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. 2020 May 13;11:415. doi: 10.3389/fpsyt.2020.00415

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.