Evidence map›Paper›PMID 37787380›Full record

Observational studyScience progress

Statistical and artificial intelligence techniques to identify risk factors for suicide in children and adolescents.

Michaela Servi, Silvia Chiaro, Elisa Mussi, Giovanni Castellini, Alberta Mereu, Yary Volpe, Tiziana Pisano

Erratum issuedOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Science progress. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

0 citing papers in PubMed, 8 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Michaela ServiDepartment of Industrial Engineering, University of Florence, Florence, Italy.
Silvia ChiaroChild Neurology and Psychiatry Unit, Neuroscience Department, Children's Hospital A. Meyer IRCCS, Florence, Italy.
Elisa MussiDepartment of Industrial Engineering, University of Florence, Florence, Italy.
Giovanni CastelliniPsychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Alberta MereuDepartment of Mental Health and Pathological Addiction, UOSD Child and Adolescent Psychiatry and Psychotherapy, Maggiore Hospital "C.A. Pizzardi" Largo B. Nigrisoli 2, Bologna, Italy.ORCID 0000-0003-1079-8581
Yary VolpeDepartment of Industrial Engineering, University of Florence, Florence, Italy.
Tiziana PisanoChild Neurology and Psychiatry Unit, Neuroscience Department, Children's Hospital A. Meyer IRCCS, Florence, Italy.
University of Florence · ITMeyer Children's Hospital · ITOspedale Maggiore Carlo Alberto Pizzardi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicidal Behaviors and Thoughts are a relevant public health issue that includes suicidal ideation, non-suicidal self-harm, attempted suicide, and failed suicides. Since there is a progression of suicidal behaviors, whereby suicide is more likely to be completed if there have already been previous behaviors or attempts to harm oneself, WHO has highlighted the need to detect early predictors of such suicidal behaviors, which can help identify individuals at risk, plan prevention strategies and implement specific therapeutic interventions, particularly in young people, thus reducing the number of deaths. This retrospective observational study aimed to identify early predictors of suicidal risk in 237 inpatients admitted for Suicidal Behaviors and Thoughts at Child and Adolescent Psychiatry Emergency Unit of the Meyer Children's Hospital, Florence, Italy.

methodsThe study was subdivided into three phases: data collection, statistical analysis, and neural network. For each patient, we collected epidemiological and psychopathological data. We stratified the inpatients into two groups: "suicidal volition patients" and "suicidal motivation patients."

resultsThe hospitalization rate for suicidal behaviors and thoughts showed a growing trend from 2016 to 2020 (27.69 to 45.28%). Under 12 years of age, diagnosis of disruptive, impulse-control and conduct disorder, previous specialist care, history of attempted suicide, and intoxication as methods of suicide were statistically correlated to an increased risk of suicidal behaviors. Artificial intelligence, with an accuracy of 86.7%, confirmed these risk factors. LIMITATIONS: The most important limitation of the study is its retrospective nature.

conclusionsOur study identifies new early predictors of suicidal risk: age less than 12, diagnosis of disruptive, impulse-control and conduct disorder. In addition, suicidal volition behavior emerges as an important and underestimated risk factor. The use of artificial intelligence methods could be supporting the clinician in assessing suicidal risk.

Indexed as

Artificial IntelligenceSuicide, AttemptedAdolescentChildHumansRetrospective StudiesRisk FactorsSuicidal Ideationartificial intelligencechildren and adolescentsrisk of suicide and predictive factorsSuicidal behaviors and thoughts

Identifiers

PMID37787380
PMCPMC10548796
OpenAlexW4387296777

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.