开发首次自杀尝试死亡风险预测模型 - - 从泰国国家自杀监控系统数据中识别风险因素
Suwanna Arunpongpaisal1,2, Sawitri Assanangkornchai1, Virasakdi Chongsuvivatwong1
1Department of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
PloS one
|April 10, 2024
概括
一个新的预测模型确定了首次自杀尝试死亡率的关键因素. 该工具帮助临床医生评估自杀风险并制定预防性干预措施,特别是在低收入和中等收入国家.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 全球超过60%的自杀事件发生在低收入和中等收入国家.
- 超过50%的自杀死亡是由第一次尝试造成的.
- 在这些地区,关于首次自杀企图的数据有限.
研究的目的:
- 开发一个个人级别的风险预测模型来预测第一次自杀尝试时的死亡率.
- 为了确定首次自杀企图死亡率的关键预测因素.
- 在临床环境中创建一个用于增强自杀风险评估的工具.
主要方法:
- 来自泰国国家自杀监控系统的首次自杀未遂记录 (2017年5月至2018年4月) 的分析.
- 构建一个多变量后勤回归风险预测模型.
- 该模型的基于Web的应用程序呈现,使用AUC,灵敏度,特异性和精度进行评估.
主要成果:
- 在3324名首次自杀企图中,50.5%的人死亡.
- 九个预测因素显示出显著的预测能力:男性性别,年龄>50,失业,抑郁症,精神疾病,人际问题,自杀意图和警告信号.
- 该模型实现了高性能:AUC 0.902,灵敏度 84.65%,特异性 82.66%,精度 83.63%.
结论:
- 已经开发出了一种强大的预测模型,用于首次自杀尝试死亡率.
- 该模型可以显著帮助医生进行全面的自杀风险评估.
- 实施可以导致改善预防干预策略和降低自杀率.
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