New preprint, “Just-in-Time Adaptive Interventions for Suicide Prevention: Promise, Challenges, and Future Directions” with @walthdempsey, Evan Kleiman, @drkatebentley, @SusanMurphylab1, and @mk_nock! https://t.co/QeMh22Dvu9

First we highlight three hindrances to treatment efficacy for suicidal thoughts and behaviors:
-Frequency
-Accessibility
-Content
Most existing interventions are infrequent, not accessible when most needed, and not systematically tailored to the person using their own data.
Just-In-Time Adaptive Interventions (JITAIs) are a potential solution to these hindrances to treatment efficacy. JITAIs are designed to provide the right type of support at the right time by adapting to changes in internal states and external contexts (https://t.co/7OGzELv8HL).
Components of JITAIs include:
-Decision points
-Intervention options
-Tailoring variables
-Decision rules
-Proximal outcomes
-Distal outcomes
Image from (https://t.co/7OGzELv8HL)
We provide an example of a JITAI and Micro-randomized Trial (https://t.co/dbQIWHO0dU) for suicide prevention. This intervention would specifically be targeting social support based on our previous work (https://t.co/e53j9VVE1u).
We review three challenges for JITAIs for suicide prevention:
-Measurement of real-time suicide risk
-Balancing risk and receptivity
-Ethics of real-time interventions
We highlight three future directions for JITAIs for suicide prevention:
-Identifying states of risk and receptivity
-Matching mechanisms and interventions
-Integrating into clinical care
JITAIs for suicide prevention hold immense potential to increase access to care and reduce suffering. The potential of JITAIs is reflected in its ability to match the nature of suicide risk. The journey towards realizing the potential of JITAIs, however, remains challenging.
Thank you to all the brilliant collaborators and co-authors on this paper! A special thank you to @walthdempsey, who since I showed up in his office as a first year graduate student has been incredibly kind and patient in teaching me about statistics and mobile health.

More from Society

The Nashville Operation - A Battle in the War

A thread exploring the Nashville bombing in the context of the 2020 Digital War (via SolarWinds) against the United States perpetrated by our enemies, likely China, Iran and/or Russia.


SolarWinds Hack

A digital "Pearl Harbor" moment for the United States, whoever was responsible had access to the keys to the kingdom for months during 2020, including sensitive military infrastructure. This is war!

SunGard + SolarWinds

SolarWinds software company is owned by same company that owns SunGard, which essentially provides data center services. A secure place to host internet servers with redundant power and "big pipe" data connections.

https://t.co/U3P3SrrkM1


SunGard Data Center

In Nashville, around the corner from their "big pipe" connection, AT&T. Like any data center, highly secure. Only authorized personnel can enter, and even fewer can access the actual server rooms. Backup generators are available in case of power failure.


If the SunGard hardware was being used to "host" critical command and control software related to SolarWinds, the US powers would be very interested in gaining special access keys that are stored on the hard-drives of specific servers.

You May Also Like

The chorus of this song uses the shlokas taken from Sundarkand of Ramayana.

It is a series of Sanskrit shlokas recited by Jambavant to Hanuman to remind Him of his true potential.

1. धीवर प्रसार शौर्य भरा: The brave persevering one, your bravery is taking you forward.


2. उतसारा स्थिरा घम्भीरा: The one who is leaping higher and higher, who is firm and stable and seriously determined.

3. ुग्रामा असामा शौर्या भावा: He is strong, and without an equal in the ability/mentality to fight

4. रौद्रमा नवा भीतिर्मा: His anger will cause new fears in his foes.

5.विजिटरीपुरु धीरधारा, कलोथरा शिखरा कठोरा: This is a complex expression seen only in Indic language poetry. The poet is stating that Shivudu is experiencing the intensity of climbing a tough peak, and likening

it to the feeling in a hard battle, when you see your enemy defeated, and blood flowing like a rivulet. This is classical Veera rasa.

6.कुलकु थारथिलीथा गम्भीरा, जाया विराट वीरा: His rough body itself is like a sharp weapon (because he is determined to win). Hail this complete

hero of the world.

7.विलयगागनथाला भिकारा, गरज्जद्धरा गारा: The hero is destructive in the air/sky as well (because he can leap at an enemy from a great height). He can defeat the enemy (simply) with his fearsome roar of war.
I just finished Eric Adler's The Battle of the Classics, and wanted to say something about Joel Christiansen's review linked below. I am not sure what motivates the review (I speculate a bit below), but it gives a very misleading impression of the book. 1/x


The meat of the criticism is that the history Adler gives is insufficiently critical. Adler describes a few figures who had a great influence on how the modern US university was formed. It's certainly critical: it focuses on the social Darwinism of these figures. 2/x

Other insinuations and suggestions in the review seem wildly off the mark, distorted, or inappropriate-- for example, that the book is clickbaity (it is scholarly) or conservative (hardly) or connected to the events at the Capitol (give me a break). 3/x

The core question: in what sense is classics inherently racist? Classics is old. On Adler's account, it begins in ancient Rome and is revived in the Renaissance. Slavery (Christiansen's primary concern) is also very old. Let's say classics is an education for slaveowners. 4/x

It's worth remembering that literacy itself is elite throughout most of this history. Literacy is, then, also the education of slaveowners. We can honor oral and musical traditions without denying that literacy is, generally, good. 5/x