Capturing crisis dynamics: a novel personalized approach using multilevel hidden Markov modeling.

ABSTRACT:

Background

Prevention of (suicidal) crisis starts with appreciating its dynamics. However, crisis is a complex multidimensional phenomenon and how it evolves over time is still poorly understood. This study aims to clarify crisis dynamics by clustering fluctuations in the interplay of cognitive, affective, and behavioral (CAB) crisis factors within persons over time into latent states.

Methods

To allow for fine grained information on CAB factors over a prolonged period of time, ecological momentary assessment data comprised of self-report questionnaires (3 × daily) on five CAB symptoms (self-control, negative affect, contact avoidance, contact desire and suicidal ideation) was collected in twenty-six patients (60 measurements per patient). Empirically-derived crisis states a

SUBMITTER: Aarts E 

PROVIDER: S-EPMC11772436 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature