Key result
A deep graph neural network model using multi-dimensional questionnaires predicted acute suicidal ideation within 2 weeks with a sensitivity of 76.3%, specificity of 83.4%, and an AUC of 0.878.
Why the study?
Precise remote evaluation of suicide risk is critical for prevention, but previous questionnaire-based models for predicting suicide attempts suffered from low sensitivity.
Does a deep graph neural network model using multi-dimensional questionnaires improve the prediction of acute suicidal ideation in young adults compared to conventional machine learning algorithms?
Observational (n=31,720)
Yes
Does a deep graph neural network model using multi-dimensional questionnaires improve the prediction of acute suicidal ideation in young adults compared to conventional machine learning algorithms?
A deep graph neural network using multi-dimensional questionnaires significantly improves the sensitivity of predicting acute suicidal ideation in young adults compared to conventional machine learning models.
May enhance early suicide risk detection in young adults over conventional models; hypothesis-generating and requires prospective validation before clinical use.
Precise remote evaluation of both suicide risk and psychiatric disorders is critical for suicide prevention as well as for psychiatric well-being. Using questionnaires is an alternative to labor-intensive diagnostic interviews in a large general population, but previous models for predicting suicide attempts suffered from low sensitivity. We developed and validated a deep graph neural network model that increased the prediction sensitivity of suicide risk in young adults (n = 17,482 for training; n = 14,238 for testing) using multi-dimensional questionnaires and suicidal ideation within 2 weeks as the prediction target. The best model achieved a sensitivity of 76.3%, specificity of 83.4%, and an area under curve of 0.878 (95% confidence interval, 0.855-0.899). We demonstrated that multi-dimensional deep features covering depression, anxiety, resilience, self-esteem, and clinico-demographic information contribute to the prediction of suicidal ideation. Our model might be useful for the remote evaluation of suicide risk in the general population of young adults for specific situations such as the COVID-19 pandemic.
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Choi et al. (2021) conducted an observational in Acute suicidal ideation (n=31,720). Deep graph neural network (GIN) model vs. Support vector machine (SVM) and logistic regression was evaluated on Prediction of acute suicidal ideation within 2 weeks (Area Under the Curve) (AUC 0.878, 95% CI 0.855-0.899). A deep graph neural network model using multi-dimensional questionnaires predicted acute suicidal ideation within 2 weeks with a sensitivity of 76.3%, specificity of 83.4%, and an AUC of 0.878.
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