The use of machine learning in healthcare is still in its infancy. In this paper, we describe the project we did to predict psychotic episodes together with Birmingham’s psychiatric hospital. We hope to see these sorts of applications of ML in healthcare become the new standard in the future. The technology is ready, so it’s just a matter of getting it done!
The timely identification of patients who are at risk of a mental health crisis can lead to improved outcomes and to the mitigation of burdens and costs. However, the high prevalence of mental health problems means that the manual review of complex patient records to make proactive care decisions is not feasible in practice. Therefore, we developed a machine learning model that uses electronic health records to continuously monitor patients for risk of a mental health crisis over a period of 28 days. The model achieves an area under the receiver operating characteristic curve of 0.797 and an area under the precision-recall curve of 0.159, predicting crises with a sensitivity of 58% at a specificity of 85%. A follow-up 6-month prospective study evaluated our algorithm’s use in clinical practice and observed predictions to be clinically valuable in terms of either managing caseloads or mitigating the risk of crisis in 64% of cases. To our knowledge, this study is the first to continuously predict the risk of a wide range of mental health crises and to explore the added value of such predictions in clinical practice.
(You can also read about the project in more detail in this article from UPF)
Garriga, R., Mas, J., Abraha, S. et al. Machine learning model to predict mental health crises from electronic health records. Nat Med (2022). https://doi.org/10.1038/s41591-022-01811-5