ArticlePloS one2025
Development, feasibility, and acceptability of a smartphone-based ecological momentary assessment of minority stress and suicidal ideation among sexual and gender minority youth.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Ecological Momentary Assessment Procedures of Self-Harm (With and Without Suicidal Intent) Studies in Adolescents and Young Adults.International journal of environmental research and public health · 2026Pooled it
- Article
- Understanding sleep and smartphone use in diverse adolescents through passive digital monitoring.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026Article
- The role of sleep quality and duration in associations between daily minority stress and next-day suicidal ideation in LGBTQ+ youth.Journal of affective disorders · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveWe sought to develop and assess the feasibility and acceptability of a smartphone-based ecological momentary assessment (EMA) study of minority stress and suicidal ideation intensity among sexual and gender minority youth (SGMY) in the US Southeast.
methodsIn Study 1, the EMA protocol was developed through an iterative process, incorporating qualitative input from focus groups and interviews with 16 parents of SGMY and 16 SGMY from the US Southeast as well as six clinicians and researchers. In Study 2, 50 SGMY aged 13-24 with past-year suicidal ideation and current depressive symptoms were recruited from the US Southeast. The study included a baseline assessment, 28 consecutive days of EMA surveys (3x per day), a weekly acceptability survey, and a post-study exit interview.
resultsIn Study 1, qualitative feedback guided the selection, adaptation, and development of EMA measures and informed study features including the EMA schedule, reminder notifications, incentive structure, and the safety and risk monitoring protocol. In Study 2, the EMA protocol demonstrated feasibility through high compliance with the EMA survey (M = 80.21%, SD = 16.92%, Mdn = 83.93%, range = 38.10%-100.00%) with some variation over time and by participant age. Weekly feedback surveys indicated high acceptability, with participants reporting that the EMA surveys were easy to complete and private, understandable, minimally burdensome, and at least moderately engaging. Exit interviews revealed several themes, including facilitators of high engagement, barriers to engagement, intervention implications, and suggested improvements for future EMA studies.
conclusionsSmartphone-based EMA is a feasible and acceptable method for studying real-time experiences of minority stress and suicidal ideation intensity among SGMY at high risk. Incorporating community member feedback during EMA study development can help to ensure cultural responsiveness and enhance participant compliance. This paper provides practical guidance for researchers planning to conduct EMA suicide research with SGMY.
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