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Medicine Stats Science

Predicting the Risk of Suicide By Analyzing the Text of Clinical Notes 70

First time accepted submitter J05H writes "Soldier and veteran suicide rates are increasing due to various factors. Critically, the rates have jumped in recent years. Now, Bayesian search experts are using anonymous Veteran's Administration notes to predict suicide risks. A related effort by Chris Poulin is the Durkheim Project which uses opt-in social media data for similar purposes."
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Predicting the Risk of Suicide By Analyzing the Text of Clinical Notes

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  • Re:False positives (Score:3, Informative)

    by Cinnamon Beige ( 1952554 ) on Thursday January 30, 2014 @10:02AM (#46109207)

    Seven million extra doctors' visits are hardly inconsequential, especially considering that only about 1 in 175 would actually be suicidal.

    An interesting attitude. Compare this to Foxconn, which reduced the suicide rate among its workforce from 1 in 60,000 to 1 in 400,000 in three years.

    All things considered, I think they did it by making it harder to commit suicide, and possibly also by improving labor conditions.

    The usual process is to place somebody thought suicidal on a suicide watch. This can actually be very intrusive, and a test like this certainly is less than ideal if you're applying it at large--the accuracy here is for this population, and rather close to chance already. In a wider population, of a different makeup, its accuracy will be different, and probably lower.

    More importantly, if you read the PLOS one article, they're discussing data mining the clinical notes themselves, and they admit that this is a branch of research that has been rather neglected: certain factors were deemed to have predictive value, without anybody really checking to see if that was true.

    Let's say you're sitting in the entry way of an office building, and you notice that most people who come in to the building are men. This does not mean you can necessarily predict that a man walking past is going to enter the building; it might turn out that, in fact, of the people passing by the building, any given woman is more likely to come in--it's just that most of the people passing by right now are men.

    It does not follow that if "Most of the people who do x are y" is true that "Most people who are y do x" is also true, for any set of x and y.

    65% accuracy is not good, it's a start and it's better than what we currently have. In fact, the paper outright says that currently, they haven't even managed to validate the tool. In fact, I can easily give you the tl;dr version of this paper:

    The indications for the future of this path of research are promising. Please fund the next phase so we can get it closer to practical application(s).

    In less scientific phrasing:

    We haven't reached a dead in, give us money so we can keep going!

    It's not as much a breakthrough as a status report on the progress towards a breakthrough...

I tell them to turn to the study of mathematics, for it is only there that they might escape the lusts of the flesh. -- Thomas Mann, "The Magic Mountain"

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