Combining Machine Learning Models and Screening to Enhance Suicide Risk Identification for American Indian Patients: Retrospective Cohort Study - Report - MDSpire

Combining Machine Learning Models and Screening to Enhance Suicide Risk Identification for American Indian Patients: Retrospective Cohort Study

  • By

  • Novalene Alsenay Goklish

  • Emily E Haroz

  • Rohan R Dayal

  • Valentín Q Sierra

  • Roy Adams

  • Francene Larzelere Sinquah

  • Paul Rebman

  • Jacob L Taylor

  • May 11, 2026

  • 0 min

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Clinical Report: Integrating Machine Learning Approaches with Screening Techniques

Overview

Expand on the development process of the context-specific model and its comparison to existing models.

Background

Incorporate statistics or studies that demonstrate the lack of validated tools for American Indian populations.

Data Highlights

ModelAUROC
MHRN Primary Care Model0.81
Context-Specific Model0.83

Key Findings

  • American Indian and Alaska Native populations have the highest suicide rates in the U.S., with a rate of 23.8 per 100,000.
  • The MHRN primary care model outperformed existing screening tools with an AUROC of 0.81.
  • A context-specific suicide risk model achieved an AUROC of 0.83, indicating improved predictive capability.
  • Integration of machine learning models with existing screening practices remains a critical implementation challenge.
  • Current guidelines emphasize the need for culturally responsive and data-informed care in suicide prevention.

Clinical Implications

Healthcare providers should consider integrating machine learning models with traditional screening methods to enhance suicide risk assessment in American Indian populations. Ongoing training and adaptation of tools to fit cultural contexts are essential for effective implementation.

Conclusion

Highlight the need for further research specifically focused on American Indian populations.

References

  1. BMC Psychiatry (Springer), 2025 -- Modeling Predictive Factors for Suicidal Thoughts in Individuals Experiencing Cognitive Decline
  2. BMC Psychiatry (Springer), 2025 -- Utilizing machine learning to assess depression risk: uncovering familial, individual, and nutritional factors
  3. BMC Psychiatry (Springer), 2025 -- Evaluating a Multilingual AI Simulator for Training in Suicide Risk Assessment
  4. BMC Psychiatry (Springer), 2025 -- Examining the Frequency, Contributing Factors, and Nomogram Approach to Suicidal Behavior in Incarcerated Populations
  5. Notes from the Field: Differences in Suicide Rates, by Race and Ethnicity and Age Group, 2023
  6. Ask Suicide-Screening Questions (ASQ) Toolkit | SAMHSA
  7. Performance of Machine Learning Suicide Risk Models in an American Indian Population | JAMA Network Open
  8. CDC MMWR on Suicide Rates
  9. Ask Suicide-Screening Questions (ASQ) Toolkit | SAMHSA
  10. Performance of Machine Learning Suicide Risk Models in an American Indian Population | Equity, Diversity, and Inclusion | JAMA Network Open | JAMA Network

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