Evidence map›Paper›PMID 34850890›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Improving suicide risk prediction via targeted data fusion: proof of concept using medical claims data.

Wanwan Xu, Chang Su, Yan Li, Steven Rogers, Fei Wang, Kun Chen, Robert Aseltine

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Using transfer learning to improve prediction of suicide risk in acute care hospitals.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
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  9. Beyond Detection: Towards Actionable Sensing Research in Clinical Mental Healthcare.Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies · 2024
    Article
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  13. Addressing Consequential Public Health Problems Through Informatics and Data Science.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
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

7 authors.

Wanwan XuDepartment of Statistics, University of Connecticut, Storrs, Connecticut, USA.
Chang SuDepartment of Health Service Administration and Policy, Temple University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-4019-6389
Yan LiDepartment of Statistics, University of Connecticut, Storrs, Connecticut, USA.
Steven RogersDepartment of Pediatrics, UCONN Health, Farmington, Connecticut, USA.
Fei WangDepartment of Population Health Sciences, Weill Cornell Medicine, Cornell University, New York, New York, USA.
Kun ChenDepartment of Statistics, University of Connecticut, Storrs, Connecticut, USA.ORCID 0000-0003-3579-5467
Robert AseltineDivision of Behavioral Sciences and Community Health, UConn Health, Farmington, Connecticut, USA.

Funding

Developing Suicide Risk Algorithms for Diverse Clinical Settings using Data FusionR01MH124740 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI ASELTINE, ROBERT H, CHEN, KUN · 2020 to 2023
$3.2M
Improving the Identification of Patients at Risk of SuicideR01MH112148 · NIMH · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI ASELTINE, ROBERT H · 2017 to 2020
$2.7M
NIH HHS R01MH124740NIMH NIH HHS R01 MH112148NIMH NIH HHS R01 MH124740
6 · The paper itself

Abstract

objectiveReducing suicidal behavior among patients in the healthcare system requires accurate and explainable predictive models of suicide risk across diverse healthcare settings. MATERIALS AND

methodsWe proposed a general targeted fusion learning framework that can be used to build a tailored risk prediction model for any specific healthcare setting, drawing on information fusion from a separate more comprehensive dataset with indirect sample linkage through patient similarities. As a proof of concept, we predicted suicide-related hospitalizations for pediatric patients in a limited statewide Hospital Inpatient Discharge Dataset (HIDD) fused with a more comprehensive medical All-Payer Claims Database (APCD) from Connecticut.

resultsWe built a suicide risk prediction model for the source data (APCD) and calculated patient risk scores. Patient similarity scores between patients in the source and target (HIDD) datasets using their demographic characteristics and diagnosis codes were assessed. A fused risk score was generated for each patient in the target dataset using our proposed targeted fusion framework. With this model, the averaged sensitivities at 90% and 95% specificity improved by 67% and 171%, and the positive predictive values for the combined fusion model improved 64% and 135% compared to the conventional model. DISCUSSION AND

conclusionsWe proposed a general targeted fusion learning framework that can be used to build a tailored predictive model for any specific healthcare setting. Results from this study suggest we can improve the performance of predictive models in specific target settings without complete integration of the raw records from external data sources.

Indexed as

Suicidal IdeationSuicideChildDelivery of Health CareHumansPredictive Value of TestsRisk Factorselectronic healthcare recordfusion learningpredictive modelingsuicidesuicide attempt predictiontransfer learning

Identifiers

PMID34850890
PMCPMC8800522

What OpenQuestion holds

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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.