论文标题
比较临床和社交媒体数据得出的自杀风险见解
Comparing Suicide Risk Insights derived from Clinical and Social Media data
论文作者
论文摘要
自杀是美国的第十大死亡原因，也是青少年中第二大死亡原因。尽管EHR和社交网络中此类因素的文档和自我表达有所不同，但临床和社会心理因素有助于自杀风险（SRF）。这项研究调查了EHR和社交网络之间的差异程度。我们对123,703例精神健康状况的患者进行了> 1380万个临床笔记，对SRF进行了主观分析，例如自我伤害，欺凌，冲动，家庭暴力/不和谐。我们使用一组SRF下的语义嵌入来聚集临床注释。同样，我们在R/自杀观察帖子（约30,000个帖子）上聚集了2180个自杀用户，并进行了比较分析。 EHR中记录的前3个SRF是抑郁症的感觉（24.3％），心理疾病（21.1％），药物滥用（18.2％）。在R/自杀观看中，枪支拥有量（17.3％），自我伤害（14.6％），欺凌（13.2％）是前3名SRF。提及家庭暴力，种族歧视和其他重要的SRF，这两个平台都缺少了自杀风险。
Suicide is the 10th leading cause of death in the US and the 2nd leading cause of death among teenagers. Clinical and psychosocial factors contribute to suicide risk (SRFs), although documentation and self-expression of such factors in EHRs and social networks vary. This study investigates the degree of variance across EHRs and social networks. We performed subjective analysis of SRFs, such as self-harm, bullying, impulsivity, family violence/discord, using >13.8 Million clinical notes on 123,703 patients with mental health conditions. We clustered clinical notes using semantic embeddings under a set of SRFs. Likewise, we clustered 2180 suicidal users on r/SuicideWatch (~30,000 posts) and performed comparative analysis. Top-3 SRFs documented in EHRs were depressive feelings (24.3%), psychological disorders (21.1%), drug abuse (18.2%). In r/SuicideWatch, gun-ownership (17.3%), self-harm (14.6%), bullying (13.2%) were Top-3 SRFs. Mentions of Family violence, racial discrimination, and other important SRFs contributing to suicide risk were missing from both platforms.
