Preventing Suicide With Digital Phenotyping and Pharmacogenetics-Based Interventions
SMARTomicS-R
Prevention of Suicidal Behavior Through Therapeutic Interventions Guided by Digital Phenotype and Pharmacogenetics: The SMARTomicS Study Protocol
1 other identifier
observational
5,000
1 country
1
Brief Summary
The goal of this protocol for an observational retrospective multi-site cohort study is to develop a predictive algorithm for suicidal behavior integrating genetic risk markers, digital phenotypes, and exposomic data in people with a lifetime history of suicide attempt. Participants will be aged from 12 onwards (requiring parental consent if under 18) and only be excluded if they are unable to provide a genetic sample or do not consent to the study. The main question\[s\] it aims to answer is: \- Can genotyping/omics analysis of individuals with a history of suicidal behaviuor reveal potential genetic factors associated with suicide risk? Secondary questions include:
- 1.Can behavioral factors associated with suicide risk be explored through data obtained from Google Takeout?
- 2.Is there an association between medication changes and suicidal behavior, as identified through the Unified Prescription Module and the Digital Health Record?
- 3.Do different suicidal phenotypes differ based on the collected variables?
- 4.Can the investigators construct an exposome using geolocated and time-stamped data from Google Takeout, combined anonymously with data from the National Statistics and Meteorology Institutes?
- 5.Individuals with a history of suicidal behavior will show significant genotypic differences compared to the general population (based on Spanish Genome Project data).
- 6.Suicidal phenotypes-especially between single and multiple attempters-will differ across collected variables, including genotype, omics, and exposome data.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2025
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2025
CompletedFirst Submitted
Initial submission to the registry
November 17, 2025
CompletedFirst Posted
Study publicly available on registry
February 19, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2028
February 19, 2026
February 1, 2026
2.8 years
November 17, 2025
February 18, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Suicide attempt
Aim to explore associated factors to suicide attempt
Baseline assessment; lifetime suicide attempts occurring from age 12 until enrollment.
Secondary Outcomes (2)
pharmacological treatment efficacy
Assessed at baseline; retrospective evaluation of pharmacological treatments received prior to enrollment.
cost-effectiveness of genetic markers
Baseline assessment
Study Arms (1)
Group 1
Our only group consists of people with a lifetime history of suicide attempt
Interventions
Eligibility Criteria
Outpatients with a lifetime history of suicide attempt
You may qualify if:
- At least one suicide attempt in their lifetime.
- The attempt must have occurred when the participant was older than 12 years old.
- Participants must be at least 18 years old or have parental consent if aged 12-17.
You may not qualify if:
- medical contraindication prevents blood sample collection
- unable to provide informed consent to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Instituto de Investigación Sanitaria de la Fundación Jiménez Díazlead
- Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz-ISCIIIcollaborator
- Hospital Universitario Fundación Jiménez Díazcollaborator
- Hospital Universitario Rey Juan Carloscollaborator
- Hospitales Universitarios Virgen del Rocíocollaborator
- University of Sevillecollaborator
- Universidad de Zaragozacollaborator
- Universidad de Oviedocollaborator
- Instituto de Investigación Sanitaria del Principado de Asturias - ISPAcollaborator
- Centro de Investigación Biomédica en Red de Salud Mentalcollaborator
- Hospital Miguel Servetcollaborator
- Servicio de Salud del Principado de Asturias. Área Sanitaria IIIcollaborator
- Fundació d'investigació Sanitària de les Illes Balearscollaborator
- University of Castilla-La Manchacollaborator
- Hospital del Mar Research Institute (IMIM)collaborator
- Hospital de Avilescollaborator
- Universitat Pompeu Fabracollaborator
- University of Barcelonacollaborator
- Hospital Clinic de Barcelona, Barcelona, Spaincollaborator
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain.collaborator
- Corporacion Parc Taulicollaborator
- Universitat Autonoma de Barcelonacollaborator
- Institut de Recerca Biomèdica de Lleidacollaborator
- Hospital Clínico Universitario de Valenciacollaborator
- University of Valenciacollaborator
- Hospital Universitario La Fecollaborator
- Hospital Provincial de Castelloncollaborator
- Universidad de Extremaduracollaborator
- University of Santiago de Compostelacollaborator
- Centre Hospitalier Universitaire de Nīmescollaborator
- Centro de Investigación en Red de Enfermedades Raras (CIBERER)collaborator
- Servicio Gallego de Saludcollaborator
- Universidad Autonoma de Madridcollaborator
- Universidad Complutense de Madridcollaborator
- Hospital Universitario La Pazcollaborator
- Centro de Biología Molecular Severo Ochoa, Spain (CBMSO)collaborator
- Fundación General CSICcollaborator
- Neuroscience Research Australiacollaborator
- The University of New South Walescollaborator
- Hospital General Universitario Gregorio Marañoncollaborator
- Instituto de Investigación Sanitaria Gregorio Marañóncollaborator
- Universidad Carlos III de Madridcollaborator
- Hospital San Carlos, Madridcollaborator
- Hospital Universitario Ramon y Cajalcollaborator
- University of Alcalacollaborator
- Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajalcollaborator
- Hospital Universitario de Móstolescollaborator
- Universidad Rey Juan Carloscollaborator
- Hospital Universitario Infanta Elenacollaborator
- Hospital Universitario 12 de Octubrecollaborator
- Fundación Instituto de Investigación Sanitaria de Navarracollaborator
- Centro de Investigación Médica Aplicada (CIMA)collaborator
- Hospital Universitario Arabacollaborator
- Bioarabacollaborator
- Euskal Herriko Universitatea - Universidad del País Vasco. Qualiker.collaborator
- Universidad Católica del Maulecollaborator
Study Sites (1)
Instituto Fundación Jiménez Díaz
Madrid, Madrid, 28040, Spain
Related Publications (9)
DiBlasi E, Kang J, Docherty AR. Genetic contributions to suicidal thoughts and behaviors. Psychol Med. 2021 Oct;51(13):2148-2155. doi: 10.1017/S0033291721001720. Epub 2021 May 25.
