机器学习预测模型中结构化数据与非结构化数据用于自杀行为的系统评价与Meta分析

Structured data vs. unstructured data in machine learning prediction models for suicidal behaviors: A systematic review and meta-analysis.

作者信息

Hopkins Danielle, Rickwood Debra J, Hallford David J, Watsford Clare

机构信息

Faculty of Health, University of Canberra, Canberra, ACT, Australia.

Faculty of Health, Deakin University, Melbourne, VIC, Australia.

出版信息

Front Digit Health. 2022 Aug 2;4:945006. doi: 10.3389/fdgth.2022.945006. eCollection 2022.

Abstract

Suicide remains a leading cause of preventable death worldwide, despite advances in research and decreases in mental health stigma through government health campaigns. Machine learning (ML), a type of artificial intelligence (AI), is the use of algorithms to simulate and imitate human cognition. Given the lack of improvement in clinician-based suicide prediction over time, advancements in technology have allowed for novel approaches to predicting suicide risk. This systematic review and meta-analysis aimed to synthesize current research regarding data sources in ML prediction of suicide risk, incorporating and comparing outcomes between structured data (human interpretable such as psychometric instruments) and unstructured data (only machine interpretable such as electronic health records). Online databases and gray literature were searched for studies relating to ML and suicide risk prediction. There were 31 eligible studies. The outcome for all studies combined was AUC = 0.860, structured data showed AUC = 0.873, and unstructured data was calculated at AUC = 0.866. There was substantial heterogeneity between the studies, the sources of which were unable to be defined. The studies showed good accuracy levels in the prediction of suicide risk behavior overall. Structured data and unstructured data also showed similar outcome accuracy according to meta-analysis, despite different volumes and types of input data.

摘要

尽管研究取得了进展,并且政府开展的健康运动减少了对心理健康的污名化,但自杀仍是全球可预防死亡的主要原因。机器学习(ML)是人工智能(AI)的一种类型,它利用算法来模拟和模仿人类认知。鉴于基于临床医生的自杀预测长期以来缺乏改进,技术进步使得预测自杀风险有了新方法。本系统综述和荟萃分析旨在综合当前关于机器学习预测自杀风险中数据来源的研究,纳入并比较结构化数据(如心理测量工具等人类可解释的数据)和非结构化数据(如电子健康记录等仅机器可解释的数据)之间的结果。通过在线数据库和灰色文献搜索与机器学习和自杀风险预测相关的研究。共有31项符合条件的研究。所有研究合并后的结果是曲线下面积(AUC)=0.860,结构化数据显示AUC = 0.873,非结构化数据计算得出的AUC = 0.866。研究之间存在很大的异质性,其来源无法确定。总体而言,这些研究在预测自杀风险行为方面显示出较高的准确性。根据荟萃分析,尽管输入数据的数量和类型不同,但结构化数据和非结构化数据的结果准确性也相似。

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