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Factors Associated With Suicidal Ideation Among Persons With Disabilities in South Korea: Retrospective Observational
In-Hwan Oh1, Sooyeon Jo2, Joon Lee3,4,5
1Department of Preventive Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
South Korea has the highest suicide rate among OECD nations, with persons with disabilities being particularly vulnerable. This study identified key factors contributing to suicidal ideation in this group using machine learning, aiding future prevention strategies.
Area of Science:
- Public Health
- Mental Health Research
- Machine Learning in Healthcare
Background:
- South Korea faces a high suicide rate, notably among individuals with disabilities.
- Suicidal ideation and suicide attempts show a strong correlation in research.
- Persons with disabilities experience disproportionately high rates of suicidal ideation.
Purpose of the Study:
- To investigate factors contributing to suicidal ideation among persons with disabilities in South Korea.
- To utilize machine learning models for predicting suicidal ideation.
- To identify key predictors for targeted mental health interventions.
Main Methods:
- Analysis of data from the 2020 National Survey on Persons with Disabilities (n=6832).
- Feature selection using random forest to identify top 100 predictors from 1394 variables.
- Training and evaluation of five machine learning models: logistic regression, SVM, random forest, XGBoost, and neural network.
Main Results:
- 12.1% of persons with disabilities reported suicidal thoughts in the past year.
- Significant predictors included intense sadness, disability-related difficulties, and health satisfaction.
- The random forest model achieved the highest predictive performance (AUC 0.905).
Conclusions:
- Identified critical predictors of suicidal ideation in persons with disabilities.
- Highlights the need for focused mental health interventions and suicide prevention strategies.
- Machine learning effectively identified key factors, with further research needed on causality.
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