Table 5.
Comparison of this and prior studies on coercive measures employing machine learning.
(30) | (15) | Current study | |
---|---|---|---|
Topic of study | Predictors for direct coercive measures in patients with all diagnoses in general psychiatry | Predictors for mechanical restraint in patients with all diagnoses in general psychiatry | Predictors for direct coercive measures in patients with schizophrenia in forensic psychiatry |
Sample studied | Patients with coercion: 170 | Patients with mechanical restraint: 5050 | Patients with coercion: 131 |
Data collection | Retrospective file content analysis | Retrospective health record and registry content analysis | Retrospective file content analysis |
Number of potential predictors explored | Not specified | 86 | 569 |
Similar predictor variables at statistical significance | Threat of violence as reason for involuntary admission1, prior involuntary admission to treatment, antipsychotic medication | Threat of violence measured with the Broset violence checklist, involuntary admission to treatment, threatening/abnormal behavior, sparse/non-coherent/non-informative verbal response | Threat of violence, coercive measures in prior treatment(s), haloperidol prescribed, daily olanzapine equivalent prescribed upon discharge, poor impulse control, hostility and uncooperativeness at admission, total PANSS-score at admission |
Model accuracy (balanced) | 66.5–78.5% | Not specified | 73.3% |
ROC AUC | 0.73–0.75 | 0.87 | 0.8468 |
Sensitivity | 60–69% | 56% | 72.87% |
Specificity | 78–83% | 94% | 73.68% |
ROC AUC, receiver operating characteristic curve area under the curve method, a measure for the goodness of fit of a model (67); PANSS, Positive and Negative Symptom Scale.
1Authors see a limitation in their measuring threat of violence only in terms of reason for involuntary admission.