{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T13:36:43Z","timestamp":1777901803653,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Science Progress"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Suicidal Behaviors and Thoughts are a relevant public health issue that includes suicidal ideation, non-suicidal self-harm, attempted suicide, and failed suicides. Since there is a progression of suicidal behaviors, whereby suicide is more likely to be completed if there have already been previous behaviors or attempts to harm oneself, WHO has highlighted the need to detect early predictors of such suicidal behaviors, which can help identify individuals at risk, plan prevention strategies and implement specific therapeutic interventions, particularly in young people, thus reducing the number of deaths. This retrospective observational study aimed to identify early predictors of suicidal risk in 237 inpatients admitted for Suicidal Behaviors and Thoughts at Child and Adolescent Psychiatry Emergency Unit of the Meyer Children's Hospital, Florence, Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study was subdivided into three phases: data collection, statistical analysis, and neural network. For each patient, we collected epidemiological and psychopathological data. We stratified the inpatients into two groups: \u201csuicidal volition patients\u201d and \u201csuicidal motivation patients.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The hospitalization rate for suicidal behaviors and thoughts showed a growing trend from 2016 to 2020 (27.69 to 45.28%). Under 12 years of age, diagnosis of disruptive, impulse-control and conduct disorder, previous specialist care, history of attempted suicide, and intoxication as methods of suicide were statistically correlated to an increased risk of suicidal behaviors. Artificial intelligence, with an accuracy of 86.7%, confirmed these risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations:<\/jats:title>\n                    <jats:p>The most important limitation of the study is its retrospective nature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our study identifies new early predictors of suicidal risk: age less than 12, diagnosis of disruptive, impulse-control and conduct disorder. In addition, suicidal volition behavior emerges as an important and underestimated risk factor. The use of artificial intelligence methods could be supporting the clinician in assessing suicidal risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00368504231199663","type":"journal-article","created":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T07:46:17Z","timestamp":1696319177000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Statistical and artificial intelligence techniques to identify risk factors for suicide in children and adolescents"],"prefix":"10.1177","volume":"106","author":[{"given":"Michaela","family":"Servi","sequence":"first","affiliation":[{"name":"Department of Industrial Engineering, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Chiaro","sequence":"additional","affiliation":[{"name":"Neuroscience Department, Meyer Children's Hospital IRCCS, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Mussi","sequence":"additional","affiliation":[{"name":"Department of Industrial Engineering, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Castellini","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1079-8581","authenticated-orcid":false,"given":"Alberta","family":"Mereu","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Pathological Addiction, UOSD Child and Adolescent Psychiatry and Psychotherapy, Maggiore Hospital \u201cC.A. Pizzardi\u201d Largo B. Nigrisoli 2, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yary","family":"Volpe","sequence":"additional","affiliation":[{"name":"Department of Industrial Engineering, University of Florence, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiziana","family":"Pisano","sequence":"additional","affiliation":[{"name":"Neuroscience Department, Meyer Children's Hospital IRCCS, Florence, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,3]]},"reference":[{"key":"bibr1-00368504231199663","volume-title":"Preventing suicide: A global imperative","author":"World Health Organization","year":"2014"},{"key":"bibr2-00368504231199663","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12831"},{"key":"bibr3-00368504231199663","doi-asserted-by":"publisher","DOI":"10.1186\/1753-2000-6-11"},{"key":"bibr4-00368504231199663","unstructured":"Centers for Disease Control and Prevention [CDC]. https:\/\/www.cdc.gov\/index.htm (2018)."},{"key":"bibr5-00368504231199663","volume":"364","author":"Naghavi M","year":"2019","journal-title":"Br Med J"},{"key":"bibr6-00368504231199663","volume-title":"StatPearls","author":"Harmer B"},{"key":"bibr7-00368504231199663","unstructured":"World Health Organization. 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