There was a high prevalence of misdiagnosis and diagnostic shift from other psychiatric disorders to BD. Temporal consistency was lower than in other studies.

a b s t r a c tBackground: In spite of the high prevalence of suicide behaviours and the magnitude of the resultant burden, little is known about why individuals reattempt. We aim to investigate the relationships between clinical risk factors and the repetition of suicidal attempts. Methods: 1349 suicide attempters were consecutively recruited in the Emergency Room (ER) of two academic hospitals in France and Spain. Patients were extensively assessed and demographic and clinical data obtained. Data mining was used to determine the minimal number of variables that blinded the rest in relation to the number of suicide attempts. Using this set, a probabilistic graph ranking relationships with the target variable was constructed. Results: The most common diagnoses among suicide attempters were affective disorders, followed by anxiety disorders. Risk of frequent suicide attempt was highest among middle-aged subjects, and diminished progressively with advancing age of onset at first attempt. Anxiety disorders significantly increased the risk of presenting frequent suicide attempts. Pathway analysis also indicated that frequent suicide attempts were linked to greater odds for alcohol and substance abuse disorders and more intensive treatment. Conclusions: Novel statistical methods found several clinical features that were associated with a history of frequent suicide attempts. The identified pathways may promote new hypothesis-driven studies of suicide attempts and preventive strategies.

In this paper, we present a novel scheme for linear feature extraction in classification. The method is based on the maximization of the mutual information (MI) between the features extracted and the classes. The sum of the MI corresponding to each of the features is taken as an heuristic that approximates the MI of the whole output vector. Then, a component-by-component gradient-ascent method is proposed for the maximization of the MI, similar to the gradient-based entropy optimization used in independent component analysis (ICA). The simulation results show that not only is the method competitive when compared to existing supervised feature extraction methods in all cases studied, but it also remarkably outperform them when the data are characterized by strongly nonlinear boundaries between classes.

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