Edwin D. Boudreaux|Gregory K. Brown|Bárbara Stanley|Rajani S. Sadasivam|Carlos A. Camargo|Ivan W. Miller
Computer Administered Safety Planning for Individuals at Risk for Suicide: Development and Usability Testing
University of Massachusetts Chan Medical School|University of Pennsylvania|Columbia University|University of Massachusetts Chan Medical School|Massachusetts General Hospital|Butler Hospital|Brown University
background safety planning brief intervention become accepted practice many clinical settings help prevent suicide even though quick compared approaches frequently requires 20 min complete impede adoption selfadministered webbased safety planning application could potentially reduce clinician time help promote standardization quality provide enhanced ability share created plan objective aim study design build test usability webbased selfadministered safety planning application methods employed usercentered software design strategy led multidisciplinary team application tested usability target sample suicidal patients detailed observations structured usability ratings think aloud procedures used suicidal ideation intensity perceived ability cope assessed prepost engagement web application results total 30 participants enrolled usability ratings generally strong patients successfully built safety plan however completeness safety plan varied mean number steps completed 55 sd 09 6 90 2730 participants completing least 5 steps 67 2030 completing 6 steps safety planning steps viewed inapplicable individuals confusion instructions led modifications improve understandability step ratings suicide intensity completion application significantly lower preratings pre mean 511 sd 29 versus post mean 446 sd 30 t27249 p02 ratings ability cope suicidal thoughts completion application higher preratings difference approaching statistical significance pre mean 593 sd 29 post mean 664 sd 24 t27203 p05 conclusions taken first step toward identifying components needed maximize usability selfadministered webbased safety planning application results support initial consideration application adjunct clinical contact allows clinician personnel provide clarification needed help patient build plan help review revise draft