Suicide Note Classification Using Natural Language Processing: A Content Analysis.

Suicide is the second leading cause of death among 25-34 year olds and the third leading cause of death among 15-25 year olds in the United States. In the Emergency Department, where suicidal patients often present, estimating the risk of repeated attempts is generally left to clinical judgment. Thi...

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Publicado en:Biomedical Informatics Insights Vol. 3; pp. 19 - 29
Autores principales: Pestian, John, Nasrallah, Henry, Matykiewicz, Pawel, Bennett, Aurora, Leenaars, Antoon
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2010
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        atl: Suicide Note Classification Using Natural Language Processing: A Content Analysis.
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        au:
          Pestian, John
          Nasrallah, Henry
          Matykiewicz, Pawel
          Bennett, Aurora
          Leenaars, Antoon
        affil: Department of Biomedical Informatics, Cincinnati Children's Hospital Medical Center
      sug:
        subj:
          Suicide
          Natural Language Processing
          Forensic Medicine
          Human
          Algorithms
          Adult
          Middle Age
          White Persons
          Male
          Readability
          Emotions
          Wilcoxon Rank Sum Test
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
      ab: Suicide is the second leading cause of death among 25-34 year olds and the third leading cause of death among 15-25 year olds in the United States. In the Emergency Department, where suicidal patients often present, estimating the risk of repeated attempts is generally left to clinical judgment. This paper presents our second attempt to determine the role of computational algorithms in understanding a suicidal patient's thoughts, as represented by suicide notes. We focus on developing methods of natural language processing that distinguish between genuine and elicited suicide notes. We hypothesize that machine learning algorithms can categorize suicide notes as well as mental health professionals and psychiatric physician trainees do. The data used are comprised of suicide notes from 33 suicide completers and matched to 33 elicited notes from healthy control group members. Eleven mental health professionals and 31 psychiatric trainees were asked to decide if a note was genuine or elicited. Their decisions were compared to nine different machine-learning algorithms. The results indicate that trainees accurately classified notes 49% of the time, mental health professionals accurately classified notes 63% of the time, and the best machine learning algorithm accurately classified the notes 78% of the time. This is an important step in developing an evidence-based predictor of repeated suicide attempts because it shows that natural language processing can aid in distinguishing between classes of suicidal notes.
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    language: English
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