PMID: 34030748RESULTRejek M, Misiak B. The Associations of Exposome Score with Various Domains of Psychopathology: A Network Analysis in a Non-Clinical Sample. Brain Sci. 2024 Feb 29;14(3):242. doi: 10.3390/brainsci14030242.
PMID: 38539630RESULTVisoki E, Moore TM, Zhang X, Tran KT, Ly C, Gatavins MM, DiDomenico GE, Brogan L, Fein JA, Warrier V, Guloksuz S, Barzilay R. Classification of Suicide Attempt Risk Using Environmental and Lifestyle Factors in 3 Large Youth Cohorts. JAMA Psychiatry. 2024 Oct 1;81(10):1020-1029. doi: 10.1001/jamapsychiatry.2024.1887.
PMID: 39018056RESULTVineis P, Chadeau-Hyam M, Gmuender H, Gulliver J, Herceg Z, Kleinjans J, Kogevinas M, Kyrtopoulos S, Nieuwenhuijsen M, Phillips DH, Probst-Hensch N, Scalbert A, Vermeulen R, Wild CP; EXPOsOMICS Consortium. The exposome in practice: Design of the EXPOsOMICS project. Int J Hyg Environ Health. 2017 Mar;220(2 Pt A):142-151. doi: 10.1016/j.ijheh.2016.08.001. Epub 2016 Aug 19.
PMID: 27576363RESULTAbascal-Peiro S, Penuelas-Calvo I, Alacreu-Crespo A, Saiz PA, De la Torre-Luque A, Ruiz-Veguilla M, Barrigon ML, Courtet P, Lopez-Castroman J, Baca-Garcia E, Porras-Segovia A. Digital Platform for the Prevention of Suicidal Behaviour and Non-Suicidal Self-Injuries in Adolescents: The SmartCrisis-Teen Study Protocol. Behav Sci (Basel). 2024 Aug 25;14(9):740. doi: 10.3390/bs14090740.
PMID: 39335956RESULTPorras-Segovia A, Diaz-Olivan I, Barrigon ML, Moreno M, Artes-Rodriguez A, Perez-Rodriguez MM, Baca-Garcia E. Real-world feasibility and acceptability of real-time suicide risk monitoring via smartphones: A 6-month follow-up cohort. J Psychiatr Res. 2022 May;149:145-154. doi: 10.1016/j.jpsychires.2022.02.026. Epub 2022 Mar 3.
PMID: 35276631RESULTBarrigon ML, Romero-Medrano L, Moreno-Munoz P, Porras-Segovia A, Lopez-Castroman J, Courtet P, Artes-Rodriguez A, Baca-Garcia E. One-Week Suicide Risk Prediction Using Real-Time Smartphone Monitoring: Prospective Cohort Study. J Med Internet Res. 2023 Sep 1;25:e43719. doi: 10.2196/43719.
PMID: 37656498RESULTde la Torre-Luque A, Pemau A, Ayad-Ahmed W, Borges G, Fernandez-Sevillano J, Garrido-Torres N, Garrido-Sanchez L, Garriga M, Gonzalez-Ortega I, Gonzalez-Pinto A, Grande I, Guinovart M, Hernandez-Calle D, Jimenez-Trevino L, Lopez-Sola C, Mediavilla R, Perez-Aranda A, Ruiz-Veguilla M, Seijo-Zazo E, Toll A, Perez-Sola V, Ayuso-Mateos JL; SURVIVE Consortium. Risk of suicide attempt repetition after an index attempt: A systematic review and meta-analysis. Gen Hosp Psychiatry. 2023 Mar-Apr;81:51-56. doi: 10.1016/j.genhosppsych.2023.01.007. Epub 2023 Jan 23.
PMID: 36805332RESULTMartinez-Ales G, Cruz Rodriguez JB, Lazaro P, Domingo-Relloso A, Barrigon ML, Angora R, Rodriguez-Vega B, Jimenez-Sola E, Sanchez-Castro P, Roman-Mazuecos E, Villoria L, Ortega AJ, Navio M, Stanley B, Rosenheck R, Baca-Garcia E, Bravo-Ortiz MF. Cost-effectiveness of a Contact Intervention and a Psychotherapeutic Program for Post-discharge Suicide Prevention. Can J Psychiatry. 2021 Aug;66(8):737-746. doi: 10.1177/0706743720980135. Epub 2020 Dec 15.
PMID: 33317338RESULT
Related Links
Biospecimen
Blood
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 17, 2025
First Posted
February 19, 2026
Study Start
April 1, 2025
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
January 1, 2028
Last Updated
February 19, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share