title: Comprehensive Online Self-Monitoring to Support Clinicians Manage Risk of Suicide in Youth Depression.
abstract: BACKGROUND
  Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue.
  
  
  OBJECTIVE
  To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented.
  
  
  METHODS
  In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness.
  
  
  RESULTS
  The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation.
  
  
  CONCLUSIONS
  The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Hetrick
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
authors.forename: Joanne
authors.initials: J
authors.lastname: Goodall
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
authors.forename: Hok Pan
authors.initials: HP
authors.lastname: Yuen
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.|2 Orygen Youth Health, Melbourne, VIC, Australia.
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Davey
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
authors.forename: Alexandra G
authors.initials: AG
authors.lastname: Parker
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
authors.forename: Jo
authors.initials: J
authors.lastname: Robinson
authors.affiliation: 4 Faculty of Health, University of Canberra, ACT, Australia.|5 headspace National Youth Mental Health Foundation, VIC, Australia.
authors.forename: Debra J
authors.initials: DJ
authors.lastname: Rickwood
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.|3 headspace, Glenroy, Melbourne, VIC, Australia.
authors.forename: Alison
authors.initials: A
authors.lastname: McRoberts
authors.affiliation: 6 Department of General Practice University of Melbourne, VIC, Australia.|7 Young and Well Cooperative Research Centre, Abbotsford, VIC, Australia.
authors.forename: Lena
authors.initials: L
authors.lastname: Sanci
authors.affiliation: 6 Department of General Practice University of Melbourne, VIC, Australia.
authors.forename: Jane
authors.initials: J
authors.lastname: Gunn
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.|2 Orygen Youth Health, Melbourne, VIC, Australia.
authors.forename: Simon
authors.initials: S
authors.lastname: Rice
authors.affiliation: 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.
authors.forename: Magenta B
authors.initials: MB
authors.lastname: Simmons
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020407:Internet; D008137:Longitudinal Studies; D008297:Male; D010342:Patient Acceptance of Health Care; D018570:Risk Assessment; D057566:Self Report; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult; D000092864:Suicide Prevention
keywords: depression; suicide prevention; technology; young people