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
AuthorArenas-Castañeda, Pavel E.; Aroca Bisquert, Fuensanta; Martínez-Nicolás, Ismael; Castillo Espíndola, Luis A.; Barahona, Igor; Maya-Hernández, Cynthya; Lavana Hernández, Martha Miriam; Manrique Mirón, Paulo César; Alvarado Barrera, Daniela Guadalupe; Treviño Aguilar, Erik; Barrios Núñez, Axayácatl; De Jesús Carlos, Giovanna; Vildosola Garcés, Anabel; Flores Mercado, Josselyne; Barrigon, María Luisa; Artes, Antonio; De León, Santiago; Molina-Pizarro, Cristian Antonio; Rosado Franco, Arsenio; Pérez-Rodríguez, Mercedes; Courtet, Philippe; Martínez-Alés, Gonzalo; Baca-García, Enrique
EntityUAM. Departamento de Psiquiatría
PublisherBMJ Publishing Group
10.1136/bmjopen-2019-035041BMJ Open 10.7 (2020): e035041
Subjectshealth surveys; mass screening; mental health; smartphone; suicidal ideation; Medicina
Rights© 2020 Author(s) (or their employer(s))
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial 4.0 Internacional.
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.
Google Scholar:Arenas-Castañeda, Pavel E. - Aroca Bisquert, Fuensanta - Martínez-Nicolás, Ismael - Castillo Espíndola, Luis A. - Barahona, Igor - Maya-Hernández, Cynthya - Lavana Hernández, Martha Miriam - Manrique Mirón, Paulo César - Alvarado Barrera, Daniela Guadalupe - Treviño Aguilar, Erik - Barrios Núñez, Axayácatl - De Jesús Carlos, Giovanna - Vildosola Garcés, Anabel - Flores Mercado, Josselyne - Barrigon, María Luisa - Artes, Antonio - De León, Santiago - Molina-Pizarro, Cristian Antonio - Rosado Franco, Arsenio - Pérez-Rodríguez, Mercedes - Courtet, Philippe - Martínez-Alés, Gonzalo - Baca-García, Enrique
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