUniversity of Wisconsin Eau Claire, Eau Claire, WI, United States.ORCID 0000-0003-2653-082X
Rory C O'ConnorSuicidal Behaviour Research Lab, School of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-3650-4994
Becky MarsPopulation Health Sciences, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-8132-6920

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe integrated motivational-volitional model (IMV) is one of the leading theoretical models of suicidal thoughts and behavior. There has been a recent proliferation in the assessment of suicidal and nonsuicidal self-harm thoughts and behaviors (SHTBs) in daily life.

objectiveThis systematic review synthesized evidence from ecological momentary assessment (EMA) studies in the SHTB literature to address the following questions: (1) Which constructs in the IMV model have been assessed using EMA, and how have they been assessed? (2) Do different constructs from the IMV model fluctuate in daily life? (3) What is the relationship between the different IMV constructs and SHTBs in daily life?

methodsConsistent with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted systematic searches of 5 databases-Web of Science, Embase, MEDLINE, PsycINFO, and Europe PMC Preprints-from inception to March 26, 2024.

resultsOur searches resulted in the inclusion and narrative synthesis of 53 studies across 58 papers. A total of 15 IMV constructs were measured using EMA across the included papers. The most frequently measured constructs were thwarted belongingness (24/58, 41% of the papers), future thinking (20/58, 34% of the papers), and perceived burdensomeness (16/58, 28% of the papers). The least frequently measured constructs were humiliation, social problem-solving, mental imagery, and perceived capability for suicide. None of the included papers measured memory biases, goals, norms, or resilience using EMA. Comparison of intraclass correlation coefficients (45/58, 78% of the papers) revealed moderate but inconsistent within-person variance across all the examined constructs. We found evidence (39/58, 67% of the papers) of concurrent associations between almost all constructs and SHTBs in daily life, with some evidence that entrapment, shame, rumination, thwarted belongingness, hopelessness, social support, and impulsivity are additionally associated with SHTBs in lagged (ie, longitudinal) relationships.

conclusionsComparisons were hindered by variation in methodology, including the populations studied, EMA sampling scheme, operationalization of IMV constructs and SHTBs, and statistical approach used. Our findings suggest that EMA studies are a useful methodology for examining risk factors for SHTBs; however, more research is needed for some IMV constructs. Quality assessment suggested several areas for improvement in the reporting of EMA studies in this field.

trial registrationPROSPERO CRD42022349514; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=349514.

Indexed as

Ecological Momentary AssessmentMotivationSelf-Injurious BehaviorSuicidal IdeationHumansModels, Psychologicalecological momentary assessmentIMV modelintegrated motivational-volitional modelsuicidal and nonsuicidal self-harm thoughts and behaviors

Identifiers

PMID39652869
PMCPMC11667137

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.