Evidence map›Paper›PMID 36231571›Full record

ArticleInternational journal of environmental research and public health2022

Actionable Predictive Factors of Homelessness in a Psychiatric Population: Results from the REHABase Cohort Using a Machine Learning Approach.

Guillaume Lio, Malek Ghazzai, Frédéric Haesebaert, Julien Dubreucq, Hélène Verdoux, Clélia Quiles, Nemat Jaafari, Isabelle Chéreau-Boudet, Emilie Legros-Lafarge, Nathalie Guillard-Bouhet and 6 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

16 authors at 7 institutions in 1 country.

Guillaume LioCentre d'Excellence Autisme iMIND, pôle HU-ADIS, Hôpital le Vinatier, 69678 Bron, France.ORCID 0000-0002-0462-4705
Malek GhazzaiCentre d'Excellence Autisme iMIND, pôle HU-ADIS, Hôpital le Vinatier, 69678 Bron, France.
Frédéric HaesebaertPôle Centre Rive Gauche, Hôpital Le Vinatier, 69678 Bron, France.
Julien DubreucqCentre Hospitalier Universitaire de Saint-Etienne, 42270 Saint-Priest-en-Jarez, France.
Hélène VerdouxHôpital Charles Perrens, Université de Bordeaux, 33405 Talence, France.
Clélia QuilesHôpital Charles Perrens, Université de Bordeaux, 33405 Talence, France.
Nemat JaafariCREATIV & URC Pierre Deniker, Centre Hospitalier Laborit, Université de Poitiers, 86000 Poitiers, France.
Isabelle Chéreau-BoudetCentre Référent Conjoint de Réhabilitation (CRCR), Centre Hospitalier Universitaire de Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Emilie Legros-LafargeCentre Référent de Réhabilitation Psychosociale de Limoges (C2RL), 87000 Limoges, France.
Nathalie Guillard-BouhetCentre Hospitalier Laborit, 86000 Poitiers, France.
Catherine MassoubreCentre Hospitalier Universitaire de Saint-Etienne, 42270 Saint-Priest-en-Jarez, France.
Benjamin GouacheCentre Hospitalier Alpes-Isère, 38120 Saint Egrève, France.
Julien PlassePôle Centre Rive Gauche, Hôpital Le Vinatier, 69678 Bron, France.ORCID 0000-0002-8943-0212
Guillaume BarbalatPôle Centre Rive Gauche, Hôpital Le Vinatier, 69678 Bron, France.
Nicolas FranckPôle Centre Rive Gauche, Hôpital Le Vinatier, 69678 Bron, France.ORCID 0000-0002-2894-5108
Caroline DemilyCentre d'Excellence Autisme iMIND, pôle HU-ADIS, Hôpital le Vinatier, 69678 Bron, France.ORCID 0000-0003-3663-8447
Université Claude Bernard Lyon 1 · FRCentre Hospitalier Le Vinatier · FRCentre Hospitalier Universitaire de Saint-Étienne · FRUniversité de Bordeaux · FRCentre Hospitalier Henri Laborit · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of knowledge regarding the actionable key predictive factors of homelessness in psychiatric populations. Therefore, we used a machine learning model to explore the REHABase database (for rehabilitation database-

methodsFirst, we analyzed whether the different risk factors previously associated with homelessness in mental health were also significant risk factors in the REHABase. In the second step, we used unbiased classification and regression trees to determine the key predictors of homelessness. Post hoc analyses were performed to examine the importance of the predictors and to explore the impact of cognitive factors among the participants.

results First, risk factors that were previously found to be associated with homelessness were also significant risk factors in the REHABase. Among all the variables studied with a machine learning approach, the most robust variable in terms of predictive value was the nature of the psychotropic medication (sex/sex relative mean predictor importance: 22.8, σ = 3.4). Post hoc analyses revealed that first-generation antipsychotics (15.61%;

conclusionsPsychotropic medication was found to be an important predictor of homelessness in our REHABase cohort, particularly loxapine and hypnotics. On the other hand, the putative protective effect of antidepressants confirms the need for systematic screening of depression and anxiety in the homeless population.

Indexed as

Antipsychotic AgentsIll-Housed PersonsLoxapineAntidepressive AgentsHumansHypnotics and SedativesMachine LearningPsychotropic DrugsAntidepressive AgentsAntipsychotic AgentsHypnotics and SedativesLoxapinePsychotropic Drugsantipsychoticsclassification and regression tree model (CART)depressionhomelessnessmachine learningpsychotropic medicationREHABase

Identifiers

PMID36231571
PMCPMC9565981
OpenAlexW4297539904

What OpenQuestion holds

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LicenceCC BY
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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.