Road traffic injuries represent one of the most critical public health challenges in the Gulf region. Predicting traffic accident severity is therefore a critical component of evidence-based road safety management. In this study, we develop machine learning frameworks for predicting traffic accident severity using Qatar’s national dataset (2020–2025), addressing extreme class imbalance and interpretability. A dataset of 588,023 accident records was systematically preprocessed from 1,000,500 raw reports. We compare three approaches: multi-class (four severity levels), binary (Safe vs. Severe), and cascaded two-stage (combining both). Six classifiers were evaluated across two encoding methods and three balancing strategies. Systematic hyperparameter tuning with 5-fold stratified cross-validation was performed for all models. The binary LightGBM classifier achieved BA = 71.04%, AUC-ROC = 0.772, Sensitivity = 61.03%, and Specificity = 81.05%, demonstrating superior performance over multi-class approaches. Temporal validation on 2025 data (trained on 2020–2024 data) supported good temporal generalization. Analysis of 10,000 test instances identified the time period as the dominant predictor of accident severity. The binary LightGBM framework provides an interpretable and effective approach for severe accident identification and risk prioritization, with SHAP findings supporting targeted temporal enforcement and pedestrian safety as evidence-based policy priorities.
Alshriem et al. (Wed,) studied this question.