The safety of digital mental health interventions: Findings and recommendations from a qualitative study exploring users' experiences, concerns, and suggestions

Journal article

Taher, R., Stahl, D., Shergill, S. and Yiend, J. 2025. The safety of digital mental health interventions: Findings and recommendations from a qualitative study exploring users' experiences, concerns, and suggestions. JMIR Human Factors. 12, p. e62974. https://doi.org/10.2196/62974
AuthorsTaher, R., Stahl, D., Shergill, S. and Yiend, J.
AbstractThe literature around the safety of digital mental health interventions (DMHIs) is growing. However, the user/patient perspective is still absent from it. Understanding the user/patient perspective can ensure that professionals address issues that are significant to users/patients and help direct future research in the field. This qualitative study aims to explore DMHI users' experiences, views, concerns, and suggestions regarding the safety of DMHIs. We included individuals aged 18 years old or older, having experience in using a DMHI, and can speak and understand English without the need for a translator. Fifteen individual interviews were conducted. Deductive thematic analysis was used to analyze the data. The analysis of the interview transcripts yielded 3 main themes: Nonresponse: A Concern, a Risk, and How Users Mitigate It, Symptom Deterioration and Its Management, and Concerns Around Data Privacy and How to Mitigate Them. The results of this study led to 7 recommendations on how the safety of DMHIs can be improved: provide "easy access" versions of key information, use "approved by..." badges, anticipate and support deterioration, provide real-time feedback, acknowledge the lack of personalization, responsibly manage access, and provide genuine crisis support. These recommendations arose from users' experiences and suggestions. If implemented, these recommendations can improve the safety of DMHIs and enhance users' experience. [Abstract copyright: ©Rayan Taher, Daniel Stahl, Sukhi Shergill, Jenny Yiend. Originally published in JMIR Human Factors (https://humanfactors.jmir.org), 07.02.2025.]
KeywordsRisks; Digital mental health; Patient safety; Qualitative research; Telemedicine; User perspective; Patient perspective; Data safety; Risk mitigation; Mental health services
Year2025
JournalJMIR Human Factors
Journal citation12, p. e62974
PublisherJMIR Publications
ISSN2292-9495
Digital Object Identifier (DOI)https://doi.org/10.2196/62974
https://doi.org/v12i1e62974
Official URLhttps://humanfactors.jmir.org/2025/1/e62974
Publication dates
Online07 Feb 2025
Publication process dates
Accepted24 Nov 2024
Deposited09 Apr 2025
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Open
Output statusPublished
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Lucy D. Vanes, Elias Mouchlianitis, Krisna Patel, Erica Barry, Katie Wong, Megan Thomas, Timea Szentgyorgyi, Dan Joyce and Sukhwinder Shergill 2019. Neural correlates of positive and negative symptoms through the illness course: an fMRI study in early psychosis and chronic schizophrenia. Scientific Reports. 9, p. 14444. https://doi.org/10.1038/s41598-019-51023-0
Girls-boys: an investigation of gender differences in the behavioral and neural mechanisms of trust and reciprocity in adolescence
Imke L. J. Lemmers-Jansen, Anne-Kathrin J. Fett, Sukhi Shergill, Marlieke T. R. van Kesteren and Lydia Krabbendam 2017. Girls-boys: an investigation of gender differences in the behavioral and neural mechanisms of trust and reciprocity in adolescence. Frontiers in Human Neuroscience. 13 (257).