Evidence map›Paper›PMID 35168594›Full record

ArticleBMC psychiatry2022

Identifying long-term and imminent suicide predictors in a general population and a clinical sample with machine learning.

Lloyd D Balbuena, Marilyn Baetz, Joseph Andrew Sexton, Douglas Harder, Cindy Xin Feng, Kerstina Boctor, Candace LaPointe, Elizabeth Letwiniuk, Arash Shamloo, Hemant Ishwaran and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

12 authors at 7 institutions in 4 countries.

Lloyd D BalbuenaDepartment of Psychiatry, University of Saskatchewan, Saskatoon, Canada. lloyd.balbuena@gmail.com.ORCID 0000-0002-3745-5426
Marilyn BaetzCollege of Medicine, University of Saskatchewan, Saskatoon, Canada.
Joseph Andrew SextonDiakonhjemmet Hospital, Oslo, Norway.
Douglas HarderMental Health & Addictions Services, Saskatchewan Health Authority, Saskatoon, Canada.
Cindy Xin FengDepartment of Community Health and Epidemiology, Dalhousie University, Halifax, Canada.
Kerstina BoctorDepartment of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
Candace LaPointeMental Health & Addictions Services, Saskatchewan Health Authority, Saskatoon, Canada.
Elizabeth LetwiniukMental Health & Addictions Services, Saskatchewan Health Authority, Saskatoon, Canada.
Arash ShamlooDepartment of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
Hemant IshwaranDivision of Biostatistics, University of Miami, Miami, USA.
Ann JohnSwansea University Medical School, Swansea University, Swansea, United Kingdom.
Anne Lise BrantsæterDepartment of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
University of Saskatchewan · CASaskatchewan Health Authority · CADalhousie University · CADiakonhjemmet Hospital · NONorwegian Institute of Public Health · NOSwansea University · GBUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMachine learning (ML) is increasingly used to predict suicide deaths but their value for suicide prevention has not been established. Our first objective was to identify risk and protective factors in a general population. Our second objective was to identify factors indicating imminent suicide risk.

methodsWe used survival and ML models to identify lifetime predictors using the Cohort of Norway (n=173,275) and hospital diagnoses in a Saskatoon clinical sample (n=12,614). The mean follow-up times were 17 years and 3 years for the Cohort of Norway and Saskatoon respectively. People in the clinical sample had a longitudinal record of hospital visits grouped in six-month intervals. We developed models in a training set and these models predicted survival probabilities in held-out test data.

resultsIn the general population, we found that a higher proportion of low-income residents in a county, mood symptoms, and daily smoking increased the risk of dying from suicide in both genders. In the clinical sample, the only predictors identified were male gender and older age.

conclusionSuicide prevention probably requires individual actions with governmental incentives. The prediction of imminent suicide remains highly challenging, but machine learning can identify early prevention targets.

Indexed as

Suicide, AttemptedSuicide PreventionFemaleHumansMachine LearningMaleMotivationProtective Factorsmachine learningpredictionprimary preventionsecondary preventionsuicide

Identifiers

PMID35168594
PMCPMC8848909
OpenAlexW4213318148

What OpenQuestion holds

Textmetadata
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.