性和性别少数群体的地位和自杀死亡率:一个可解释的人工智能分析
Ying Yin1,2, T Elizabeth Workman1,2, John R Blosnich3,4
1Washington DC VA Medical Center, United States Department of Veterans Affairs, Washington, DC, United States.
International journal of public health
|May 21, 2024
概括
在美国退伍军人中披露的女同性恋,男同性恋,双性恋和跨性别者 (LGBT) 身份与增加的自杀风险没有直接联系. 然而,与耻辱相关的心理健康问题等因素仍然是自杀死亡风险的重要因素.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 医疗信息学 医疗信息学
背景情况:
- 自杀风险在女同性恋,男同性恋,双性恋和跨性别者 (LGBT) 之间不成比例地高.
- 医疗保健系统中关于LGBT身份的有限数据阻碍了全面的风险评估.
- 了解LGBT退伍军人自杀的特定风险因素至关重要.
研究的目的:
- 利用自然语言处理 (NLP) 和深度神经网络 (DNN) 来识别和分析美国退伍军人的自杀死亡风险因素.
- 调查披露LGBT身份与自杀风险之间的关联,控制众多共同变量.
- 为了确定与高自杀风险相关的人口和临床因素在LGBT老兵人口.
主要方法:
- 分析了2010-2017年880万美国退伍军人的电子健康记录.
- 应用NLP从临床笔记中提取LGBT身份.
- 利用深度神经网络 (DNN) 进行病例对照研究,分析自杀死亡风险,评估特征影响和相互作用.
主要成果:
- 在LGBT患者中,粗略的自杀死亡率更高.
- 在对200多个因素进行调整后,已知的LGBT身份显示,与未知的LGBT身份相比,自杀风险降低.
- 在LGBT退伍军人群中,更高的风险与黑人,女性,已婚或年长有关;较低的风险与某些宗教信仰有关.
结论:
- 披露LGBT身份本身与增加自杀死亡风险没有直接关联.
- 导致LGBT退伍军人自杀风险的因素是复杂的,可能间接与耻辱联系在一起,例如增加抑郁和焦虑.
- 需要进一步的研究和有针对性的干预措施,以解决LGBT退伍军人人口中独特的心理健康需求和自杀风险.
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