@Article{info:doi/10.2196/18392，作者=“DeForte, Shelly and Huang, Yungui and Bourgeois, Tran and Hussain, Syed-Amad and Lin, Simon”，标题=“用户评论中应用抑郁评估与自杀意念的关联:回顾性观察研究”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“8”，日=“4”，卷=“8”，号=“8”，页=“e18392”，关键词=“移动健康”;移动健康;抑郁症;定性研究;背景:许多人使用应用程序来帮助理解和管理他们的抑郁症状。应用程序管理的抑郁症症状问卷，如患者健康问卷-9，很容易在应用程序中进行评分和实施，但可能没有必要的资源和访问权限来提供适当的支持和避免潜在的伤害。目的:我们的主要目标是评估使用应用程序自我诊断抑郁症的风险和有用性的差异，比较只有评估功能的应用程序和多功能应用程序。我们还调查了额外的应用功能是否、是什么以及如何减轻潜在风险。方法:在这项回顾性观察性研究中，我们确定了Google Play商店中提供抑郁评估功能并至少有五条用户评论的应用程序。我们将应用分为两类，一类是只有抑郁评估，另一类是提供额外支持功能。 We conducted theoretical thematic analyses over the user reviews, with thematic coding indicating the helpfulness of the app, the presence of suicidal ideation, and how and why the apps were used. We compared the results across the two categories of apps and analyzed the differences using chi-square statistical tests. Results: We evaluated 6 apps; 3 provided only a depression assessment (assessment only), and 3 provided features in addition to self-assessment (multifeatured). User comments for assessment-only apps indicated significantly more suicidal ideation or self-harm (n=31, 9.4{\%}) compared to comments for multifeatured apps (n=48, 2.3{\%}; X21=43.88, P<.001). Users of multifeatured apps were over three times more likely than assessment-only app users to comment in favor of the app's helpfulness, likely due to features like mood tracking, journaling, and informational resources (n=56, 17{\%} vs n=1223, 59{\%} respectively; X21=200.36, P<.001). The number of users under the age of 18 years was significantly higher among assessment-only app users (n=40, 12{\%}) than multifeatured app users (n=9, 0.04{\%}; X21=189.09, P<.001). Conclusions: Apps that diagnose depression by self-assessment without context or other supportive features are more likely to be used by those under 18 years of age and more likely to be associated with increased user distress and potential harm. Depression self-assessments in apps should be implemented with caution and accompanied by evidence-based capabilities that establish proper context, increase self-empowerment, and encourage users to seek clinical diagnostics and outside help. ", issn="2291-5222", doi="10.2196/18392", url="https://mhealth.www.mybigtv.com/2020/8/e18392", url="https://doi.org/10.2196/18392", url="http://www.ncbi.nlm.nih.gov/pubmed/32663158" }