Evidence map›Paper›PMID 30710497›Full record

ArticleDepression and anxiety2019

Research Domain Criteria scores estimated through natural language processing are associated with risk for suicide and accidental death.

Thomas H McCoy, Amelia M Pellegrini, Roy H Perlis

Abstract read
In one paragraph

Article in Depression and anxiety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Artificial Intelligence and Suicide Prevention: A Systematic Review of Machine Learning Investigations.International journal of environmental research and public health · 2020
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Article
  10. Insomnia and suicide as reported adverse effects of second-generation antipsychotics and mood stabilizers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  11. Article
  12. Review
  13. Mood Disorders and Outcomes of COVID-19 Hospitalizations.The American journal of psychiatry · 2021
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Dimensional clinical phenotyping usingAlzheimer's & dementia (Amsterdam, Netherlands)
    Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Thomas H McCoyCenter for Quantitative Health, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-5624-0439
Amelia M PellegriniCenter for Quantitative Health, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0001-9312-7673
Roy H PerlisCenter for Quantitative Health, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-5862-6757

Funding

Natural language processing for characterizing psychopathologyR01MH106577 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2016 to 2018
$1.2M
Machine learning for data-driven subtyping of major depressionR56MH115187 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PERLIS, ROY H. · 2018 to 2018
$596k
NIMH NIH HHS R01 MH106577NIMH NIH HHS R56 MH115187
6 · The paper itself

Abstract

backgroundIdentification of individuals at increased risk for suicide is an important public health priority, but the extent to which considering clinical phenomenology improves prediction of longer term outcomes remains understudied. Hospital discharge provides an opportunity to stratify risk using readily available clinical records and details.

methodsWe applied a validated natural language processing tool to generate estimated Research Domain Criteria (RDoC) scores for a cohort of 444,317 individuals drawn from 815,457 hospital discharges between 2005 and 2013. We used survival analysis to examine the association of this risk with suicide and accidental death, adjusted for sociodemographic features.

resultsIn adjusted models, symptoms in each of the five domains contributed to incremental risk (log rank P < 0.001), with greatest increase observed with positive valence. The contribution of each domain to risk was time dependent.

conclusionsRDoC symptom scores parsed from clinical documentation are associated with suicide and illustrates that multiple domains contribute to risk in a time-varying fashion.

Indexed as

Behavioral SymptomsDeathElectronic Health RecordsNatural Language ProcessingAdultCohort StudiesFemaleHumansMaleMiddle AgedRiskRisk AssessmentSuicideSurvival Analysisaccidental deathelectronic health recordsnatural language processingResearch Domain Criteriasuicidesurvival analysis

Identifiers

PMID30710497
PMCPMC6488379

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.