Predicting Suicidal Behavior Without Asking About Suicidal Ideation: Machine Learning and the Role of Borderline Personality Disorder Criteria.

Objective: Identifying predictors contributing to suicide risk could help prevent suicides via targeted interventions. However, using only known risk factors may not yield accurate enough results. Furthermore, risk models typically rely on suicidal ideation, even though people often withhold this in...

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Publicado en:Suicide & Life-Threatening Behavior Vol. 51; no. 3; pp. 455 - 467
Autores principales: Horvath, Adam, Dras, Mark, Lai, Catie C.W., Boag, Simon
Formato: Artículo
Publicado: Wiley-Blackwell Jun2021
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
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      pub: Wiley-Blackwell
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        151251459
        10.1111/sltb.12719
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        atl: Predicting Suicidal Behavior Without Asking About Suicidal Ideation: Machine Learning and the Role of Borderline Personality Disorder Criteria.
      aug:
        au:
          Horvath, Adam
          Dras, Mark
          Lai, Catie C.W.
          Boag, Simon
        affil:
          Department of Psychology, Macquarie University, Sydney NSW,, Australia
          Department of Computing, Macquarie University, Sydney NSW,, Australia
      su:
        Suicidal ideation
        Suicidal behavior
        Borderline personality disorder
        Suicide risk factors
        Machine learning
      sug:
        subj:
          Suicidal ideation
          Suicidal behavior
          Borderline personality disorder
          Suicide risk factors
          Machine learning
      keyword:
        borderline personality disorder
        bpd
        classification
        machine learning
        prediction
        suicide prevention
        tree boosting
        borderline personality disorder
        bpd
        classification
        machine learning
        prediction
        suicide prevention
        tree boosting
      ab: Objective: Identifying predictors contributing to suicide risk could help prevent suicides via targeted interventions. However, using only known risk factors may not yield accurate enough results. Furthermore, risk models typically rely on suicidal ideation, even though people often withhold this information. Method: This study examined the contribution of various predictors to the accuracy of six machine learning models for identifying suicidal behavior in a prison population (n = 353), including borderline personality disorder (BPD) and antisocial personality disorder (APD) criteria, and compared how excluding data about suicidal ideation affects accuracy. Results: Results revealed that gradient tree boosting accurately identified individuals with suicidal behavior, even without relying on questions about suicidal ideation (AUC = 0.875, F1 = 0.846). Furthermore, the model maintained this accuracy with only 29 predictors. Meeting five or more diagnostic criteria of BPD was an important risk factor for suicidal behavior. APD criteria, in the presence of other predictors, did not substantially improve accuracy. Additionally, it may be possible to implement a decision tree model to assess individuals at risk of suicide, without focusing upon suicidal ideation. Conclusions: These findings highlight that modern classification algorithms do not necessarily require information about suicidal ideation for modeling suicide and self‐harm behavior.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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