Evidence map›Paper›PMID 39987238›Full record

ArticleNpj mental health research2025

Post-discharge suicide prediction among US veterans using natural language processing-enriched social and behavioral determinants of health.

Avijit Mitra, Kun Chen, Weisong Liu, Ronald C Kessler, Hong Yu

Abstract read
In one paragraph

Article in Npj mental health research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Life events extraction from healthcare notes for veteran acute suicide risk prediction.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  4. Article
  5. Article
  6. Synth-SBDH: A Synthetic Dataset of Social and Behavioral Determinants of Health for Clinical Text.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Avijit MitraManning College of Information and Computer Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
Kun ChenDepartment of Statistics, University of Connecticut, Storrs, CT, USA.
Weisong LiuMiner School of Computer and Information Sciences, University of Massachusetts Lowell, Lowell, MA, USA.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.
Hong YuManning College of Information and Computer Sciences, University of Massachusetts Amherst, Amherst, MA, USA. Hong_Yu@uml.edu.

Funding

Social and behavioral determinants of health and Alzheimer’s Disease: Cohort study of the US military veteran populationR01AG080670 · NIA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI HONG YU · 2023 to 2026
$4.5M
Improving Suicide Prediction using NLP-Extracted Social Determinants of HealthR01MH125027 · NIMH · UNIVERSITY OF MASSACHUSETTS LOWELL · PI YU, HONG · 2020 to 2023
$3.1M
Social and behavioral determinants of MOUD utilization and opioid overdoseR01DA056470 · NIDA · UNIVERSITY OF MASSACHUSETTS LOWELL · PI Wenjun Li, DAVID A SMELSON · 2023 to 2026
$2.9M
HSRD VA I01 HX000281HSRD VA I01 HX003711National Institute of Health (NIH) R01MH125027NIA NIH HHS R01 AG080670NIDA NIH HHS R01 DA056470NIMH NIH HHS R01 MH125027
6 · The paper itself

Abstract

Despite the established association between social and behavioral determinants of health (SBDH) and suicide risk, SBDHs from unstructured electronic health record notes for suicide prediction remain underutilized. This study investigates the impact of SBDH identified from both structured and unstructured data utilizing a natural language processing (NLP) system on suicide prediction at 7, 30, 90, and 180 days post-discharge. Using data from 2,987,006 US Veterans between 1 October 2009, and 30 September 2015, we designed a case-control study demonstrating that structured and NLP-extracted SBDH significantly enhance distinct prediction models' performance. For example, the random forest model improved its 180-day post-discharge prediction with an area under the receiver operating characteristic curve increase from 83.57% to 84.25% (95% CI = 0.63%-0.98%, p val < 0.001) and area under the precision-recall curve increase from 57.38% to 59.87% (95% CI = 3.86%-4.82%, p val < 0.001) after integrating NLP-extracted SBDH. These findings underscore the potential of NLP-extracted SBDH in advancing suicide prediction.

Identifiers

PMID39987238
PMCPMC11846906

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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.