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Accepted for/Published in: JMIR Formative Research

Date Submitted: Jan 7, 2021
Date Accepted: Apr 29, 2021

The final, peer-reviewed published version of this preprint can be found here:

User Engagement and Usability of Suicide Prevention Apps: Systematic Search in App Stores and Content Analysis

Wilks C, Chu C, Sim D, Lovell J, Gutierrez P, Joiner T, Kessler R, Nock M

User Engagement and Usability of Suicide Prevention Apps: Systematic Search in App Stores and Content Analysis

JMIR Form Res 2021;5(7):e27018

DOI: 10.2196/27018

PMID: 34259163

PMCID: 8319780

User Engagement and Usability of Suicide Prevention Apps: Systematic Search in App Stores and Content Analysis

  • Chelsey Wilks; 
  • Carol Chu; 
  • DongGun Sim; 
  • Josh Lovell; 
  • Peter Gutierrez; 
  • Thomas Joiner; 
  • Ronald Kessler; 
  • Matthew Nock

ABSTRACT

Background:

People with suicidal thoughts are more inclined to seek technology-delivered interventions than in-person forms of treatment, making mobile apps for suicide prevention an ideal platform for treatment delivery.

Objective:

This review examines apps designed for suicide prevention, with a specific focus on user engagement.

Methods:

All apps referring to suicidal thoughts and behaviors were identified in Google Play and iOS app stores and were systematically reviewed for app content and quality. The Mobile App Rating Scale (MARS) was used to evaluate app usability and engagement.

Results:

A total of 66 apps were identified. Most (64.0%) were designed specifically for people with suicidal ideation, whereas 89.3% had at least one best practice feature for suicide risk reduction and 83.3% scored in the “acceptable” range according to the MARS. The total MARS score was not associated with the user app rating or the number of features.

Conclusions:

Only free apps were systematically evaluated, potentially limiting the breadth of this review. It is unclear how frequently these apps are used, whether they are reaching target audiences, or most importantly, if they are effective at reducing suicidal thoughts and behaviors.


 Citation

Please cite as:

Wilks C, Chu C, Sim D, Lovell J, Gutierrez P, Joiner T, Kessler R, Nock M

User Engagement and Usability of Suicide Prevention Apps: Systematic Search in App Stores and Content Analysis

JMIR Form Res 2021;5(7):e27018

DOI: 10.2196/27018

PMID: 34259163

PMCID: 8319780

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