Evidence map›Paper›PMID 39414996›Full record

ArticleNpj mental health research2024

Developing a suicide risk model for use in the Indian Health Service.

Roy Adams, Emily E Haroz, Paul Rebman, Rose Suttle, Luke Grosvenor, Mira Bajaj, Rohan R Dayal, Dominick Maggio, Chelsea L Kettering, Novalene Goklish

Registry-linked trialAbstract read
In one paragraph

Article in Npj mental health research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06782516 (Native-RISE), which is not on this map. Cited by 5 papers.

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

NCT06782516 naenrolling by invitationnot on this map

Native-RISE (Risk Identification for Suicide and Enhanced Care)

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2024 to 2028Enrolled1,687ConditionsSuicide PreventionArmsSystem of Care - combination of algorithm and Brief Contact Intervention, Active Comparator - Provider notification of risk status
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. A Guide to Constructing Indigenous Statistical Spaces for Prevention Science Research.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  2. Review
  3. Article
  4. Observational
  5. Review
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

10 authors.

Roy Adams *Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 1800 Orleans St., Baltimore, MD, 21287, USA.
Emily E Haroz *Center for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21205, USA. eharoz1@jhu.edu.
Paul RebmanDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
Rose SuttleCenter for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21205, USA.
Luke GrosvenorDivision of Research, Kaiser Permanente Northern California, 4480 Hacienda Dr, Pleasanton, CA, 94588, USA.
Mira BajajMass General Brigham McLean, Harvard Medical School, 115 Mill St., Belmont, MA, 02478, USA.
Rohan R DayalCenter for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21205, USA.
Dominick MaggioWhiteriver Indian Hospital, 200 W Hospital Dr, Whiteriver, Arizona, USA.
Chelsea L KetteringWhiteriver Indian Hospital, 200 W Hospital Dr, Whiteriver, Arizona, USA.
Novalene GoklishCenter for Indigenous Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21205, USA.

Funding

NATIVE RISE-Risk Identification for Suicide and Enhanced care for Native AmericansR01MH128518 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Emily Haroz · 2023 to 2026
$2.4M
Integrating data for causal inference in behavioral healthT32MH122357 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Rashelle Jean Musci, Elizabeth A. Stuart · 2020 to 2026
$1.8M
NIMH NIH HHS 5T32MH122357-04NIMH NIH HHS R01 MH128518NIMH NIH HHS R01MH128518-01NIMH NIH HHS T32 MH122357
6 · The paper itself

Abstract

We developed and evaluated an electronic health record (EHR)-based model for suicide risk specific to an American Indian patient population. Using EHR data for all patients over 18 with a visit between 1/1/2017 and 10/2/2021, we developed a model for the risk of a suicide attempt or death in the 90 days following a visit. Features included demographics, medications, diagnoses, and scores from relevant screening tools. We compared the predictive performance of logistic regression and random forest models against existing suicide screening, which was augmented to include the history of previous attempts or ideation. During the study, 16,835 patients had 331,588 visits, with 490 attempts and 37 deaths by suicide. The logistic regression and random forest models (area under the ROC (AUROC) 0.83 [0.80-0.86]; both models) performed better than enhanced screening (AUROC 0.64 [0.61-0.67]). These results suggest that an EHR-based suicide risk model can add value to existing practices at Indian Health Service clinics.

Identifiers

PMID39414996
PMCPMC11484872

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Registered trials

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.