{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T20:45:33Z","timestamp":1772052333593,"version":"3.50.1"},"reference-count":60,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T00:00:00Z","timestamp":1594857600000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2020,5,21]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Mental disorders represent the second cause of years lived with disability worldwide. Suicide mortality has been targeted as a key public health concern by the WHO. Smartphone technology provides a huge potential to develop massive and fast surveys. Given the vast cultural diversity of Mexico and its abrupt orography, smartphone-based resources are invaluable in order to adequately manage resources, services and preventive measures in the population. The objective of this study is to conduct a universal suicide risk screening in a rural area of Mexico, measuring also other mental health outcomes such as depression, anxiety and alcohol and substance use disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>\n                      A population-based cross-sectional study with a temporary sampling space of 9\u2009months will be performed between September 2019 and June 2020. We expect to recruit a large percentage of the target population (at least 70%) in a short-term survey of Milpa Alta Delegation, which accounts for 137\u2009927 inhabitants in a territorial extension of 288\u2009km\n                      <jats:sup>2<\/jats:sup>\n                      .\n                    <\/jats:p>\n                    <jats:p>They will be recruited via an institutional call and a massive public campaign to fill in an online questionnaire through mobile-assisted or computer-assisted web app. This questionnaire will include data on general health, validated questionnaires including Well-being Index 5, Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale 2, Alcohol Use Disorders Identification Test, selected questions of the Drug Abuse Screening Test and Columbia-Suicide Severity Rating Scales and Diagnostic and statistical manual of mental disorders (DSM-5) questions about self-harm.<\/jats:p>\n                    <jats:p>We will take into account information regarding time to mobile app response and geo-spatial location, and aggregated data on social, demographical and environmental variables. Traditional regression modelling, multilevel mixed methods and data-driven machine learning approaches will be used to test hypotheses regarding suicide risk factors at the individual and the population level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval (002\/2019) was granted by the Ethics Review Board of the Hospital Psiqui\u00e1trico Yucat\u00e1n, Yucat\u00e1n (Mexico). This protocol has been registered in ClinicalTrials.gov. The starting date of the study is 3 September 2019. Results will serve for the planning and healthcare of groups with greater mental health needs and will be disseminated via publications in peer-reviewed journal and presented at relevant mental health conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT04067063\">NCT04067063<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-035041","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T06:27:51Z","timestamp":1595226471000},"page":"e035041","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Universal mental health screening with a focus on suicidal behaviour using smartphones in a Mexican rural community: protocol for the SMART-SCREEN population-based survey"],"prefix":"10.1136","volume":"10","clinical-trial-number":[{"clinical-trial-number":"nct04067063","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Pavel E","family":"Arenas-Casta\u00f1eda","sequence":"first","affiliation":[{"name":"Secretar\u00eda de Salud de la Ciudad de M\u00e9xico, Jurisdicci\u00f3n Sanitaria Milpa Alta, Milpa Alta, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuensanta","family":"Aroca Bisquert","sequence":"additional","affiliation":[{"name":"Instituto de Matem\u00e1ticas. 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Universidad Nacional Aut\u00f3noma de M\u00e9xico, Cuernavaca, Mexico"},{"name":"CNRS-UMI 4584 \u2013 LaSoL Laboratorio Internacional Solomon Lefschetz, Ciudad de Mexico, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismael","family":"Martinez-Nicolas","sequence":"additional","affiliation":[{"name":"Faculty of Life Sciences, Catholic University of Murcia (UCAM), Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis A","family":"Castillo Esp\u00edndola","sequence":"additional","affiliation":[{"name":"Hospital General de Milpa Alta, Milpa Alta, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Barahona","sequence":"additional","affiliation":[{"name":"C\u00e1tedra-Conacyt, Instituto de Matem\u00e1ticas, Unidad de Cuernavaca, Universidad Nacional Aut\u00f3noma de M\u00e9xico, Cuernavaca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthya","family":"Maya-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Center for Evaluation and Surveys Research, National Institute of Public Health (INSP), Cuernavaca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha Miriam","family":"Lavana Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Secretar\u00eda de Salud de la Ciudad de M\u00e9xico, Jurisdicci\u00f3n Sanitaria Milpa Alta, Milpa Alta, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo C\u00e9sar","family":"Manrique Mir\u00f3n","sequence":"additional","affiliation":[{"name":"C\u00e1tedra-Conacyt, Instituto de Matem\u00e1ticas, Unidad de Cuernavaca, Universidad Nacional Aut\u00f3noma de M\u00e9xico, Cuernavaca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Guadalupe","family":"Alvarado Barrera","sequence":"additional","affiliation":[{"name":"Secretar\u00eda de Salud de la Ciudad de M\u00e9xico, Jurisdicci\u00f3n Sanitaria Milpa Alta, Milpa Alta, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"Trevi\u00f1o Aguilar","sequence":"additional","affiliation":[{"name":"Instituto de Matem\u00e1ticas. 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