ClinicalTrials.gg
CompletedNCT03410381EMMAUpdated Feb 5, 2021

Ecological Momentary Mental Assessment

An interventional study of Application EMMA in Person at Risk of Suicide, sponsored by University Hospital, Montpellier. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-05.

Sponsored by University Hospital, Montpellier · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
97
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies in Suicide by University Hospital, Montpellier — 7 open to participants now, 8 under way, none of them phase 3. Suicide · University Hospital, Montpellier.

Enrollment
10th of 15
97 · median 120
Started
2018
the only one that year
No phase
15 of 21
6 open now
Registered
7th of 21
by date

Among the 21 studies in Suicide by University Hospital, Montpellier, this one is the 10th largest by enrollment of the 15 interventional ones, is the only one that started in 2018, is one of 15 with no phase, and was the 7th registered.

By phase

21 studies; the count open now beside each. This study's row is marked.

No phasethis study15 · 6 open
Observational6 · 1 open

By the year they started

First in 2015; this study’s year is marked. 1 started in 2018.

Size and results

Median enrollment 120 across the 15 interventional studies, 143 across the 6 observational. Of the 11 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

Suicide is a major health problem that causes annually a million death worldwide. Suicide and suicide attempts are preventable.

A history of self-injuries or suicidal attempts are known to be the most important risk factor for death by suicide. Suicidal ideation is also strongly correlated with suicide attempts.

The development of Smartphones applications offers new possibilities for data collection and transmission.

Moreover, the online help function, when a suicidal crisis occurs, is the most effective strategy for prevention of suicidal behavior.

Specific technologies have been developed to analyse behaviors and experiences of patients in a natural environment, in real life.

That is the goal of Ecological Momentary Assessment.

The aim of the study is to develop an algorithm to assess and predict the risk of suicidal event occurrence, in order to detect as soon as possible the signs of suicidal crisis.

EMMA will be the first application in French, meeting the recommendations for health applications, developed by experts on suicidal behavior and in collaboration with patients which aims to predict suicidal risk.

A subsequent study, conducted on a larger population, should allow to validate the predictive algorithm of EMMA.

Long-term goal is to improve the care of patients at risk for suicidal behavior.

Read the detailed description

100 patients having recently attempted suicide or having suicidal ideation will be recruited. They will be asked to use the application EMMA during 6 months and will be followed up during this period.

An optional qualitative study conducted on 25 patients will allow to evaluate more finely their subjective experience of the use of the application.

Initial visit (inclusion) : clinical, biological and neuropsychological assessment and installation of the application EMMA.

First visit (1st month) and second visit (3rd month) : clinical assessment

Last visit (6th month) : clinical, biological and neuropsychological assessment and optional qualitative interview.

03

Conditions studied

  • Person at Risk of Suicide

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Keywords

  • Psychiatry
  • Suicide
  • Prediction
  • Smartphone application
  • Ecological Momentary Assessment
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Recent suicidal attempt (\< 8 days) or suicidal ideation score ≥ 2 (IDSC-30 scale)
  • More than 18 years old
  • Able to understand nature, aims, and methodology oh the study
  • To own a smartphone

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate
  • Patient on protective measures (guardianship or trusteeship)
  • Deprived of liberty subject (administrative decision)
  • Subject in exclusion period for another protocol
  • Not affiliated to a social security agency
  • Unable to understand and/or answer a questionnaire
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
97 participants (actual)

Study arms

  • Experimental
    Group using the application EMMA

    Patients with personal history of suicide attempt or with suicidal ideation, will use the application during 6 months. Assessment of the predictive value of the algorithm for suicidal risk, acceptbability and satisfaction

    Other: Application EMMA

Interventions

  • OtherApplication EMMA

    Emma proposes four types of assessments during 6 months:1) 5 times a day during 3 days, every month (5 minutes): patients can assess their emotions, their thoughts, their behavior and their occurrence context. 2) Weekly (7 minutes): consists of a summary of the week, about their emotions, thoughts, behavior, their relationships (family, work, friends, and their quality of life.3) Monthly (5 minutes): assessment of the usefulness and satisfaction about the application.4) Assessment available at any time An action plan is designed to support the participants, to help them facing difficult emotions and feelings, and to encourage them to ask for help. They can contact a relative or call the psychiatric emergency service directly by clicking on a button.

