Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol

Abstract Background The screening of digital footprint for clinical purposes relies on the capacity of wearable technologies to collect data and extract relevant information’s for patient management. Artificial intelligence (AI) techniques allow processing of real-time observational information and...

Full description

Bibliographic Details
Main Authors: Sofian Berrouiguet, María Luisa Barrigón, Jorge Lopez Castroman, Philippe Courtet, Antonio Artés-Rodríguez, Enrique Baca-García
Format: Article
Language:English
Published: BMC 2019-09-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-019-2260-y
_version_ 1818483455562874880
author Sofian Berrouiguet
María Luisa Barrigón
Jorge Lopez Castroman
Philippe Courtet
Antonio Artés-Rodríguez
Enrique Baca-García
author_facet Sofian Berrouiguet
María Luisa Barrigón
Jorge Lopez Castroman
Philippe Courtet
Antonio Artés-Rodríguez
Enrique Baca-García
author_sort Sofian Berrouiguet
collection DOAJ
description Abstract Background The screening of digital footprint for clinical purposes relies on the capacity of wearable technologies to collect data and extract relevant information’s for patient management. Artificial intelligence (AI) techniques allow processing of real-time observational information and continuously learning from data to build understanding. We designed a system able to get clinical sense from digital footprints based on the smartphone’s native sensors and advanced machine learning and signal processing techniques in order to identify suicide risk. Method/design The Smartcrisis study is a cross-national comparative study. The study goal is to determine the relationship between suicide risk and changes in sleep quality and disturbed appetite. Outpatients from the Hospital Fundación Jiménez Díaz Psychiatry Department (Madrid, Spain) and the University Hospital of Nimes (France) will be proposed to participate to the study. Two smartphone applications and a wearable armband will be used to capture the data. In the intervention group, a smartphone application (MEmind) will allow for the ecological momentary assessment (EMA) data capture related with sleep, appetite and suicide ideations. Discussion Some concerns regarding data security might be raised. Our system complies with the highest level of security regarding patients’ data. Several important ethical considerations related to EMA method must also be considered. EMA methods entails a non-negligible time commitment on behalf of the participants. EMA rely on daily, or sometimes more frequent, Smartphone notifications. Furthermore, recording participants’ daily experiences in a continuous manner is an integral part of EMA. This approach may be significantly more than asking a participant to complete a retrospective questionnaire but also more accurate in terms of symptoms monitoring. Overall, we believe that Smartcrises could participate to a paradigm shift from the traditional identification of risks factors to personalized prevention strategies tailored to characteristics for each patient. Trial registration number NCT03720730. Retrospectively registered.
first_indexed 2024-12-10T15:42:12Z
format Article
id doaj.art-857b808905c04a6bb28fc1369b520978
institution Directory Open Access Journal
issn 1471-244X
language English
last_indexed 2024-12-10T15:42:12Z
publishDate 2019-09-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj.art-857b808905c04a6bb28fc1369b5209782022-12-22T01:43:05ZengBMCBMC Psychiatry1471-244X2019-09-011911910.1186/s12888-019-2260-yCombining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocolSofian Berrouiguet0María Luisa Barrigón1Jorge Lopez Castroman2Philippe Courtet3Antonio Artés-Rodríguez4Enrique Baca-García5Department of Psychiatry and Emergency, Brest Medical University HospitalInserm U1061, La Colombières Hospital, University of MontpellierDepartment of Psychiatry, Autónoma UniversityInserm U1061, CAC University Hospital of NîmesDepartment of Psychiatry, Autónoma UniversityDepartment of Psychiatry, Autónoma UniversityAbstract Background The screening of digital footprint for clinical purposes relies on the capacity of wearable technologies to collect data and extract relevant information’s for patient management. Artificial intelligence (AI) techniques allow processing of real-time observational information and continuously learning from data to build understanding. We designed a system able to get clinical sense from digital footprints based on the smartphone’s native sensors and advanced machine learning and signal processing techniques in order to identify suicide risk. Method/design The Smartcrisis study is a cross-national comparative study. The study goal is to determine the relationship between suicide risk and changes in sleep quality and disturbed appetite. Outpatients from the Hospital Fundación Jiménez Díaz Psychiatry Department (Madrid, Spain) and the University Hospital of Nimes (France) will be proposed to participate to the study. Two smartphone applications and a wearable armband will be used to capture the data. In the intervention group, a smartphone application (MEmind) will allow for the ecological momentary assessment (EMA) data capture related with sleep, appetite and suicide ideations. Discussion Some concerns regarding data security might be raised. Our system complies with the highest level of security regarding patients’ data. Several important ethical considerations related to EMA method must also be considered. EMA methods entails a non-negligible time commitment on behalf of the participants. EMA rely on daily, or sometimes more frequent, Smartphone notifications. Furthermore, recording participants’ daily experiences in a continuous manner is an integral part of EMA. This approach may be significantly more than asking a participant to complete a retrospective questionnaire but also more accurate in terms of symptoms monitoring. Overall, we believe that Smartcrises could participate to a paradigm shift from the traditional identification of risks factors to personalized prevention strategies tailored to characteristics for each patient. Trial registration number NCT03720730. Retrospectively registered.http://link.springer.com/article/10.1186/s12888-019-2260-ySuicideData miningSensorsSmartphoneWearables
spellingShingle Sofian Berrouiguet
María Luisa Barrigón
Jorge Lopez Castroman
Philippe Courtet
Antonio Artés-Rodríguez
Enrique Baca-García
Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol
BMC Psychiatry
Suicide
Data mining
Sensors
Smartphone
Wearables
title Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol
title_full Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol
title_fullStr Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol
title_full_unstemmed Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol
title_short Combining mobile-health (mHealth) and artificial intelligence (AI) methods to avoid suicide attempts: the Smartcrises study protocol
title_sort combining mobile health mhealth and artificial intelligence ai methods to avoid suicide attempts the smartcrises study protocol
topic Suicide
Data mining
Sensors
Smartphone
Wearables
url http://link.springer.com/article/10.1186/s12888-019-2260-y
work_keys_str_mv AT sofianberrouiguet combiningmobilehealthmhealthandartificialintelligenceaimethodstoavoidsuicideattemptsthesmartcrisesstudyprotocol
AT marialuisabarrigon combiningmobilehealthmhealthandartificialintelligenceaimethodstoavoidsuicideattemptsthesmartcrisesstudyprotocol
AT jorgelopezcastroman combiningmobilehealthmhealthandartificialintelligenceaimethodstoavoidsuicideattemptsthesmartcrisesstudyprotocol
AT philippecourtet combiningmobilehealthmhealthandartificialintelligenceaimethodstoavoidsuicideattemptsthesmartcrisesstudyprotocol
AT antonioartesrodriguez combiningmobilehealthmhealthandartificialintelligenceaimethodstoavoidsuicideattemptsthesmartcrisesstudyprotocol
AT enriquebacagarcia combiningmobilehealthmhealthandartificialintelligenceaimethodstoavoidsuicideattemptsthesmartcrisesstudyprotocol