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Classification of Suicide Attempts through a Machine Learning Algorithm Based on Multiple Systemic Psychiatric

Jihoon Oh1, Kyongsik Yun2,3, Ji-Hyun Hwang1

  • 1Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Frontiers in Psychiatry
|October 18, 2017
PubMed
Summary
This summary is machine-generated.

This study shows that machine learning models using clinical scales can accurately predict suicide attempts in patients with depression and anxiety. The Emotion Regulation Questionnaire was a key predictor, aiding clinicians in identifying at-risk individuals.

Keywords:
Psychiatric Status Rating Scalesanxiety disordersdepressionmachine learningsuicide

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Area of Science:

  • Psychiatry
  • Machine Learning
  • Clinical Psychology

Background:

  • Suicide prevention is a critical public health concern.
  • Accurate identification of individuals at high risk for suicide attempts is essential.
  • Existing clinical assessments may not fully capture the complexity of suicide risk.

Purpose of the Study:

  • To determine if data from multiple clinical scales can classify suicide attempts.
  • To develop and evaluate a machine learning model for suicide attempt prediction.
  • To identify key predictors of suicide attempts in a clinical population.

Main Methods:

  • An artificial neural network classifier was trained using 41 variables (31 clinical scales, 10 sociodemographic factors).
  • The study included 573 patients diagnosed with depression and anxiety disorders.
  • Variable importance was ranked, and model performance was assessed using accuracy and Area Under the Receiver Operating Characteristic Curve (AUROC).

Main Results:

  • The model achieved high accuracy in detecting suicide attempts (93.7% for 1-month, 90.8% for 1-year, 87.4% for lifetime).
  • AUROC values were strong, particularly for 1-month detection (0.93).
  • The Emotion Regulation Questionnaire was the most significant predictor; performance remained robust even with the top five predictors.

Conclusions:

  • Self-report clinical scales provide valuable information for classifying suicide attempts.
  • A machine learning approach utilizing these scales can effectively identify high-risk patients.
  • This method offers a promising tool for clinicians to enhance suicide risk assessment in clinical settings.