06

What researchers measure

Primary outcomes

  1. Occurrence of a suicidal event during the follow-up

    Occurrence of a suicidal event will be checked by the Columbia Suicide Severity Rating Scale (C-SSRS) questionnaire and medical records at the end of study.

    Time frame: At 6 months

Secondary outcomes

  1. Evaluation of the frequency of connection of the patient to the EMMA application

    The use is automatically measured by the application with the connection frequency

    Time frame: At 1 month

  2. Evaluation of the frequency of connection of the patient to the EMMA application

    The use is automatically measured by the application with the connection frequency

    Time frame: At 2 months

  3. Evaluation of the frequency of connection of the patient to the EMMA application

    The use is automatically measured by the application with the connection frequency

    Time frame: At 3 months

  4. Evaluation of the frequency of connection of the patient to the EMMA application

    The use is automatically measured by the application with the connection frequency

    Time frame: At 4 months

  5. Evaluation of the frequency of connection of the patient to the EMMA application

    The use is automatically measured by the application with the connection frequency

    Time frame: At 5 months

  6. Evaluation of the frequency of connection of the patient to the EMMA application

    The use is automatically measured by the application with the connection frequency

    Time frame: At 6 months

  7. Acceptability of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 1 month

  8. Acceptability of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 2 months

  9. Acceptability of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 3 months

  10. Acceptability of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 4 months

  11. Acceptability of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 5 months

  12. Acceptability of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 6 months

  13. Acceptability of EMMA assessed by the self assessment questionnaire Mobile Application Rating Scale (MARS)

    Time frame: At 6 months

  14. Acceptability of EMMA assessed by a qualitative interview

    The qualitative interview is optional

    Time frame: At 6 months

  15. Satisfaction of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 1 month

  16. Satisfaction of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 2 months

  17. Satisfaction of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 3 months

  18. Satisfaction of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 4 months

  19. Satisfaction of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 5 months

  20. Satisfaction of EMMA assessed by the Smartphone application

    Questionnaire passed with the application (Likert scales)

    Time frame: At 6 months

  21. Satisfaction of EMMA assessed by the satisfaction questionnaire

    Time frame: At 6 months

  22. Satisfaction of EMMA assessed by a qualitative interview

    The qualitative interview is optional

    Time frame: At 6 months

07

Study locations

1 site
  • MontpellierUniversity Hopital
    Montpellier, 34000, France
08

References and documents

Publications

  • Morgieve M, Genty C, Aze J, Dubois J, Leboyer M, Vaiva G, Berrouiguet S, Courtet P. A Digital Companion, the Emma App, for Ecological Momentary Assessment and Prevention of Suicide: Quantitative Case Series Study. JMIR Mhealth Uhealth. 2020 Oct 9;8(10):e15741. doi: 10.2196/15741. PubMed 33034567 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2018 to primary completion in Jun 2020, 24 months.

Of 308 non-industry interventional studies with no phase under Suicide, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 54. This study's 24 months is below that.

Counting every sponsor, half of 319 studies reached it within 30 months; a quarter within 15 and three quarters within 53.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 14, 2017
First posted
Jan 25, 2018
StartActual
May 31, 2018
Primary completionActual
Jun 26, 2020
CompletionActual
Jun 26, 2020
Last update
Feb 5, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03410381
Collaborators
University Hospital, Lille, University Hospital, Brest, University Hospital Saint jacques, Besançon, University Hospital, Henri Mondor/Albert Chenevier, Créteil
Responsible party
Sponsor
First posted
Jan 25, 2018
Start date
May 31, 2018
Primary completion
Jun 26, 2020
Completion
Jun 26, 2020
Last update
Feb 5, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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