Evidence map›Paper›PMID 33653425›Full record

ArticleThe British journal of psychiatry : the journal of mental science2021

Using machine learning to predict suicide in the 30 days after discharge from psychiatric hospital in Denmark.

Tammy Jiang, Anthony J Rosellini, Erzsébet Horváth-Puhó, Brian Shiner, Amy E Street, Timothy L Lash, Henrik T Sørensen, Jaimie L Gradus

Open access · goldAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  10. Precision psychiatry needs causal inference.Acta neuropsychiatrica · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Tammy JiangDepartment of Epidemiology, Boston University School of Public Health, Massachusetts, USA.ORCID 0000-0002-6887-5706
Anthony J RoselliniDepartment of Psychological and Brain Sciences, Boston University, Massachusetts, USA.
Erzsébet Horváth-PuhóDepartment of Clinical Epidemiology, Aarhus University Hospital, Denmark.
Brian ShinerNational Center for PTSD, White River Junction Veterans Affairs Medical Center, Vermont, USA.
Amy E StreetWomen's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Massachusetts, USA.
Timothy L LashDepartment of Epidemiology, Rollins School of Public Health, Emory University, Georgia, USA.
Henrik T SørensenDepartment of Clinical Epidemiology, Aarhus University, Denmark.
Jaimie L GradusDepartment of Epidemiology, Boston University School of Public Health, Massachusetts, USA.ORCID 0000-0003-1459-5327
Boston University · USAarhus University · DKAarhus University Hospital · DKEmory University · USNational Center for Post Traumatic Stress Disorder · USVA Boston Healthcare System · US

Funding

Risk Profiles for Suicidal Behavior in the General PopulationR01MH109507 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GRADUS, JAIMIE L. · 2016 to 2019
$1.3M
Characterizing Trauma Outcomes: From Pre-trauma Risk to Post-trauma SequelaeR01MH110453 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GRADUS, JAIMIE L. · 2017 to 2020
$1.3M
NIMH NIH HHS R01 MH109507NIMH NIH HHS R01 MH110453
6 · The paper itself

Abstract

backgroundSuicide risk is high in the 30 days after discharge from psychiatric hospital, but knowledge of the profiles of high-risk patients remains limited.

aimsTo examine sex-specific risk profiles for suicide in the 30 days after discharge from psychiatric hospital, using machine learning and Danish registry data.

methodWe conducted a case-cohort study capturing all suicide cases occurring in the 30 days after psychiatric hospital discharge in Denmark from 1 January 1995 to 31 December 2015 (n = 1205). The comparison subcohort was a 5% random sample of all persons born or residing in Denmark on 1 January 1995, and who had a first psychiatric hospital admission between 1995 and 2015 (n = 24 559). Predictors included diagnoses, surgeries, prescribed medications and demographic information. The outcome was suicide death recorded in the Danish Cause of Death Registry.

resultsFor men, prescriptions for anxiolytics and drugs used in addictive disorders interacted with other characteristics in the risk profiles (e.g. alcohol-related disorders, hypnotics and sedatives) that led to higher risk of postdischarge suicide. In women, there was interaction between recurrent major depression and other characteristics (e.g. poisoning, low income) that led to increased risk of suicide. Random forests identified important suicide predictors: alcohol-related disorders and nicotine dependence in men and poisoning in women.

conclusionsOur findings suggest that accurate prediction of suicide during the high-risk period immediately after psychiatric hospital discharge may require a complex evaluation of multiple factors for men and women.

Indexed as

Alcohol-Related DisordersMental DisordersSuicideAftercareCohort StudiesDenmarkFemaleHospitals, PsychiatricHumansMachine LearningMalePatient DischargeRegistriesRisk Factorsmachine learningpostdischarge suicidepsychiatric hospitalSuicidesuicide prediction

Identifiers

PMID33653425
PMCPMC8457342
OpenAlexW3134393323

What OpenQuestion holds

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Registered trials

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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.