@article{ref1,
title="Future directions for optimizing clinical science & safety: ecological momentary assessments in suicide/self-harm research",
journal="Journal of clinical child and adolescent psychology",
year="2020",
author="Bai, Sunhye and Babeva, Kalina N. and Kim, Michael I. and Asarnow, Joan R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Mobile technology has facilitated rapid growth in the use of intensive longitudinal methods (ILM), such as ecological momentary assessments (EMA), that help identify proximal indicators of risk in real-time and real-world settings. To realize the potential of ILM for advancing knowledge regarding suicidal and self-injurious thoughts and behaviors (SITB), this article aims to provide a systematic review of safety protocols in published ILM studies of youth SITB, highlight considerations for maximizing safety, and offer an agenda for future research.   METHOD: We conducted a systematic review of risk management strategies in published studies applying ILM to assess SITB in youth.   RESULTS: The review indicated diverse safety strategies, with near-universal use of preventive strategies before beginning ILM surveys. Strategies for participant protection during the survey period included automated protective messages to seek support when elevated risk was detected; and staff-led strategies, some of which included active outreach to parents/caregivers when youth responses suggested elevated risk. Studies assessing suicidality all provided staff-led follow-up. There was minimal information on youth reactivity to intensive longitudinal assessments of SITB. Available evidence did not suggest increased suicidal ideation, suicide attempts, self-injurious behavior, or deaths with ILM.   CONCLUSIONS: Based on the review, we propose a research agenda to inform safety procedures in ILM research and a model for managing risk in future ILM studies of youth SITB. This model begins with a needs assessment and proposes a &quot;goodness of fit&quot; approach for matching safety procedures to the specific needs of each ILM study.<p /> <p>Language: en</p>",
language="en",
issn="1537-4416",
doi="10.1080/15374416.2020.1815208",
url="http://dx.doi.org/10.1080/15374416.2020.1815208"
}