自杀企图风险预测不一致的自我报告的自杀企图:使用纵向数据的机器学习方法
E F Haghish1, Nikolai Czajkowski2, Fredrik A Walby3
1Department of Psychology, University of Oslo, Norway.
Journal of affective disorders
|March 30, 2024
概括
青少年有更高的自杀企图风险,更一致地报告他们. 不一致的报告可能表明风险较低,并导致评估中的错误分类.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 医疗保健中的机器学习
背景情况:
- 对终身自杀企图 (LSA) 的不一致的自我报告妨碍了对自杀行为的准确评估.
- 青少年的自杀倾向是一个重大的公共卫生问题,需要改进风险评估工具.
研究的目的:
- 调查自杀企图风险与青少年自我报告的LSAs一致性之间的关系.
- 为了确定高风险青少年是否比低风险青少年更一致地报告LSA.
主要方法:
- 在挪威青少年 (N=10,739) 纵向样本的基线数据上训练了一种机器学习模型.
- 该模型估计了LSA风险得分,然后将其与LSA报告在2年随访时的一致性相关联.
主要成果:
- 内化问题,乐观,行为问题,物质使用和饮食失调是自杀企图风险的关键因素.
- 持续报告LSA的青少年显示出显著更高的基线自杀企图风险.
- 不一致的LSA报告与男性,较低的抑郁症和较少的行为问题有关,这可能导致风险评估中的错误负面结果.
结论:
- 一致的LSA自我报告可能表明自杀企图风险更高.
- 这些发现支持青少年自杀倾向理论 (TAS),并可以提高自杀风险评估的准确性.
- 不一致的自我报告的LSA似乎表明自杀企图风险较低.
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