School of Nursing, University of North Carolina, Wilmington, NC 28403, USA.
College of Nursing, University of Massachusetts, Amherst, MA 01002, USA.
Int J Environ Res Public Health. 2021 Oct 1;18(19):10357. doi: 10.3390/ijerph181910357.
Marijuana is the most common illicit substance globally. The rate of marijuana use is increasing in young adults in the US. The current environment of legalizing marijuana use is further contributing to an increase of users. The purpose of this study was to explore the characteristics of adults who abuse marijuana (20-49 years old) and analyze behavior and social relation variables related to depression and suicide risk using machine-learning algorithms. A total of 698 participants were identified from the 2019 National Survey on Drug Use and Health survey as marijuana dependent in the previous year. Principal Component Analysis and Chi-square were used to select features (variables) and mean imputation method was applied for missing data. Logistic regression, Random Forest, and K-Nearest Neighbor machine-learning algorithms were used to build depression and suicide risk prediction models. The results showed unique characteristics of the group and well-performing prediction models with influential risk variables. Identified risk variables were aligned with previous studies and suggested the development of marijuana abuse prevention programs targeting 20-29 year olds with a regular depression and suicide screening. Further study is suggested for identifying specific barriers to receiving timely treatment for depression and suicide risk.
大麻是全球最常见的非法物质。在美国,年轻人中使用大麻的比例正在上升。目前大麻合法化的环境进一步导致使用者增加。本研究的目的是探索滥用大麻(20-49 岁)成年人的特征,并使用机器学习算法分析与抑郁和自杀风险相关的行为和社会关系变量。共有 698 名参与者从 2019 年全国药物使用和健康调查中确定为前一年大麻依赖者。主成分分析和卡方检验用于选择特征(变量),并应用均值插补法处理缺失数据。逻辑回归、随机森林和 K-最近邻机器学习算法用于构建抑郁和自杀风险预测模型。结果显示了该群体的独特特征和表现良好的预测模型,具有有影响力的风险变量。确定的风险变量与先前的研究一致,并建议针对 20-29 岁人群制定大麻滥用预防计划,定期进行抑郁和自杀筛查。建议进一步研究,以确定及时治疗抑郁和自杀风险的具体障碍。