AUTHOR=Morgiève Margot , Yasri Daniel , Genty Catherine , Dubois Jonathan , Leboyer Marion , Vaiva Guillaume , Berrouiguet Sofian , Azé Jérôme , Courtet Philippe 

TITLE=Acceptability and satisfaction with emma, a smartphone application dedicated to suicide ecological assessment and prevention

JOURNAL=Frontiers in Psychiatry

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.952865

DOI=10.3389/fpsyt.2022.952865

ISSN=1664-0640

ABSTRACT=<sec><title>Background</title><p>As mHealth may contribute to suicide prevention, we developed <italic>emma</italic>, an application using Ecological Momentary Assessment and Intervention (EMA/EMI).</p></sec><sec><title>Objective</title><p>This study evaluated <italic>emma</italic> usage rate and acceptability during the first month and satisfaction after 1 and 6 months of use.</p></sec><sec><title>Methods</title><p>Ninety-nine patients at high risk of suicide used <italic>emma</italic> for 6 months. The acceptability and usage rate of the EMA and EMI modules were monitored during the first month. Satisfaction was assessed by questions in the monthly EMA (Likert scale from 0 to 10) and the Mobile App Rating Scale (MARS; score: 0–5) completed at month 6. After inclusion, three follow-up visits (months 1, 3, and 6) took place.</p></sec><sec><title>Results</title><p>Seventy-five patients completed at least one of the proposed EMAs. Completion rates were lower for the daily than weekly EMAs (60 and 82%, respectively). The daily completion rates varied according to the question position in the questionnaire (lower for the last questions, LRT = 604.26, df = 1, <italic>p</italic>-value &lt; 0.0001). Completion rates for the daily EMA were higher in patients with suicidal ideation and/or depression than in those without. The most used EMI was the emergency call module (<italic>n</italic> = 12). Many users said that they would recommend this application (mean satisfaction score of 6.92 ± 2.78) and the MARS score at month 6 was relatively high (overall rating: 3.3 ± 0.87).</p></sec><sec><title>Conclusion</title><p><italic>Emma</italic> can target and involve patients at high risk of suicide. Given the promising users’ satisfaction level, <italic>emma</italic> could rapidly evolve into a complementary tool for suicide prevention.</p></sec>