TY  - JOUR
PY  - 2020//
TI  - 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
JO  - BMJ open
A1  - Arenas-Castañeda, Pavel E.
A1  - Aroca Bisquert, Fuensanta
A1  - Martinez-Nicolas, Ismael
A1  - Castillo Espíndola, Luis A.
A1  - Barahona, Igor
A1  - Maya-Hernández, Cynthya
A1  - Lavana Hernández, Martha Miriam
A1  - Manrique Mirón, Paulo César
A1  - Alvarado Barrera, Daniela Guadalupe
A1  - Treviño Aguilar, Erik
A1  - Barrios Núñez, Axayácatl
A1  - De Jesus Carlos, Giovanna
A1  - Vildosola Garcés, Anabel
A1  - Flores Mercado, Josselyne
A1  - Barrigón, María Luisa
A1  - Artes, Antonio
A1  - De Leon, Santiago
A1  - Molina-Pizarro, Cristian Antonio
A1  - Rosado Franco, Arsenio
A1  - Pérez-Rodríguez, Maria de Las Mercedes
A1  - Courtet, Philippe
A1  - Martínez-Alés, Gonzalo
A1  - Baca-Garcia, Enrique
SP  - e035041
EP  - e035041
VL  - 10
IS  - 7
N2  - 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 km2.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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 2044-6055
UR  - http://dx.doi.org/10.1136/bmjopen-2019-035041
ID  - ref1
ER  -