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Which PHQ-9 Items Can Effectively Screen for Suicide? Machine Learning Approaches

Bibliographic Data

ID15511726
AuthorsSunhae Kim (0000-0001-7443-7684, Hanyang University Medical Center), Hye-Kyung Lee (0000-0002-8135-9378, Kongju National University), Kounseok Lee (0000-0002-6084-5043, Hanyang University Medical Center, corresponding author)
Year2021
Volume18
Issue7
Pages3339-3339
Publication date2021-03-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18073339
PMID33804879
OpenAlexW3145871323
LanguageEN
Citations received14
References cited46

(1) Background: The Patient Health Questionnaire-9 (PHQ-9) is a tool that screens patients for depression in primary care settings. In this study, we evaluated the efficacy of PHQ-9 in evaluating suicidal ideation (2) Methods: A total of 8760 completed questionnaires collected from college students were analyzed. The PHQ-9 was scored in combination with and evaluated against four categories (PHQ-2, PHQ-8, PHQ-9, and PHQ-10). Suicidal ideations were evaluated using the Mini-International Neuropsychiatric Interview suicidality module. Analyses used suicide ideation as the dependent variable, and machine learning (ML) algorithms, k-nearest neighbors, linear discriminant analysis (LDA), and random forest. (3) Results: Random forest application using the nine items of the PHQ-9 revealed an excellent area under the curve with a value of 0.841, with 94.3% accuracy. The positive and negative predictive values were 84.95% (95% CI = 76.03-91.52) and 95.54% (95% CI = 94.42-96.48), respectively. (4) Conclusion: This study confirmed that ML algorithms using PHQ-9 in the primary care field are reliably accurate in screening individuals with suicidal ideation

Anxiety · Depression (economics · Depressive symptoms · Machine learning · Medical emergency · Patient Health Questionnaire · Poison control · Psychiatry · Random forest · Suicidal ideation · Suicide prevention · Clinical Psychology · Computer Science · Medicine · Mental Health Treatment and Access · Psychosomatic Disorders and Their Treatments · Suicide and Self-Harm Studies

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Unique citing works14
Citations per year3,5
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14
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