Detecting Adolescent Suicidality Biometric Signals and Dynamic Variability with Wearable Technology

利用可穿戴技术检测青少年自杀生物特征信号和动态变异性

• 批准号: 10731651
• 负责人: David Clark Sheridan
• 金额: $ 19.14万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-16 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10731651
• 关键词: Accident and Emergency department; Accounting; Acute; Admission activity; Adolescence; Adolescent; Affect; Age; Ambulatory Monitoring; Arousal; Autonomic nervous system; Biometry; Cause of Death; Childhood; Clinical; Clinical Research; Clinical Trials; Data; Data Analyses; Data Set; Devices; Disease; Early Diagnosis; Early Intervention; Early identification; Ecological momentary assessment; Emergency department visit; Enrollment; Family; Frequencies; Funding; Future; Gender; Goals; Health Personnel; Healthcare Systems; Hospitals; Impairment; Inpatients; Intervention; Knowledge; Lead; Life; Machine Learning; Measures; Mental Health; Mental disorders; Mentored Clinical Scientist Development Program; Methodology; Methods; Mining; Mission; Monitor; Moods; National Institute of Mental Health; Observational Study; Outpatients; Patient Self-Report; Patients; Photoplethysmography; Physicians; Physiological; Positioning Attribute; Preventive; Preventive measure; Prospective cohort; Psyche structure; Public Health; Publishing; Recording of previous events; Reporting; Research; Research Personnel; Resources; Risk; Risk Factors; Scientist; Services; Severities; Signal Transduction; Suicide; Suicide attempt; Symptoms; System; Techniques; Therapeutic; Therapeutic Intervention; Time; Time trend; Training; Translational Research; Triage; United States; Visit; Wrist; Youth; adolescent patient; adolescent suicide; career development; clinical predictors; cost; design; developmental psychology; digital monitoring; heart rate monitor; heart rate variability; improved; innovation; longitudinal dataset; machine learning model; novel; pediatric patients; predictive tools; programs; prospective; social; suicidal; suicidal adolescent; suicidal behavior; suicidal risk; suicide rate; wearable device; wrist motion

PROJECT SUMMARY Suicide rates have exponentially increased, and it is now the 2nd leading cause of death in adolescence, accounting for over 1.2 million annual emergency department (ED) visits. After an ED visit or attempt, up to 20% of adolescents will have a second attempt within 12 months, and almost half will have a repeat ED visit. My long-term goal is to be an independent, federally-funded physician-scientist with a research program in adolescent suicidality. This proposal's overall objectives are to investigate physiologic parameters and biometric data from wearable technology that is temporally related to suicidal behavior and develop a personalized, predictive tool that can improve outpatient identification of adolescent patients with suicidality before a crisis develops requiring an ED visit. The central hypothesis is that biometric data can continuously monitor and allow for early identification/intervention of escalating suicidal symptoms. The rationale is that improved outpatient monitoring through wearable technology can create a more objective platform to provide the ability to identify a worsening condition and utilize patient-specific just-in-time therapeutics developed with mental health providers for suicidal adolescents. To attain the overall objectives, I will pursue the following specific aims: (i) To evaluate whether HRV, combined with patient-specific risk factors, can be used to detect dynamic changes in suicide severity among a prospective cohort of acutely suicidal adolescents, (ii) To utilize machine learning to determine whether there is a temporal relationship/signature in the raw PPG signal before or immediately after changes in suicide severity reporting combined with patient-specific risk factors to develop a prediction tool for suicidality risk. These aims will be accomplished in three years through a prospective observational study enrolling acutely suicidal adolescents in the ED and an inpatient psychiatric unit. In addition, the following career development aims will be accomplished to position myself as an independent physician-scientist following completion of this K23: (i) formal training in clinical suicidality assessment and monitoring outside the ED, including developmental psychology/youth suicidology; (ii) Machine learning and data analysis techniques for large longitudinal datasets integral to clinical research translation from digital monitors; (iii) K-to-R transition that will include the methodology for clinical trials and adaptive design. This proposal is significant because it aligns with the NIMH mission of improved preventative research, assessing mental health trajectories over time, and research with an extensive public health reach. The research proposed in this application is innovative because researchers can use this platform in future studies as a new physiologic approach to adolescent suicidality. Ultimately, such knowledge can offer unique opportunities for early detection, just-in-time interventions, and support over 1.2 million suicidal adolescents presenting to EDs nationally.

项目总结