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Dynamic learning of individual-level suicidal ideation trajectories to enhance mental health care

Varidel, Mathew, Hickie, Ian B., Prodan, Ante, Skinner, Adam, Marchant, Roman, Cripps, Sally, Oliveria, Rafael, Chong, Min K., Scott, Elizabeth, Scott, Jan, Iorfino, Frank·2024·npj Mental Health Research

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Abstract

There has recently been an increase in ongoing patient-report routine outcome monitoring for individuals within clinical care, which has corresponded to increased longitudinal information about an individual. However, many models that are aimed at clinical practice have difficulty fully incorporating this information. This is in part due to the difficulty in dealing with the irregularly time-spaced observations that are common in clinical data. Consequently, we built individual-level continuous-time trajectory models of suicidal ideation for a clinical population ( N = 585) with data collected via a digital platform. We demonstrate how such models predict an individual’s level and variability of future suicide ideation, with implications for the frequency that individuals may need to be observed. These individual-level predictions provide a more personalised understanding than other predictive methods and have implications for enhanced measurement-based care.

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Metadata

Authors
Varidel, M., Hickie, I. B., Prodan, A., Skinner, A., Marchant, R., Cripps, S., Oliveria, R., Chong, M. K., Scott, E., Scott, J., & Iorfino, F.
Venue
npj Mental Health Research
Published
2024-06-07
Volume
3
Issue
1
ISSN
2731-4251
Cited by
10
References
18
Language
en
Funders
  • Medical Research Future Fund (MRFAI000097)
  • National Health and Medical Research Council (511921, GNT2018157)

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