Evidence map›Paper›PMID 36653524›Full record

ReviewNPJ digital medicine2023

Explainable artificial intelligence for mental health through transparency and interpretability for understandability.

Dan W Joyce, Andrey Kormilitzin, Katharine A Smith, Andrea Cipriani

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 5 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

83 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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23 more citing papers are in PubMed but not listed here.

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

4 authors.

Dan W JoyceUniversity of Oxford, Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, UK. danjoyce@liverpool.ac.uk.
Andrey KormilitzinUniversity of Oxford, Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, UK.
Katharine A SmithUniversity of Oxford, Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, UK.ORCID http://orcid.org/0000-0003-2679-1472
Andrea CiprianiUniversity of Oxford, Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, UK.ORCID http://orcid.org/0000-0001-5179-8321

Funding

DH | National Institute for Health Research (NIHR) AI AWARD02183DH | National Institute for Health Research (NIHR) BRC-1215-20005DH | NIHR | Public Health Research Programme (NIHR Public Health Research Programme) RP-2017-08-ST2-006
6 · The paper itself

Abstract

The literature on artificial intelligence (AI) or machine learning (ML) in mental health and psychiatry lacks consensus on what "explainability" means. In the more general XAI (eXplainable AI) literature, there has been some convergence on explainability meaning model-agnostic techniques that augment a complex model (with internal mechanics intractable for human understanding) with a simpler model argued to deliver results that humans can comprehend. Given the differing usage and intended meaning of the term "explainability" in AI and ML, we propose instead to approximate model/algorithm explainability by understandability defined as a function of transparency and interpretability. These concepts are easier to articulate, to "ground" in our understanding of how algorithms and models operate and are used more consistently in the literature. We describe the TIFU (Transparency and Interpretability For Understandability) framework and examine how this applies to the landscape of AI/ML in mental health research. We argue that the need for understandablity is heightened in psychiatry because data describing the syndromes, outcomes, disorders and signs/symptoms possess probabilistic relationships to each other-as do the tentative aetiologies and multifactorial social- and psychological-determinants of disorders. If we develop and deploy AI/ML models, ensuring human understandability of the inputs, processes and outputs of these models is essential to develop trustworthy systems fit for deployment.

Identifiers

PMID36653524
PMCPMC9849399

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.