Prediction of non-suicidal self-injury (NSSI) among rural Chinese junior high school students: a machine learning approach.

Aims: Non-suicidal self-injury (NSSI) is a serious issue that is increasingly prevalent among children and adolescents, especially in rural areas. Developing a suitable predictive model for NSSI is crucial for early identification and intervention. Methods: This study included 2090 Chinese rural chi...

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Published in:Annals of General Psychiatry Vol. 23; no. 1; pp. 1 - 14
Main Authors: Jiang, Zhongliang, Cui, Yonghua, Xu, Hui, Abbey, Cody, Xu, Wenjian, Guo, Weitong, Zhang, Dongdong, Liu, Jintong, Jin, Jingwen, Li, Ying
Format: research tables/charts Journal Article
Published: BioMed Central 12/6/2024
Online Access:View this record in EBSCOhost
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      dt: 12/6/2024
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      pub: BioMed Central
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        10.1186/s12991-024-00534-w
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        atl: Prediction of non-suicidal self-injury (NSSI) among rural Chinese junior high school students: a machine learning approach.
      aug:
        au:
          Jiang, Zhongliang
          Cui, Yonghua
          Xu, Hui
          Abbey, Cody
          Xu, Wenjian
          Guo, Weitong
          Zhang, Dongdong
          Liu, Jintong
          Jin, Jingwen
          Li, Ying
        affil: Department of Psychiatry, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
      sug:
        subj:
          Injuries, Self-Inflicted Epidemiology
          Students, High School Psychosocial Factors
          Rural Population In Adolescence
          Prediction Models
          Machine Learning
          Human
          China
          Female
          Male
          Child
          Adolescence
          Cross Sectional Studies
          Scales
          Chinese Persons Psychosocial Factors
          Anxiety
          Depression
          Home Environment
          Questionnaires
          Surveys
          Sociodemographic Factors
          Support Vector Machine
          Decision Trees
          Random Forest
          Prevalence
          Psychological Tests
          Conflict (Psychology)
          Rural Areas
          Sensitivity and Specificity
          ROC Curve
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Aims: Non-suicidal self-injury (NSSI) is a serious issue that is increasingly prevalent among children and adolescents, especially in rural areas. Developing a suitable predictive model for NSSI is crucial for early identification and intervention. Methods: This study included 2090 Chinese rural children and adolescents. Participants' sociodemographic information, symptoms of anxiety as well as depression, personality traits, family environment and NSSI behaviors were collected through a questionnaire survey. Gender, age, grade, and all survey results except sociodemographic information were used as relevant factors for prediction. Support vector machines, decision tree and random forest models were trained and validated by the train set and valid set, respectively. The metrics of each model were tested and compared to select the most suitable one. Furthermore, the mean decrease Gini index was calculated to measure the importance of relevant factors. Results: The prevalence of NSSI was 38.3%. Out of the 6 models assessed, the random forest model demonstrated the highest suitability in predicting the prevalence of NSSI. It achieved sensitivity, specificity, AUC, accuracy, precision, and F1 scores of 0.65, 0.72, 0.76, 0.70, 0.57, and 0.61, respectively. Anxiety and depression were the top two contributing factors in the prediction model. Neuroticism and conflict were the factors that contributed the most to personality traits and family environment, respectively, in terms of prediction. In addition, demographic factors contributed little to the prediction in this study. Conclusion: This study focused on Chinese children and adolescents in rural areas and demonstrated the potential of using machine learning approaches in predicting NSSI. Our research complements the application of machine learning methods to psychiatric and psychological problems.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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