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September 17, 2026Journal of Affective DisordersOpen Access

Predicting early psychiatric readmission among people with major depressive disorder: A machine learning analysis from the prospective multicentre DEEP READ study

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Authors

FBFrancesco BartoliMLMario LucianoCCCristina Crocamo

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Overview

Prospective cohort study shows a machine learning model predicts 90-day psychiatric readmission in major depressive disorder, indicating routine clinical features can flag high-risk individuals.

Key Points

  • To evaluate whether a machine learning model trained on routinely collected clinical and sociodemographic data can predict unplanned 90-day psychiatric readmission among adults with major depressive disorder.
  • Prospective multicentre cohort study enrolled 322 adults aged 18–65 years with DSM-5-TR major depressive disorder across 13 Italian provinces between January 2024 and December 2025.
  • A Random Forest classifier evaluated 22 routinely recorded sociodemographic, clinical, and pharmacological predictors of unplanned 90-day psychiatric readmission using stratified 5-fold cross-validation.
  • Unplanned psychiatric readmission within 90 days occurred in 15.5% (n = 50/322) of the cohort.
  • The Random Forest model achieved a mean test area under the receiver operating characteristic curve (AUC) of 0.74 (range: 0.59–0.87).
  • Key predictors of readmission included prior suicide attempts, previous hospitalizations, anticonvulsant prescriptions, cluster B personality disorders, female sex, and anxious distress, whereas lithium prescriptions showed a protective pattern.

Cite This Study

Bartoli et al. (2026) studied this question.

synapsesocial.com/papers/6aabb6635f706d05830e4bfbhttps://doi.org/10.1016/j.jad.2026.122502
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predicting Psychiatric Readmission of Children and Adolescents Using Machine Learning2026
  2. 2Predicting rehospitalization within 2 years of initial patient admission for a major depressive episode: a multimodal machine learning approach2019 · 48 citations
  3. 3Predicting hospital readmission in patients with mental or substance use disorders: A machine learning approach2020 · 61 citations
  4. 4Prediction of patient admission and readmission in adults from a Colombian cohort with bipolar disorder using artificial intelligence2023 · 9 citations
  5. 5Leveraging a machine learning model to predict hospital readmission risk: integrating clinical and social determinants of health data2026