{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T10:15:35Z","timestamp":1654596935063},"reference-count":0,"publisher":"IOS Press","license":[{"start":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T00:00:00Z","timestamp":1654473600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,6]]},"abstract":"<jats:p>Over the past 5 years, there has been an increase in the development of EHR-based models for predicting suicidal behaviour. Using the McGinn (2000) framework for creating clinical prediction rules, this study discusses the broad validation of one such predictive model in a context external to its derivation. Along with reporting performance metrics, our paper high-lights five practical challenges that arise when trying to undertake such a project including (i) validation sample sizes, (ii) availability and timeliness of data, (iii) limited or incomplete documentation for predictor variables, (iv) reliance on structured data and (v) differences in the source context of algorithms. We also discuss our study in the context of the current literature.<\/jats:p>","DOI":"10.3233\/shti220140","type":"book-chapter","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T09:32:49Z","timestamp":1654594369000},"source":"Crossref","is-referenced-by-count":0,"title":["Implementing Predictive Models Within an Electronic Health Record System: Lessons from an External Validation of a Suicide Risk Model"],"prefix":"10.3233","author":[{"given":"Lydia","family":"Sequeira","sequence":"first","affiliation":[{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"}]},{"given":"Douglas","family":"McNair","sequence":"additional","affiliation":[{"name":"Quantitative Sciences, Bill & Melinda Gates Foundation, Seattle, Washington, United States"}]},{"given":"David","family":"Wiljer","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"},{"name":"University Health Network, Toronto, Ontario, Canada"}]},{"given":"Gillian","family":"Strudwick","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"}]},{"given":"Vincenzo","family":"Deluca","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"}]},{"given":"Kanakasaba","family":"Kailasam","sequence":"additional","affiliation":[{"name":"Cerner Corporation, Kansas City, Missouri, United States"}]},{"given":"Michael","family":"Thompson","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"}]},{"given":"Brian","family":"Chou","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada"}]},{"given":"John","family":"Strauss","sequence":"additional","affiliation":[{"name":"Vancouver Island Health Authority, Victoria, British Columbia, Canada"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2021: One World, One Health \u2013 Global Partnership for Digital Innovation"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI220140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T09:32:50Z","timestamp":1654594370000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI220140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,6]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti220140","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,6]]}}}