Real-Time Monitoring of Non-linear Suicidal Dynamics: Methodology and a Demonstrative Case Report

被引:31
作者
Fartacek, Clemens [1 ,2 ,3 ,4 ]
Schiepek, Guenter [4 ]
Kunrath, Sabine [1 ,2 ]
Fartacek, Reinhold [1 ,2 ]
Ploederl, Martin [1 ,2 ,3 ,4 ]
机构
[1] Paracelsus Med Univ, Suicide Prevent Res Program, Salzburg, Austria
[2] Chilstian Doppler Clin, Univ Clin Psychiat & Psychotherapy, Dept Suicide Prevent, Salzburg, Austria
[3] Christian Doppler Clin, Dept Clin Psychol, Salzburg, Austria
[4] Paracelsus Med Univ, Inst Synerget & Psychotherapy Res, Salzburg, Austria
关键词
suicide prevention; real-time monitoring; non-linear dynamic systems; risk assessment; early warning system; critical instability; ECOLOGICAL MOMENTARY ASSESSMENT; AFFECTIVE INSTABILITY; BIPOLAR DISORDER; RISK-ASSESSMENT; CHAOS THEORY; SELF-INJURY; BEHAVIOR; IDEATION; MODEL; SUICIDOLOGY;
D O I
10.3389/fpsyg.2016.00130
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
In recent years, a number of different authors have stressed the usefulness of non-linear dynamic systems approach in suicide research and suicide prevention. This approach applies specific methods of time series analysis and, consequently, it requires a continuous and fine-meshed assessment of the processes under consideration. The technical means for this kind of process assessment and process analysis are now available. This paper outlines how suicidal dynamics can be monitored in high risk patients by an Internet-based application for continuous self-assessment with integrated tools of non-linear time series analysis: the Synergetic Navigation System. This procedure is illustrated by data from a patient who attempted suicide at the end of a 90-day monitoring period. Additionally, future research topics and clinical applications of a non-linear dynamic systems approach in suicidology are discussed.
引用
收藏
页数:14
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