Clinical Note–Extracted Psychosocial Factors for Predicting Suicide Attempt Among ED Patients With Suicidal Ideation

Is the addition of psychosocial factors to a clinical data–based suicide risk prediction model associated with better performance in predicting suicide attempts among patients presenting to the emergency department (ED) for suicidal ideation?In this electronic health record–based prognostic study of 4661 patients discharged from the ED after presentation for suicidal ideation, incorporating psychosocial factors was associated with significantly higher performance in predicting suicide attempt, with chronic stress as the strongest predictor.This study suggests that, for ED patients with suicidal ideation, identifying and using psychosocial factors may be key to accurate risk stratification and may help guide targeted interventions such as therapies addressing chronic stress.

Corresponding Author: Hyunjoon Lee, MS, Department of Biomedical Informatics, Vanderbilt University Medical Center, 2525 West End Ave, Ste 1475, Nashville, TN 37203 (hyunjoon.lee@vanderbilt.edu).

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