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  2. Predicting Suicidal Ideation From Depression Screening Data: A Network-augmented Machine Learning Approach.
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  2. Predicting Suicidal Ideation From Depression Screening Data: A Network-augmented Machine Learning Approach.

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Predicting suicidal ideation from depression screening data: A network-augmented machine learning approach.

Hanjoo Kim1, Anastasia K Yocum1, Melvin G McInnis1

  • 1Department of Psychiatry, University of Michigan, MI, USA.

Journal of Affective Disorders
|March 25, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Machine learning and network analysis improve suicidal ideation screening. The novel model enhances detection accuracy from routine depression symptom data, aiding early case finding.

Keywords:
DepressionMachine learningNational Health and Nutrition Examination Survey (NHANES)Network analysisPatient Health Questionnaire-9 (PHQ-9)Suicidal ideation

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Area of Science:

  • Computational psychiatry
  • Network science
  • Machine learning in healthcare

Background:

  • Suicidal ideation assessment often relies on single self-report items.
  • Routine depression symptom data can be leveraged for improved screening.
  • A novel model combining machine learning and network analytics was developed.

Purpose of the Study:

  • To infer an auxiliary signal for suicidal ideation from routine depressive symptom data.
  • To evaluate the performance of machine learning models augmented with network features.
  • To compare the novel model against traditional screening methods.

Main Methods:

  • Utilized data from the National Health and Nutrition Examination Survey (N=44,922).
  • Developed three predictive models: PHQ-8 total score, PHQ-8 items, and items plus network features (centrality, edges, density).
  • Employed 10-fold cross-validation and precision-recall area under the curve (PR AUC) for evaluation, with external validation on five independent datasets.
  • Main Results:

    • Item-level models outperformed the PHQ-8 total-score baseline.
    • Network-augmented XGBoost demonstrated the strongest performance, achieving a PR AUC of 0.37.
    • The model met prespecified screening criteria (recall ≥0.80, specificity ≥0.50) and highlighted key symptom interrelations.

    Conclusions:

    • Integrating symptom-network features with machine learning enhances interpretability and discrimination.
    • The optimized model surpasses the PHQ-8 total-score baseline and meets pragmatic screening criteria.
    • This approach is suitable for first-line case finding of suicidal ideation.