Psychiatry Investig.  2019 Aug;16(8):588-593. 10.30773/pi.2019.06.19.

Detection of Suicide Attempters among Suicide Ideators Using Machine Learning

Affiliations
  • 1Department of Mental Health Research, National Center for Mental Health, Seoul, Republic of Korea. seunghyongryu@gmail.com
  • 2Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • 3Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.

Abstract


OBJECTIVE
We aimed to develop predictive models to identify suicide attempters among individuals with suicide ideation using a machine learning algorithm.
METHODS
Among 35,116 individuals aged over 19 years from the Korea National Health & Nutrition Examination Survey, we selected 5,773 subjects who reported experiencing suicide ideation and had answered a survey question about suicide attempts. Then, we performed resampling with the Synthetic Minority Over-sampling TEchnique (SMOTE) to obtain data corresponding to 1,324 suicide attempters and 1,330 non-suicide attempters. We randomly assigned the samples to a training set (n=1,858) and a test set (n=796). In the training set, random forest models were trained with features selected through recursive feature elimination with 10-fold cross validation. Subsequently, the fitted model was used to predict suicide attempters in the test set.
RESULTS
In the test set, the prediction model achieved very good performance [area under receiver operating characteristic curve (AUC)=0.947] with an accuracy of 88.9%.
CONCLUSION
Our results suggest that a machine learning approach can enable the prediction of individuals at high risk of suicide through the integrated analysis of various suicide risk factors.

Keyword

Suicide attempt; Suicide ideation; Machine learning; Public health data

MeSH Terms

Forests
Korea
Machine Learning*
Risk Factors
ROC Curve
Suicide*
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