Evidence map›Paper›PMID 40044931›Full record

ArticleNature medicine2025

Prediction of mental health risk in adolescents.

Elliot D Hill, Pratik Kashyap, Elizabeth Raffanello, Yun Wang, Terrie E Moffitt, Avshalom Caspi, Matthew Engelhard, Jonathan Posner

Erratum issuedAbstract read
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Elliot D HillDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA. elliot.d.hill@duke.edu.ORCID http://orcid.org/0009-0004-1987-3749
Pratik KashyapDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Elizabeth RaffanelloDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Yun WangDepartment of Biomedical Informatics, Emory University, Atlanta, GA, USA.
Terrie E MoffittDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.
Avshalom CaspiDepartment of Psychology and Neuroscience, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-0082-4600
Matthew EngelhardDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, USA.
Jonathan PosnerDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
Is mental disorder a preventable cause of age-related disease? The Dunedin Study.R01AG032282 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2009 to 2025
$9.5M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI Giovanna M Merli · 2015 to 2026
$5.7M
Comprehensive portrait of long-term cannabis users: Are they ready for old age?R01AG069939 · NIA · DUKE UNIVERSITY · PI MOFFITT, TERRIE E · 2021 to 2024
$1.3M
Machine Learning Methods to Develop and Deploy Real-Time Risk Surveillance for Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder from the Electronic Health RecordK01MH127309 · NIMH · DUKE UNIVERSITY · PI Matthew Morrow Engelhard · 2022 to 2026
$842k
Leveraging artificial intelligence to develop novel tools for studying infant brain developmentR00HD103912 · NICHD · EMORY UNIVERSITY · PI YUN WANG · 2024 to 2026
$746k
Leveraging artificial intelligence to develop novel tools for studying infant brain developmentK99HD103912 · NICHD · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI WANG, YUN · 2021 to 2022
$248k
NCATS NIH HHS UL1 TR002553NIA NIH HHS R01 AG032282NIA NIH HHS R01 AG069939NICHD NIH HHS K99 HD103912NICHD NIH HHS P2C HD065563NICHD NIH HHS R00 HD103912NIMH NIH HHS K01 MH127309U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K01-MH127309
6 · The paper itself

Abstract

Prospective prediction of mental health risk in adolescence can facilitate early preventive interventions. Here, using psychosocial questionnaires and neuroimaging measures from over 11,000 children in the Adolescent Brain and Cognitive Development Study, we trained neural network models to stratify general psychopathology risk. The model trained on current symptoms accurately predicted which participants would convert into the highest psychiatric illness risk group in the following year (area under the receiver operating characteristic curve = 0.84). The model trained solely on potential etiologies or disease mechanisms achieved an area under the receiver operating characteristic curve of 0.75 without relying on the child's current symptom burden. Sleep disturbances emerged as the most influential predictor of high-risk status, surpassing adverse childhood experiences and family mental health history. Including neuroimaging measures did not enhance predictive performance. These findings suggest that artificial intelligence models trained on readily available psychosocial questionnaires can effectively predict future psychiatric risk while highlighting potential targets for intervention. This is a promising step toward artificial intelligence-based mental health screening for clinical decision support systems.

Indexed as

Mental DisordersMental HealthAdolescentArtificial IntelligenceChildFemaleHumansMaleNeural Networks, ComputerNeuroimagingRisk FactorsROC CurveSurveys and Questionnaires

Identifiers

PMID40044931
PMCPMC12176513

What OpenQuestion holds

Textmetadata
LicenceTDM
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.