Evidence map›Paper›PMID 36177889›Full record

ArticlePsychological medicine2023

Using machine learning with intensive longitudinal data to predict depression and suicidal ideation among medical interns over time.

Adam G Horwitz, Shane D Kentopp, Jennifer Cleary, Katherine Ross, Zhenke Wu, Srijan Sen, Ewa K Czyz

Open access · hybridAbstract read
In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Predicting Next-Day Passive Suicidal Ideation in At-Risk Youth.Suicide & life-threatening behavior · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. 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 at 1 institution in 1 country.

Adam G HorwitzDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-6087-7950
Shane D KentoppDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Jennifer ClearyDepartment of Psychology, University of Michigan, Ann Arbor, MI, USA.
Katherine RossDepartment of Psychology, University of Michigan, Ann Arbor, MI, USA.
Zhenke WuDepartment of Biostatistics, University of Michigan, Ann Arbor, MI, USA.
Srijan SenDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Ewa K CzyzDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
University of Michigan · US

Funding

Institutional Career Development CoreKL2TR002241 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELLINGROD, VICKI L · 2017 to 2021
$6.9M
Mobile Technology to Identify Behavorial Mechanisms Linking Genetic Variation and DepressionR01MH101459 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEN, SRIJAN · 2013 to 2023
$6.4M
Developing an Adaptive Intervention for Suicidal Adolescents Following Inpatient Hospitalization: A Pilot SMARTK23MH113776 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CZYZ, EWA KARINA · 2017 to 2020
$773k
NCATS NIH HHS KL2 TR002241NIMH NIH HHS K23 MH113776NIMH NIH HHS R01 MH101459
6 · The paper itself

Abstract

backgroundUse of intensive longitudinal methods (e.g. ecological momentary assessment, passive sensing) and machine learning (ML) models to predict risk for depression and suicide has increased in recent years. However, these studies often vary considerably in length, ML methods used, and sources of data. The present study examined predictive accuracy for depression and suicidal ideation (SI) as a function of time, comparing different combinations of ML methods and data sources.

methodsParticipants were 2459 first-year training physicians (55.1% female; 52.5% White) who were provided with Fitbit wearable devices and assessed daily for mood. Linear [elastic net regression (ENR)] and non-linear (random forest) ML algorithms were used to predict depression and SI at the first-quarter follow-up assessment, using two sets of variables (daily mood features only, daily mood features + passive-sensing features). To assess accuracy over time, models were estimated iteratively for each of the first 92 days of internship, using data available up to that point in time.

resultsENRs using only the daily mood features generally had the best accuracy for predicting mental health outcomes, and predictive accuracy within 1 standard error of the full 92 day models was attained by weeks 7-8. Depression at 92 days could be predicted accurately (area under the curve >0.70) after only 14 days of data collection.

conclusionsSimpler ML methods may outperform more complex methods until passive-sensing features become better specified. For intensive longitudinal studies, there may be limited predictive value in collecting data for more than 2 months.

Indexed as

Suicidal IdeationSuicideAffectDepressionFemaleHumansMachine LearningMaleDaily diarydepressionintensive longitudinal datamachine learningmedical internsmoodpassive sensingsuicidal ideation

Identifiers

PMID36177889
PMCPMC10060441
OpenAlexW4298088800

What OpenQuestion holds

Textmetadata
LicenceTDM
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.