连续时间和动态自杀企图风险预测与神经常规微分方程
Yi-Han Sheu1,2,3,4, Jaak Simm5, Bo Wang1,2,3,4
1Center for Precision Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
medRxiv : the preprint server for health sciences
|March 11, 2024
概括
这项研究引入了新的AI模型来预测与自杀相关的动态行为风险. 这些模型提供持续的风险评估,改善自杀预防策略.
科学领域:
- 人工智能的人工智能
- 机器学习 机器学习
- 公共卫生 公共卫生
背景情况:
- 自杀是美国的主要死亡原因,死亡率正在上升.
- 目前的自杀相关行为 (SRB) 风险评估是静态的,在监测波动的风险方面存在差距.
- 现有的方法无法捕捉到SRB风险的动态和持续性质.
研究的目的:
- 开发先进的AI模型来预测动态自杀相关行为 (SRB) 风险.
- 克服临床和机器学习环境中静态风险评估模型的局限性.
- 实现持续的风险估计和及时更新,以改善自杀预防.
主要方法:
- 开发了两个模型类:事件-GRU-ODE和事件-GRU-Discretized,基于神经普通微分方程 (神经ODE).
- 利用大型电子健康记录数据库进行模型培训和验证.
- 实施时间序列预测以将风险模型作为连续轨迹.
主要成果:
- 两种开发的模型都显示了SRB预测的高歧视性能,在一般队列中AUROC>0.92.
- 这些模型成功地预测了跨连续时间点的动态风险轨迹.
- 这些模型可以随着新数据的可用性而更新风险估计.
结论:
- 新的AI模型可以有效地预测与自杀相关的动态行为风险.
- 这些模型代表着相对于静态风险评估方法的显著进步.
- 这些发现支持基于持续风险监测的积极预防自杀策略的开发.
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