Evidence map›Paper›PMID 41129369›Full record

Trial reportJournal of consulting and clinical psychology2025

Pilot microrandomized trial of a brief digital intervention for suicidal thoughts.

Kate H Bentley, Molly I Ball, Swaraj Bose, Rebecca G Fortgang, Daniel D L Coppersmith, Dylan DeMarco, Nancy Hu, Felipe Herrmann, Merryn Daniel, Walter Dempsey and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

11 authors.

Kate H BentleyMassachusetts General Hospital, Center for Precision Psychiatry, Department of Psychiatry.ORCID 0000-0002-6875-6440
Molly I BallHarvard University, Department of Psychology.
Swaraj BoseUniversity of Michigan, Department of Biostatistics.
Rebecca G FortgangMassachusetts General Hospital, Center for Precision Psychiatry, Department of Psychiatry.
Daniel D L CoppersmithHarvard University, Department of Psychology.
Dylan DeMarcoHarvard University, Department of Psychology.
Nancy HuHarvard University, Department of Psychology.
Felipe HerrmannMassachusetts General Hospital, Center for Precision Psychiatry, Department of Psychiatry.
Merryn DanielHarvard University, Department of Psychology.
Walter DempseyUniversity of Michigan, Department of Biostatistics.
Matthew K NockHarvard University, Department of Psychology.

Funding

Project-001P50MH129699 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI Kate H. Bentley · 2023 to 2026
$16.6M
Digital Monitoring of Agitation for Short-Term Suicide Risk PredictionK23MH120436 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BENTLEY, KATE H. · 2019 to 2024
$1.0M
Chet and Will Griswold Suicide Prevention FundNIH HHSNIMH NIH HHS K23 MH120436NIMH NIH HHS P50 MH129699
6 · The paper itself

Abstract

objectiveThe goal of this study was to conduct a pilot microrandomized trial to assess the feasibility and acceptability of a brief digital intervention aimed at promoting in-the-moment coping strategy use for suicidal thoughts after psychiatric hospitalization.

methodSeventy-one adults hospitalized for suicide risk (Mage = 31.94 years, 46.48% female, 78.87% White) were enrolled and included in analyses. Real-time reports of suicidal thoughts were collected for 28 days after discharge via ecological momentary assessment. Each time participants reported an elevated momentary suicide urge or intent on an ecological momentary assessment survey, they were randomized to smartphone-based messages aimed at promoting the use of evidence-based coping strategies (vs. "no message" control). Messages included either personalized or general coping strategy recommendations.

resultsForty-four participants (57.89%) met criteria for randomization at least once and were randomized on average 11.48 times (SD = 23.38); 8.85% of completed ecological momentary assessments met randomization criteria. Participants found the intervention messages feasible and acceptable. Most described the messages as helpful and preferred personalized (over general) messages. Statistical analyses revealed no group-level iatrogenic intervention effects. Following intervention (vs. no intervention), participants were significantly more likely to report use of a coping strategy to manage suicidal thoughts, with stronger effects for personalized messages.

conclusionsThis pilot microrandomized trial supports the feasibility and acceptability of a brief digital intervention for promoting in-the-moment coping strategy use during episodes of suicidal thinking. Results inform the development of novel just-in-time adaptive interventions for suicide prevention and the design of larger-scale microrandomized trials to evaluate and optimize them. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Adaptation, PsychologicalPsychotherapy, BriefSuicidal IdeationSuicide PreventionAdultEcological Momentary AssessmentFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsSmartphone

Identifiers

PMID41129369
PMCPMC12609183

What OpenQuestion holds

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Registered trials

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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.