Development and validation of the risk score for estimating suicide attempt in patients with major depressive disorder.

Anxiety disorders Depression Mood disorders Psychotic disorder Suicide

Journal

Social psychiatry and psychiatric epidemiology
ISSN: 1433-9285
Titre abrégé: Soc Psychiatry Psychiatr Epidemiol
Pays: Germany
ID NLM: 8804358

Informations de publication

Date de publication:
13 Oct 2023
Historique:
received: 27 04 2023
accepted: 28 09 2023
medline: 13 10 2023
pubmed: 13 10 2023
entrez: 13 10 2023
Statut: aheadofprint

Résumé

Early identification of high-risk patients with Major depressive disorder (MDD) having suicide attempts (SAs) is essential for timely targeted and tailored psychological interventions and medications. This study aimed to develop and validate a web-based dynamic nomogram as a personalized predictor of SA in MDD patients. A dynamic nomogram was developed using data collected from 1718 patients in China. The dynamic model was established based on a machine learning-based regression technique in the training cohort. We validated the nomogram internally using 1000 bootstrap replications. The nomogram performance was assessed using estimates of discrimination (via the concordance index) and calibration (calibration plots). The nomogram incorporated five predictors, including Hamilton anxiety rating scale (odds ratio [OR]: 1.255), marital status (OR: 0.618), clinical global impressions (OR: 2.242), anti-thyroid peroxidase antibodies (OR: 1.002), and systolic pressure levels (OR: 1.037). The model demonstrated good overall discrimination (Harrell's C-index = 0.823). Using decision curve analysis, this model also demonstrated good clinical applicability. An online web server was constructed ( https://odywong.shinyapps.io/PRSM/ ) to facilitate the use of the nomogram. Based on these results, our study developed a nomogram to predict SA in MDD patients. The application of this nomogram may help for patients and clinicians to make decisions.

Identifiants

pubmed: 37831079
doi: 10.1007/s00127-023-02572-3
pii: 10.1007/s00127-023-02572-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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Auteurs

Zhi-Xin Huang (ZX)

Department of Neurology, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.
Jinan University Faculty of Medical Science, Guangzhou, Guangdong, China.
Guangdong Medical University, Zhanjiang, Guangdong, China.

Qizhang Wang (Q)

Department of Neurology, Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine, Shenzhen, Guangdong, China.

Shasha Lei (S)

Jinan University Faculty of Medical Science, Guangzhou, Guangdong, China.

Wenli Zhang (W)

Department of Neurology, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.

Ying Huang (Y)

Department of Neurology, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China.

Caiping Zhang (C)

Guangdong Medical University, Zhanjiang, Guangdong, China.

Xiangyang Zhang (X)

CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoying District, Beijing, 100101, China. zhangxy@psych.ac.cn.
Department of Psychology, University of Chinese Academy of Sciences, Beijing, China. zhangxy@psych.ac.cn.

Classifications MeSH