Comparison of Machine Learning Models for Predicting Suicide Attempts among Korean Adolescents with Suicidal Ideation: Secondary Data Analysis Based on 20th Korea Youth Risk Behavior Survey.

Purpose: This study aimed to identify the factors associated with the progression from suicidal ideation to suicide attempts and to compare the predictive performance of various machine learning models. Methods: We conducted a secondary analysis using original data from the 20th Korea Youth Risk Beh...

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Publicado en:Journal of Korean Academy of Psychiatric & Mental Health Nursing (JKPMHN) Vol. 34; pp. 57 - 69
Autores principales: Jang, Yang-Min, Heo, Myoung-Lyun
Formato: research tables/charts Journal Article
Publicado: Korean Academy of Psychiatric & Mental Health Nursing 2025 Special Issue
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2025 Special Issue
      vid: 34
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      pub: Korean Academy of Psychiatric & Mental Health Nursing
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        10.12934/jkpmhn.2025.34.S1.57
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        atl: Comparison of Machine Learning Models for Predicting Suicide Attempts among Korean Adolescents with Suicidal Ideation: Secondary Data Analysis Based on 20th Korea Youth Risk Behavior Survey.
      aug:
        au:
          Jang, Yang-Min
          Heo, Myoung-Lyun
        affil: Assistant Professor, Department of Nursing, Cheongju university, Cheongju, Korea
      sug:
        subj:
          Machine Learning Algorithms
          Prediction Models
          Suicide Prevention
          Suicide, Attempted Prevention and Control
          Suicidal Ideation Risk Factors
          Adolescent Behavior South Korea
          Risk Assessment
          Human
          Male
          Female
          Child
          Adolescence
          South Korea
          Secondary Analysis
          Prospective Studies
          Suicide, Attempted Epidemiology
          Suicidal Ideation Epidemiology
          Random Forest
          Logistic Regression
          Violence
          Self-Injurious Behavior
          Depression Complications
          Anxiety Complications
          Stress Disorders, Post-Traumatic Complications
          Stress, Psychological
          Family Relations
          Support, Social
          Substance Use Disorders Epidemiology
          Self Administration
          Questionnaires
          Descriptive Statistics
          Comparative Studies
          Summated Rating Scaling
          Coefficient alpha
          Data Analysis Software
          Chi Square Test
          T-Tests
          ROC Curve
          Correlation Coefficient
          Probability
          Odds Ratio
          Confidence Intervals
          Community Mental Health Nursing
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose: This study aimed to identify the factors associated with the progression from suicidal ideation to suicide attempts and to compare the predictive performance of various machine learning models. Methods: We conducted a secondary analysis using original data from the 20th Korea Youth Risk Behavior Survey (KYRBS), focusing on 6,316 adolescents who reported suicidal ideation. We evaluated predictive performance using logistic regression, random forest, and k-nearest neighbors (KNN) models. Results: Suicide attempts were significantly associated with sociodemographic factors, such as academic achievement, economic status, type of residence, and perceived health status, as well as psychological and behavioral factors, including suicidal planning, feelings of sadness and despair, anxiety, alcohol use, smoking, drug use, and exposure to violence. Logistic regression exhibited the highest predictive performance (AUC=0.77, accuracy=0.84, F1=0.80). The random forest model identified suicidal planning, loneliness, generalized anxiety, drug use, and exposure to violence as key predictors based on the Gini index, while KNN demonstrated the lowest predictive stability. Conclusion: Logistic regression is effective for predicting suicide attempts among adolescents, and machine learning approaches should be considered for early risk screening in community mental health nursing.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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