Evidence map›Paper›PMID 41058646›Full record

ArticleFrontiers in psychiatry2025

Hierarchical machine learning model integrating clinical history and nursing observations for predicting violent behavior in hospitalized schizophrenia patients.

Xianfeng Meng, Liang Wang, Ying Duan, Gang Zhu, Jinhuan Wang, Ying Sun, Mingtao Wang, Miao Liu, Chenhui Sun, Longlong Pang and 6 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

16 authors.

Xianfeng Meng *Liaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Liang Wang *Liaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Ying DuanLiaoning Maternal and Child Health Hospital, Shenyang, Liaoning, China.
Gang ZhuDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Jinhuan WangLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Ying SunLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Mingtao WangLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Miao LiuLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Chenhui SunLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Longlong PangKey Laboratory of Networked Control Systems, Chinese Academy of Sciences, Shenyang, China.
Kunyuan HuKey Laboratory of Networked Control Systems, Chinese Academy of Sciences, Shenyang, China.
Wei YangKey Laboratory of Networked Control Systems, Chinese Academy of Sciences, Shenyang, China.
Wei ShaoShengjing Hospital of China Medical University, Shenyang, Liaoning, China.
Jintao RenLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.
Xiaojun ShaoDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Yang ZhangLiaoning Provincial Mental Health Center, Tieling, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To develop and validate a hierarchical machine learning model integrating static clinical features and dynamic behavioral assessments for accurately predicting violent behaviors among hospitalized schizophrenia patients. Methods: This retrospective study included 346 schizophrenia patients hospitalized from July 2021 to July 2024 in Liaoning Province. Patients were categorized into violent ( Results: The integrated hierarchical regularized logistic regression model achieved an optimal performance with an area under the curve (AUC) of 0.8741, surpassing both the static baseline model (AUC = 0.7953) and dynamic model (AUC = 0.8003) alone. Optimal predictive performance was obtained with a fusion parameter ( Conclusion: The hierarchical machine learning model integrating clinical history and dynamic nursing observations significantly enhances predictive accuracy for violent behavior in schizophrenia inpatients, providing clinicians with valuable tools for timely risk assessment and personalized preventive interventions.

Indexed as

hierarchical modelmachine learningpredictive modelsrisk factorsschizophreniaviolent behavior

Identifiers

PMID41058646
PMCPMC12497721

What OpenQuestion holds

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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.