jeudi 14 octobre 2021

ETUDE RECHERCHE Universal mental health screening with a focus on suicidal behaviour using smartphones in a Mexican rural community: protocol for the SMART-SCREEN population-based survey

Universal mental health screening with a focus on suicidal behaviour using smartphones in a Mexican rural community: protocol for the SMART-SCREEN population-based survey
Pavel Arenas-Castañeda Fuensanta Aroca Bisquert 1, 2 Ismael Martinez-Nicolas 3 Luis Castillo Espíndola Igor Barahona 1 Cynthya Maya-Hernández 4 Martha Miriam Lavana Hernández Paulo César Manrique Mirón 1 Daniela Guadalupe Alvarado Barrera Erik Treviño Aguilar 1 Axayácatl Barrios Núñez Giovanna de Jesus Carlos 1 Anabel Vildosola Garcés Josselyne Flores Mercado 5 Maria Luisa Barrigon 6, 7 Antonio Artes 8, 9 Santiago de Leon 8 Cristian Antonio Molina-Pizarro Arsenio Rosado Franco Mercedes Perez-Rodriguez 10 Philippe Courtet 11, 12 Gonzalo Martínez-Alés 13 Enrique Baca-Garcia 6, 7, 9, 14, 15
1 UNAM - Universidad Nacional Autónoma de México
2 LaSol - Laboratoire Solomon Lefschetz
3 UCAM - Universidad Católica San Antonio de Murcia
4 INSP - National Institute of Public Health = Instituto Nacional de Salud Pública [Cuernavaca, Mexique]
5 ISSSTE - Institute for Social Security and Services for State Workers [Mexico, Mexique]
6 UAM - Universidad Autonoma de Madrid
7 Hospital Universitario Fundación Jiménez Díaz [Madrid, Spain]
8 UC3M - Universidad Carlos III de Madrid [Madrid]
9 CIBER-SAM - Centro de Investigación Biomédica en Red Salud Mental [Madrid]
10 MSSM - Icahn School of Medicine at Mount Sinai [New York]
11 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
12 Neuropsychiatrie : recherche épidémiologique et clinique
13 Columbia Mailman School of Public Health
14 Universidad Catolica Del Maule
15 CHU Nîmes - Centre Hospitalier Universitaire de Nîmes
Abstract : Introduction Mental disorders represent the second cause of years lived with disability worldwide. Suicide mortality has been targeted as a key public health concern by the WHO. Smartphone technology provides a huge potential to develop massive and fast surveys. Given the vast cultural diversity of Mexico and its abrupt orography, smartphone-based resources are invaluable in order to adequately manage resources, services and preventive measures in the population. The objective of this study is to conduct a universal suicide risk screening in a rural area of Mexico, measuring also other mental health outcomes such as depression, anxiety and alcohol and substance use disorders. Methods and analysis A population-based cross-sectional study with a temporary sampling space of 9 months will be performed between September 2019 and June 2020. We expect to recruit a large percentage of the target population (at least 70%) in a short-term survey of Milpa Alta Delegation, which accounts for 137 927 inhabitants in a territorial extension of 288 km 2 . They will be recruited via an institutional call and a massive public campaign to fill in an online questionnaire through mobile-assisted or computer-assisted web app. This questionnaire will include data on general health, validated questionnaires including Well-being Index 5, Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale 2, Alcohol Use Disorders Identification Test, selected questions of the Drug Abuse Screening Test and Columbia-Suicide Severity Rating Scales and Diagnostic and statistical manual of mental disorders (DSM-5) questions about self-harm. We will take into account information regarding time to mobile app response and geo-spatial location, and aggregated data on social, demographical and environmental variables. Traditional regression modelling, multilevel mixed methods and data-driven machine learning approaches will be used to test hypotheses regarding suicide risk factors at the individual and the population level. Ethics and dissemination Ethical approval (002/2019) was granted by the Ethics Review Board of the Hospital Psiquiátrico Yucatán, Yucatán (Mexico). This protocol has been registered in ClinicalTrials.gov. The starting date of the study is 3 September 2019. Results will serve for the planning and healthcare of groups with greater mental health needs and will be disseminated via publications in peer-reviewed journal and presented at relevant mental health conferences. Trial registration number NCT04067063 .
https://hal.umontpellier.fr/hal-03370873
  Soumis le : vendredi 8 octobre 2021
Fichier e035041.full.pdf

Citation
Pavel Arenas-Castañeda, Fuensanta Aroca Bisquert, Ismael Martinez-Nicolas, Luis Castillo Espíndola, Igor Barahona, et al.. Universal mental health screening with a focus on suicidal behaviour using smartphones in a Mexican rural community: protocol for the SMART-SCREEN population-based survey. BMJ Open, BMJ Publishing Group, 2020, 10 (7), pp.e035041. ⟨10.1136/bmjopen-2019-035041⟩. ⟨hal-03370873⟩

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