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Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study explored participant experiences with ecological momentary assessment (EMA) in the context of suicidal thoughts and behaviors (STBs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>16 participants of a long-term EMA study (with varying STB occurrence during the study and low vs. high compliance) were interviewed on reactivity effects and feasibility of EMA. Qualitative content analysis was performed using an inductive-deductive approach and consensual coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Reactivity to EMA was reported by some participants, with suicidal thoughts occasionally intensifying\/being triggered by survey prompts. Importantly, no evidence indicated that EMA triggered suicidal actions. However, the burden increased over time for some, calling for more personalized monitoring durations. EMA\u2019s feasibility during acute suicidal crises was questioned due to reduced ability and willingness to respond.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Long-term EMA monitoring after psychiatric discharge was perceived as feasible and beneficial. Selection bias and the lack of quantitative validation limit generalizability. Findings underscore the value of mixed-methods approaches and participatory protocol design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1744947","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T14:33:53Z","timestamp":1772807633000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Qualitative content analysis of reactivity effects and feasibility of ecological momentary assessments of suicide-related thoughts and behaviors in the long-term and in suicidal crises"],"prefix":"10.3389","volume":"17","author":[{"given":"Lena","family":"Spangenberg","sequence":"first","affiliation":[{"name":"Department of Medical Psychology and Medical Sociology, University of Leipzig","place":["Leipzig, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cora","family":"Spahn","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology and Medical Sociology, University of Leipzig","place":["Leipzig, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Serebriakova","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy, Institute of Psychology, University of Duisburg-Essen","place":["Essen, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Forkmann","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy, Institute of Psychology, University of Duisburg-Essen","place":["Essen, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heide","family":"Glaesmer","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology and Medical Sociology, University of Leipzig","place":["Leipzig, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1007\/s40211-015-0142-1","article-title":"Investigating dynamics and predictors of suicidal behaviors using ambulatory assessment","volume":"29","author":"Spangenberg","year":"2015","journal-title":"Neuropsychiatr"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2022.876595","article-title":"Don\u2019t miss the moment: A systematic review of ecological momentary assessment in suicide research","volume":"4","author":"Kivel\u00e4","year":"2022","journal-title":"Front Dig Health"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.copsyc.2021.01.004","article-title":"Ambulatory assessment in psychopathology research: Current achievements and future ambitions","volume":"41","author":"Mestdagh","year":"2021","journal-title":"Curr Opin Psychol"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1038\/s44159-023-00175-y","article-title":"The use of advanced technology and statistical methods to predict and prevent suicide","volume":"2","author":"Kleiman","year":"2023","journal-title":"Nat Rev Psychol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1027\/0227-5910\/a000464","article-title":"Investigating the dynamics of suicidal ideation","volume":"39","author":"Hallensleben","year":"2017","journal-title":"Cris: J Cris Interv Suic Prev"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000273","article-title":"Examination of real-time fluctuations in suicidal ideation and its risk factors: Results from two ecological momentary assessment studies","volume":"126","author":"Kleiman","year":"2017","journal-title":"J Abnormal Psychol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.eurpsy.2018.11.003","article-title":"Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. 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