Citation

Srinivansan S, Harnett NG, Zhang L, Dahlgren MK, Jang J, Lu S, Nephew BC, Palermo CA, Pan X, Eltabakh MY, Frederick BB, Gruber SA, Kaufman ML, King J, Ressler KJ, Winternitz S, Korkin D, Lebois LAM. Eur. J. Psychotraumatol. 2022; 13(2).

Copyright

(Copyright © 2022, The Author(s), Publisher Co-action Publishing)

DOI

10.1080/20008066.2022.2143693

PMID

unavailable

Abstract

BACKGROUND: Suicide is a leading cause of death, and rates of attempted suicide have increased during the COVID-19 pandemic. The under-diagnosed psychiatric phenotype of dissociation is associated with elevated suicidal self-injury; however, it has largely been left out of attempts to predict and prevent suicide.

OBJECTIVE: We designed an artificial intelligence approach to identify dissociative patients and predict prior suicide attempts in an unbiased, data-driven manner.

METHOD: Participants were 30 controls and 93 treatment-seeking female patients with posttraumatic stress disorder (PTSD) and various levels of dissociation, including some with the PTSD dissociative subtype and some with dissociative identity disorder (DID).

RESULTS: Unsupervised learning models identified patients along a spectrum of dissociation. Moreover, supervised learning models accurately predicted prior suicide attempts with an score up to 0.83. DID had the highest risk of prior suicide attempts, and distinct subtypes of dissociation predicted suicide attempts in PTSD and DID.

CONCLUSIONS: These findings expand our understanding of the dissociative phenotype and underscore the urgent need to assess for dissociation to identify individuals at high-risk of suicidal self-injury. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Language: en

Keywords

suicide; artificial intelligence; dissociation; posttraumatic stress disorder; machine learning; dissociative identity disorder; Suicidal self-injury