Review on the Integration of Just-in-time Adaptive Intervention and Internet-based Cognitive Behavioral Therapy in Reducing Suicidal Thoughts and Behavior

Authors

  • Zekai Chen

DOI:

https://doi.org/10.61173/4s1d3048

Keywords:

JITAIs, iCBT, Suicide Prevention, Multimodality Treatment, mHealth

Abstract

Suicide remains a major public health challenge in the world. The current suicide prevention approaches face challenges in timing mismatch, access barriers, and lack of personalization, complicating the environment for successfully reducing suicidal thoughts and behaviors (STBs). Mobile health has been an emerging but effective approach to supporting and treating mental illnesses. The strengths of Just-in-Time Adaptive Interventions (JITAI) and Internet-based Cognitive Behavioral Therapy(iCBT) are potential approaches to resolving the current challenges of suicide prevention. This paper examines the definitions of JITAIs and iCBT and explores their use in mitigating suicidal thoughts and behaviors. It is proposed that the integration of JITAIs and iCBT could address the current obstacles in preventing suicidal thoughts and behaviors due to their advantages in availability, accessibility, and personalization. However, this integration also has its limitations, necessitating further research. The paper underscores the necessity of future empirical studies on the combined use of JITAIs and iCBT to reduce suicidal thoughts and behaviors.

References

[1] Naghavi, M., & Global Burden of Disease Self-Harm Collaborators. (2019). Global, regional, and national burden of suicide mortality 1990 to 2016: Systematic analysis for the Global Burden of Disease Study 2016. BMJ (Clinical Research Ed.), 364, l94.

[2] CDC.2018, Suicide Data and Statistics. Available online at https://www.cdc.gov/suicide/facts/data.html

[3] Coppersmith, D. D. L., Dempsey, W., Kleiman, E. M., Bentley, K. H., Murphy, S. A., & Nock, M. K. (2022). Just-intime adaptive interventions for suicide prevention: Promise, challenges, and future directions. Psychiatry, 85(4), 317–333.

[4] Kleiman, E. M., & Nock, M. K. (2018). Real-time assessment of suicidal thoughts and behaviors. Current Opinion in Psychology, 22, 33–37.

[5] Nahum-Shani, I., Smith, S. N., Spring, B. J., Collins, L. M., Witkiewitz, K., Tewari, A., & Murphy, S. A. (2018). Justin-time adaptive interventions (JITAIs) in mobile health: Key components and design principles for ongoing health behavior support. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 52(6), 446–462.

[6] Klasnja, P., Hekler, E. B., Shiffman, S., Boruvka, A., Almirall, D., Tewari, A., & Murphy, S. A. (2015). Microrandomized trials: An experimental design for developing just-in-time adaptive interventions. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 34(S), 1220–1228.

[7] Teepe, G. W., Da Fonseca, A., Kleim, B., Jacobson, N. C., Salamanca Sanabria, A., Tudor Car, L., Fleisch, E., & Kowatsch, T. (2021). Just-in-time adaptive mechanisms of popular mobile apps for individuals with depression: Systematic app search and literature review. Journal of Medical Internet Research, 23(9), e29412.

[8] Lu, S. C., Xu, M., Wang, M., Hardi, A., Cheng, A. L., Chang, S. H., & Yen, P. Y. (2022). Effectiveness and minimum effective dose of app-based mobile health interventions for anxiety and depression symptom reduction: Systematic review and metaanalysis. JMIR Mental Health, 9(9), e39454.

[9] Wang, L., & Miller, L. (2023). Assessment and disruption of ruminative episodes to enhance mobile cognitive behavioral therapy just-in-time adaptive interventions in clinical depression: Pilot randomized controlled trial. JMIR Formative Research, 7, e37270.

[10] Meyer, B. (2021). Online treatment programmes for suicidal persons: Current evidence and future directions. In D. Wasserman (Ed.), Oxford Textbook of Suicidology and Suicide Prevention (2nd ed., pp. 497–503). Oxford University Press. Dean&Francis

[11] Mamukashvili-Delau, M., Koburger, N., Dietrich, S., & Rummel-Kluge, C. (2022). Efficacy of computer- and/or internet-based cognitive-behavioral guided self-management for depression in adults: A systematic review and meta-analysis of randomized controlled trials. BMC Psychiatry, 22(1), 1–18.

[12] Büscher, R., Beisemann, M., Doebler, P., Micklitz, H. M., Kerkhof, A., Cuijpers, P., Batterham, P. J., Calear, A. L., Christensen, H., De Jaegere, E., Domhardt, M., Erlangsen, A., Eylem van Bergeijk, O., Hill, R., Lungu, A., Mühlmann, C., Pettit, J. W., Portzky, G., Steubl, L. S., van Spijker, B. A. J., … Sander, L. B. (2022). Digital cognitive-behavioural therapy to reduce suicidal ideation and behaviours: A systematic review and meta-analysis of individual participant data. Evidence-Based Mental Health, 25(e1), e8–e17.

[13] Carlbring, P., Andersson, G., Cuijpers, P., Riper, H., & Hedman-Lagerlöf, E. (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: An updated systematic review and meta-analysis. Cognitive Behaviour Therapy, 47(1), 1–18.

[14] Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive– behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial Medicine, 15, 16.

[15] Weiner, L., Berna, F., Nourry, N., et al. (2020). Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The Reduction of Stress (REST) study protocol for a randomized controlled trial. Trials, 21, 870.

[16] Stjerneklar, S., Hougaard, E., McLellan, L. F., & Thastum, M. (2019). A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders. PLoS ONE, 14(9), 1–26.

[17] Hetrick, S., Yuen, H. P., Cox, G., Bendall, S., Yung, A., Pirkis, J., & Robinson, J. (2014). Does cognitive behavioural therapy have a role in improving problem solving and coping in adolescents with suicidal ideation? Cognitive Behaviour Therapist, 7, 1–15.

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Published

2024-08-14