Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6520
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dc.contributor.authorDas, Souraven
dc.contributor.authorCatterall, Janeten
dc.contributor.authorStone, Richarden
dc.contributor.authorClough, Alan Ren
dc.date.accessioned2024-10-29T01:17:01Z-
dc.date.available2024-10-29T01:17:01Z-
dc.date.issued2024-
dc.identifier.citationDas S, Catterall J, Stone R, Clough AR. "The reasons you believe …": An exploratory study of text driven evidence gathering and prediction from first responder records justifying state authorised intervention for mental health episodes. Comput Methods Programs Biomed. 2024 Sep;254:108257. doi: 10.1016/j.cmpb.2024.108257. Epub 2024 May 29. PMID: 38901271.en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/6520-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated author: Richard Stoneen
dc.description.abstractObjective First responders' mandatory reports of mental health episodes requiring emergency hospital care contain rich information about patients and their needs. In Queensland (Australia) much of the information contained in Emergency Examination Authorities (EEAs) remains unused. We propose and demonstrate a methodology to extract and translate vital information embedded in reports like EEAs and to use it to investigate the extreme propensity of incidence of serious mental health episodes. Methods The proposed method integrates clinical, demographic, spatial and free text information into a single data collection. The data is subjected to exploratory analysis for spatial pattern recognition leading to an observational epidemiology model for the association of maximum spatial recurrence of EEA episodes. Results Sentiment analysis revealed that among EEA presentations hospital and health service (HHS) region #4 had the lowest proportion of positive sentiments (18 %) compared to 33 % for HHS region #1 pointing to spatial differentiation of sentiments immanent in mandated free text which required more detailed analysis. At the postcode geographical level, we found that variation in maximum spatial recurrence of EEAs was significantly positively associated with spatial range of sentiments (0.29, p < 0.001) and the postcode-referenced sex ratio (0.45, p = 0.01). The volatility of sentiments significantly correlated with extremes of recurrence of EEA episodes. The predicted (probabilistic) incidence rate when mapped reflected this correlation. Conclusions The paper demonstrates the efficacy of integrating, machine extracted, human sentiments (as potential surrogates) with conventional exposure variables for evidence-based methods for mental health spatial epidemiology. Such insights from informatics-driven epidemiological observations may inform the strategic allocation of health system resources to address the highest levels of need and to improve the standard of care for mental patients while also enhancing their safe and humane treatment and management.en
dc.language.isoenen
dc.relation.ispartofComputer Methods and Programs in Biomedicineen
dc.subjectSentiment analysisen
dc.subjectMental healthen
dc.subjectJurisprudenceen
dc.subjectData scienceen
dc.subjectObservational spatial epidemiologyen
dc.title"The reasons you believe …": An exploratory study of text driven evidence gathering and prediction from first responder records justifying state authorised intervention for mental health episodesen
dc.typeArticleen
dc.identifier.doi10.1016/j.cmpb.2024.108257-
dc.identifier.pmid38901271-
dc.identifier.journaltitleComputer methods and programs in biomedicine-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.grantfulltextopen-
item.openairetypeArticle-
item.fulltextWith Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
Appears in Sites:Cairns & Hinterland HHS Publications
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