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Evaluation of a Multi-Layered Digital Phenotyping, Digital Safety Plan, and Pharmacogenomic Intervention for Suicide Prevention in Adults With Depression
Sponsor: Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
Summary
The goal of this clinical trial is to learn if a multi-layered digital and pharmacogenomic intervention works to prevent suicide re-attempts in adults with depression. It will also evaluate the safety and effectiveness of continuous digital monitoring, digital safety plans, and precision medication management. The main questions it aims to answer are: * Does the multi-layered intervention lower the rate of suicide re-attempts over a 6-month period compared to standard care? * How do digital tools and genetic-guided prescribing affect depressive symptom severity and treatment-emergent adverse drug reactions? Researchers will compare three groups: participants receiving standard care plus digital monitoring, participants receiving standard care plus digital monitoring and an interactive digital safety plan, and participants receiving standard care plus digital monitoring, a digital safety plan, and pharmacogenetic-guided care. Participants will: * Install study smartphone applications (MeMind and eB2 Mindcare) to track daily mood, stress, and activity patterns through active and passive digital phenotyping. * Authorize historical digital trace extraction via Google Takeout and provide baseline blood samples for genetic, multi-omics, and pharmacokinetic profiling. * Complete regular clinical checkups and questionnaire assessments at baseline and at weeks 4, 8, 12, and 24.
Official title: SMARTomicS: Protocol for a Randomised Controlled Trial Evaluating a Multi-layered Digital Phenotyping and Pharmacogenomic Intervention for Suicide Prevention
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
525
Start Date
2025-09-01
Completion Date
2027-06-30
Last Updated
2026-10-21
Healthy Volunteers
No
Conditions
Interventions
Digital Monitoring (Active/Passive EMA)
Standard outpatient psychiatric care combined with active Ecological Momentary Assessment (EMA via the MeMind app, delivering 2-4 daily push notifications) and passive digital phenotyping (via the eB2 Mindcare app, continuously capturing actigraphy, mobility, and device usage) to track behavioral baselines.
Ecological Momentary Intervention (EMI) via Digital Safety Plan
An automated, interactive Digital Safety Plan (DSP) integrated within the MeMind application, serving as a Just-In-Time Adaptive Intervention (JITAI). It provides real-time coping mechanisms, internal distraction techniques, and emergency contact pathways triggered manually by the patient or automatically via real-time risk detection.
Pharmacogenetic-Guided Care and Therapeutic Drug Monitoring
Prospective pharmacogenetic profiling of CYP2D6 and CYP2C19 loci to provide clinicians with phenotype-guided antidepressant selection and dosing recommendations, supported by liquid chromatography-mass spectrometry (LC-MS) serum therapeutic drug monitoring (TDM) at Week 8.
Locations (1)
Instituto Fundación Jiménez Díaz, Madrid, Madrid 28040
Madrid, Madrid, Spain