Review on the Integration of Just-in-time Adaptive Intervention and Internet-based Cognitive Behavioral Therapy in Reducing Suicidal Thoughts and Behavior

Suicide remains a major public health challenge in the world. The current suicide prevention approaches face challenges in timing mismatch, access barriers, and lack of personalization, complicating the environment for successfully reducing suicidal thoughts and behaviors (STBs). Mobile health has been an emerging but effective approach to supporting and treating mental illnesses. The strengths of Just-in-Time Adaptive Interventions (JITAI) and Internet-based Cognitive Behavioral Therapy(iCBT) are potential approaches to resolving the current challenges of suicide prevention. This paper examines the definitions of JITAIs and iCBT and explores their use in mitigating suicidal thoughts and behaviors. It is proposed that the integration of JITAIs and iCBT could address the current obstacles in preventing suicidal thoughts and behaviors due to their advantages in availability, accessibility, and personalization. However, this integration also has its limitations, necessitating further research. The paper underscores the necessity of future empirical studies on the combined use of JITAIs and iCBT to reduce suicidal thoughts and behaviors.