AI-assisted summary of suicide risk Formulation

Background: Formulation, associated with suicide risk assessment, is an individualised process that seeks to understand the idiosyncratic nature and development of an individual's problems. Auditing clinical documentation on an electronic health record (EHR) is challenging as it requires resource-intensive manual efforts to identify keywords in relevant sections of specific forms. Furthermore, clinicians and healthcare professionals often do not use keywords; their clinical language can vary greatly and may contain various jargon and acronyms. Also, the relevant information may be recorded elsewhere. This study describes how we developed advanced Natural Language Processing (NLP) algorithms, a branch of Artificial Intelligence (AI), to analyse EHR data automatically. Method: Advanced Optical Character Recognition techniques were used to process unstructured data sets, such as portable document format (pdf) files. Free text data was cleaned and pre-processed using Normalisation of Free Text techniques. We developed algorithms and tools to unify the free text. Finally, the formulation was checked for the presence of each concept based on similarity using NLP-powered semantic matching techniques. Results: We extracted information indicative of formulation and assessed it to cover the relevant concepts. This was achieved using a Weighted Score to obtain a Confidence Level. Conclusion: The rigour to which formulation is completed is crucial to effectively using EHRs, ensuring correct and timely identification, engagement and interventions that may potentially avoid many suicide attempts and suicides.