Evidence map›Paper›PMID 33804879›Full record

ArticleInternational journal of environmental research and public health2021

Which PHQ-9 Items Can Effectively Screen for Suicide? Machine Learning Approaches.

Sunhae Kim, Hye-Kyung Lee, Kounseok Lee

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Social support and life-threatening behavior in online psychotherapy patients: a possible "pulling-together effect" during COVID-19.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
    Article
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  7. Suicidal Ideation in Spinocerebellar Ataxia.The Journal of neuropsychiatry and clinical neurosciences · 2026
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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

3 authors.

Sunhae KimDepartment of Psychiatry, Hanyang University Medical Center, Seoul 04763, Korea.ORCID 0000-0001-7443-7684
Hye-Kyung LeeDepartment of Nursing, College of Nursing and Health, Kongju National University, Kognju 32588, Korea.ORCID 0000-0002-8135-9378
Kounseok LeeDepartment of Psychiatry, Hanyang University Medical Center, Seoul 04763, Korea.ORCID 0000-0002-6084-5043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: The Patient Health Questionnaire-9 (PHQ-9) is a tool that screens patients for depression in primary care settings. In this study, we evaluated the efficacy of PHQ-9 in evaluating suicidal ideation (2) Methods: A total of 8760 completed questionnaires collected from college students were analyzed. The PHQ-9 was scored in combination with and evaluated against four categories (PHQ-2, PHQ-8, PHQ-9, and PHQ-10). Suicidal ideations were evaluated using the Mini-International Neuropsychiatric Interview suicidality module. Analyses used suicide ideation as the dependent variable, and machine learning (ML) algorithms, k-nearest neighbors, linear discriminant analysis (LDA), and random forest. (3) Results: Random forest application using the nine items of the PHQ-9 revealed an excellent area under the curve with a value of 0.841, with 94.3% accuracy. The positive and negative predictive values were 84.95% (95% CI = 76.03-91.52) and 95.54% (95% CI = 94.42-96.48), respectively. (4) Conclusion: This study confirmed that ML algorithms using PHQ-9 in the primary care field are reliably accurate in screening individuals with suicidal ideation.

Indexed as

Patient Health QuestionnaireSuicidal IdeationDepressionHumansMachine LearningMass ScreeningPsychiatric Status Rating ScalesSurveys and Questionnairesmachine learningPHQ-9screeningsuicide

Identifiers

PMID33804879
PMCPMC8036742

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.