The establishment of a random forest predictive model and analysis of influencing factors for psychological crisis among adolescent
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn371468-20231222-00316
   		
        
        	
        		- VernacularTitle:青少年心理危机随机森林预测模型的建立及影响因素分析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Shan TENG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Weijie WANG
			        		
			        		;
		        		
		        		
		        		
			        		Huan GAO
			        		
			        		;
		        		
		        		
		        		
			        		Jiubo ZHAO
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 东莞理工学院心理健康教育与咨询中心,东莞 523808
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Psychological crisis;
			        		
			        		
			        		
				        		Depression;
			        		
			        		
			        		
				        		Suicide risk;
			        		
			        		
			        		
				        		Machine learning;
			        		
			        		
			        		
				        		Prediction model;
			        		
			        		
			        		
				        		Adolescent
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Behavioral Medicine and Brain Science
	            		
	            		 2024;33(7):630-636
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective:To establish a predictive model of psychological crisis based on the machine learning random forest algorithm, and to analyze the influencing factors of psychological crisis among adole scent.Methods:A total of 1 417 middle school students were surveyed using cluster sampling in two phases, in November 2020 and June 2021.Demographic data, symptom factors, protective factors were collected in the first investigation, and depression and suicide risk were measured in the second investigation. The criteria for psychological crisis were moderate to severe depression(depression score≥15) and high suicide risk(suicide risk score≥7) in the second measurement. SPSS 24.0 software was used for statistical analysis of variables, and the random forest machine learning predictive model for psychological crisis was established by using R version 4.1.1 software, and the high-estimating factors of adolescent psychological crisis were analyzed.Results:(1) The detection rate of moderate to severe depression was 10.02%(142/1 417), the detection rate of high suicide risk was 30.77%(436/1 417), and detection rate of the psychological crisis was 8.19%(116/1 417).(2) The sensitivity and specificity of psychological crisis prediction model were 0.79, 0.82, positive predictive value was 0.82, negative predictive value was 0.79, accuracy was 0.80 and area under curve was 0.88. (3) The top 10 characteristic variables of influencing factors of adolescent psychological crisis were depression, anxiety, suicidal ideation, self-harming behavior, cognitive flexibility-controllability, cognitive flexibility-selectivity, grit-persistence effort, grit-interest consistency, mother's mood and father's mood(model prediction accuracy was 0.023-0.163).Conclusions:The occurrence of adolescent psychological crisis is closely related to symptom factors, protective factors and parental emotions, and has the significance of predicting across time.The machine learning random forest algorithm can effectively identify psychological crisis individuals and identify sensitive crisis individual characteristics.