Suicide detection in Chile: proposing a predictive model for suicide risk in a clinical sample of patients with mood disorders

• Published in: Revista brasileira de psiquiatria 2017-01, Vol.39 (1), p.1-11
• Main Authors: Barros, Jorge, Morales, Susana, Echávarri, Orietta, García, Arnol, Ortega, Jaime, Asahi, Takeshi, Moya, Claudia, Fischman, Ronit, Maino, María P, Núñez, Catalina
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Chile; data mining; Female; Humans; Male; Mental Disorders - complications; Mental Disorders - psychology; Middle Aged; Models, Theoretical; mood disorders; Original; PSYCHIATRY; Risk Factors; Sensitivity and Specificity; Socioeconomic Factors; Suicide; Suicide - prevention & control; Surveys and Questionnaires; Young Adult
• ISSN: 1516-4446; 1809-452X; 1809-452X
• DOI: 10.1590/1516-4446-2015-1877

To analyze suicidal behavior and build a predictive model for suicide risk using data mining (DM) analysis. A study of 707 Chilean mental health patients (with and without suicide risk) was carried out across three healthcare centers in the Metropolitan Region of Santiago, Chile. Three hundred forty-three variables were studied using five questionnaires. DM and machine-learning tools were used via the support vector machine technique. The model selected 22 variables that, depending on the circumstances in which they all occur, define whether a person belongs in a suicide risk zone (accuracy = 0.78, sensitivity = 0.77, and specificity = 0.79). Being in a suicide risk zone means patients are more vulnerable to suicide attempts or are thinking about suicide. The interrelationship between these variables is highly nonlinear, and it is interesting to note the particular ways in which they are configured for each case. The model shows that the variables of a suicide risk zone are related to individual unrest, personal satisfaction, and reasons for living, particularly those related to beliefs in one's own capacities and coping abilities. These variables can be used to create an assessment tool and enables us to identify individual risk and protective factors. This may also contribute to therapeutic intervention by strengthening feelings of personal well-being and reasons for staying alive. Our results prompted the design of a new clinical tool, which is fast and easy to use and aids in evaluating the trajectory of suicide risk at a given moment.