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Developing a Prediction Model for Suicidality Among COVID-19 Patients in Korea Using Timely Data From the National
Hyejin Kim1,2, Youngrong Lee2, Euihyun Kwak3
1Department of Public Health, Graduate School, Yonsei University, Seoul, Korea.
Journal of Korean Medical Science
|August 19, 2025
Summary
This study developed a predictive model for suicidality in recent coronavirus disease 2019 (COVID-19) patients using machine learning. The model, based on timely data, aids in early screening for mental health support.
Area of Science:
- Psychiatry
- Public Health
- Data Science
Background:
- No prior models predicted suicidality using timely data from coronavirus disease 2019 (COVID-19) patients.
- This study addresses the need for early screening tools for mental health risks in COVID-19 survivors.
Purpose of the Study:
- To develop and validate a predictive model for suicidality in patients diagnosed with COVID-19 within the past month.
- To create screening tools based on timely patient data for public mental health applications.
Main Methods:
- Analysis of data from 96,694 Korean COVID-19 patients.
- Utilized classification and regression tree (CART) and random forest models.
- Included 39 features: demographics, COVID-19 factors, and psychological symptoms (depression, anxiety, PTSD).
Main Results:
- Random forest model achieved an area under the curve of 0.85, with 73.4% sensitivity and 83.9% specificity.
- Key predictors of suicidality included suicidal ideation, fatigue, anxiety, and depressive mood.
- A scorecard with cut-off scores was developed based on the best-performing model.
Conclusions:
- A high-performing model for predicting suicidality in Korean COVID-19 patients was successfully developed.
- The developed scorecard enhances the practical application of the model in public mental health settings.
- This research provides a valuable tool for early identification and intervention of mental health issues in COVID-19 patients.
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