Massive Mental Health Screening Using Smartphones in 24 Pre-graduate Education Centers in Mexico City: TEDUCA Survey Protocol (TEDUCA)

The objective of this study is to make a massive suicide risk and social behavior assessment in 24 pre-graduate education centers in Mexico City (approximately 30,000 students aged between 15 and 22 years), taking also into account other outcomes such as depression, anxiety, alcohol and drugs. For this, an app for Smartphone (MeMind) or a web platform (www.MeMind.net) will be used in which the participants will take a self-administered questionnaire, composed of several psychometric instruments.

Our main hypothesis is that identification of suicide risk in the Mexico City's student community is feasible using their own smartphones and can serve as both a population screening tool for early specialist referral, as well as a tool for evaluating social behavior strategies and their relation to suicide behavior.

Study Overview

• Status: Unknown
• Conditions: Depressive Disorder; Depression; Alcohol Drinking; Anxiety; Suicidal Ideation; Social Behavior; Drug Abuse
• Intervention / Treatment: Other: Self-administered evaluation questionnaire

• Study Type: Observational
• Enrollment (Anticipated): 30000

Contacts and Locations

Study Locations

• Mexico
  • Mexico City, Mexico, 12000
    • Recruiting
    • Alcaldía Milpa Alta. Ciudad de México
    • Contact: Pavel Arenas Castañeda; Phone Number: +52-5586148610; Email: arenaspavel@gmail.com
    • Principal Investigator: Enrique Baca-García, Dr
    • Principal Investigator: Fuensanta Aroca, Dr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 15 years to 22 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Community composed of students between 15 and 22 years of the 24 educational institutions IEMS of Mexico City, enrolled at the scholar year 2019-2020

Description

Inclusion Criteria:

1. Use a smartphone as personal or computer terminals enabled by the municipality of Milpa Alta or educational services.
2. Be able to understand the nature, purpose and methodology of the study.
3. Accept participation in the study and check the corresponding box in the app to verify that the informed consent has been expressly given.

Exclusion Criteria:

1. Subject deprived of liberty (by judicial or administrative decision)
2. Subject protected by law (guardianship or conservatorship)

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Students of IEMS of Mexico City; Students currently enrolled in the academic year 2019-2020 from the 24 IEMS centers of Mexico City	Other: Self-administered evaluation questionnaire; Smartphone app with MeMind questionnaires

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Suicidal ideation	Columbia-Suicide Severity Rating Scale (C-SSRS) is encompassed into MeMind for this purpose. In C-SSRS, four constructs are measured. The first is the severity of ideation, which is rated on a 5-point ordinal scale from 1="wish to be dead" to 5="suicidal intent with plan". The second is the intensity of ideation, which comprises 5 items, each rated on a 5-point ordinal scale: frequency, duration, controllability, deterrents, and reason for ideation. The third is the behavior, which is rated on a nominal scale that includes actual, aborted, and interrupted attempts; preparatory behavior; and nonsuicidal self-injurious behavior. And the fourth is the lethality, which assesses actual attempts; actual lethality is rated on a 6-point ordinal scale. Results are coded in the instrument itself with colored labels that indicates definitions of suicidal ideation and behavior, quantify both of them and gauge their severity. Definitions are available elsewhere (http://cssrs.columbia.edu).	1 Day
Social Behavior	The assessment of social interaction will be carried out through six games that expose the participant to decision-making in preset environments with very simple and easily understandable rules (Dictator's Game, Prisoner's Dilemma, Loss Aversion, Risk Aversion, Trust Game or The Investment Game, and Ambiguity Aversion).	1 Day

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Depression	Participants will be asked to complete a questionnaire regarding possible symptoms related to depression. PHQ-9 questionnaire is emcompassed into Memind for this purpose.	1 Day
Alcohol Drinking	Participants will be asked to complete a questionnaire regarding possible symptoms related to alcohol abuse. Alcohol Use Disorders Identification Test (AUDIT-C)	1 Day
Anxiety	Participants will be asked to complete a questionnaire regarding possible symptoms related to anxiety. GAD-7 (only screeni	1 Day
Drug Utilization	Participants will be asked to complete a questionnaire regarding possible symptoms related to drug abuse. DAST (only questions 1,6,7) is emcompassed into Memind for this purpose.	1 Day

Collaborators and Investigators

• Sponsor: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
• Collaborators: Universidad Nacional Autonoma de Mexico; Instituciones Educativas de nivel Medio Superior (IEMS) de Ciudad de México; Gobierno de la Ciudad de Mexico

Publications and helpful links

General Publications

• Martinez-Nicolas I, Arenas Castaneda PE, Molina-Pizarro CA, Rosado Franco A, Maya-Hernandez C, Barahona I, Martinez-Ales G, Aroca Bisquert F, Baca-Garcia E, Barrigon ML. Impact of Depression on Anxiety, Well-being, and Suicidality in Mexican Adolescent and Young Adult Students From Mexico City: A Mental Health Screening Using Smartphones. J Clin Psychiatry. 2022 Apr 6;83(3):20m13806. doi: 10.4088/JCP.20m13806.

Helpful Links

• Related Info

Study record dates

Study Major Dates

• Study Start (Actual): August 26, 2019
• Primary Completion (Anticipated): July 1, 2020
• Study Completion (Anticipated): August 1, 2020

Study Registration Dates

• First Submitted: August 22, 2019
• First Submitted That Met QC Criteria: August 22, 2019
• First Posted (Actual): August 26, 2019

Study Record Updates

• Last Update Posted (Actual): July 7, 2020
• Last Update Submitted That Met QC Criteria: July 1, 2020
• Last Verified: July 1, 2020

More Information

Terms related to this study

• Keywords: Mental Health; Smartphone; Suicidal Ideation; Young Adult; Mass Screening; Interpersonal Relations; Health Surveys
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Chemically-Induced Disorders; Drinking Behavior; Mood Disorders; Self-Injurious Behavior; Suicide; Substance-Related Disorders; Alcohol Drinking; Depressive Disorder; Suicidal Ideation
• Other Study ID Numbers: SmartMexSurvey2

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Data will be available for researchers upon request
• IPD Sharing Access Criteria: Upon request to Enrique Baca Garcia (enrique.baca@uam.es)
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No