Spencer W Hensley, Precious Esie, Myduc Ta, Alastair Matheson
{"title":"以国际疾病分类第十次修订为基础的代码，2000-2024测量的行政数据中自杀行为的准确性：快速回顾。","authors":"Spencer W Hensley, Precious Esie, Myduc Ta, Alastair Matheson","doi":"10.1177/00333549251350843","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Suicidal behaviors present public health challenges worldwide. Surveillance and research aimed at preventing suicidal behaviors often rely on administrative data. Existing systematic reviews examine the validity of methods for identifying suicidal outcomes in administrative datasets but do not include codes based on the <i>International Classification of Diseases, Tenth Revision</i> (ICD-10), despite their widespread use for >2 decades. This rapid review evaluates methods for identifying suicidal behaviors using ICD-10 codes.</p><p><strong>Methods: </strong>We searched PubMed and PsycINFO to identify relevant studies worldwide. Studies were included if they measured suicidal behaviors, used ICD-10 codes, validated the behaviors against a gold standard, and provided measures of accuracy (eg, specificity, sensitivity). We extracted data on study populations, data sources, ICD-10 codes used, gold-standard comparators, and accuracy measures from included studies.</p><p><strong>Results: </strong>Of 2246 studies identified, 9 met our inclusion criteria. For methods identifying suicide attempts, sensitivity ranged from 19% to 45%, specificity from 47% to 99%, positive predictive value from 21% to 82%, and negative predictive value from 65% to 92%. For methods identifying self-harm, sensitivity ranged from 12% to 85%, specificity from 98% to 100%, positive predictive value from 64% to 100%, and negative predictive value from 86% to 87%. Only sensitivity was reported for suicide death (range, 78%-97%).</p><p><strong>Conclusions: </strong>Findings indicate that sensitivity and positive predictive value for identifying suicide attempts using ICD-10 codes are low. Studies and surveillance methods relying on these codes might substantially underestimate rates of suicidal behaviors. ICD-10 codes may provide higher accuracy for identifying self-harm and other nonfatal suicidal behaviors than codes from the <i>International Classification of Diseases, Ninth Revision</i>.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549251350843"},"PeriodicalIF":2.5000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460277/pdf/","citationCount":"0","resultStr":"{\"title\":\"Accuracy of Suicidal Behaviors in Administrative Data as Measured by <i>International Classification of Diseases, Tenth Revision</i>-Based Codes, 2000-2024: A Rapid Review.\",\"authors\":\"Spencer W Hensley, Precious Esie, Myduc Ta, Alastair Matheson\",\"doi\":\"10.1177/00333549251350843\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Suicidal behaviors present public health challenges worldwide. Surveillance and research aimed at preventing suicidal behaviors often rely on administrative data. Existing systematic reviews examine the validity of methods for identifying suicidal outcomes in administrative datasets but do not include codes based on the <i>International Classification of Diseases, Tenth Revision</i> (ICD-10), despite their widespread use for >2 decades. This rapid review evaluates methods for identifying suicidal behaviors using ICD-10 codes.</p><p><strong>Methods: </strong>We searched PubMed and PsycINFO to identify relevant studies worldwide. Studies were included if they measured suicidal behaviors, used ICD-10 codes, validated the behaviors against a gold standard, and provided measures of accuracy (eg, specificity, sensitivity). We extracted data on study populations, data sources, ICD-10 codes used, gold-standard comparators, and accuracy measures from included studies.</p><p><strong>Results: </strong>Of 2246 studies identified, 9 met our inclusion criteria. For methods identifying suicide attempts, sensitivity ranged from 19% to 45%, specificity from 47% to 99%, positive predictive value from 21% to 82%, and negative predictive value from 65% to 92%. For methods identifying self-harm, sensitivity ranged from 12% to 85%, specificity from 98% to 100%, positive predictive value from 64% to 100%, and negative predictive value from 86% to 87%. Only sensitivity was reported for suicide death (range, 78%-97%).</p><p><strong>Conclusions: </strong>Findings indicate that sensitivity and positive predictive value for identifying suicide attempts using ICD-10 codes are low. Studies and surveillance methods relying on these codes might substantially underestimate rates of suicidal behaviors. ICD-10 codes may provide higher accuracy for identifying self-harm and other nonfatal suicidal behaviors than codes from the <i>International Classification of Diseases, Ninth Revision</i>.</p>\",\"PeriodicalId\":20793,\"journal\":{\"name\":\"Public Health Reports\",\"volume\":\" \",\"pages\":\"333549251350843\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-09-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460277/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Reports\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00333549251350843\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00333549251350843","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Accuracy of Suicidal Behaviors in Administrative Data as Measured by International Classification of Diseases, Tenth Revision-Based Codes, 2000-2024: A Rapid Review.
Objectives: Suicidal behaviors present public health challenges worldwide. Surveillance and research aimed at preventing suicidal behaviors often rely on administrative data. Existing systematic reviews examine the validity of methods for identifying suicidal outcomes in administrative datasets but do not include codes based on the International Classification of Diseases, Tenth Revision (ICD-10), despite their widespread use for >2 decades. This rapid review evaluates methods for identifying suicidal behaviors using ICD-10 codes.
Methods: We searched PubMed and PsycINFO to identify relevant studies worldwide. Studies were included if they measured suicidal behaviors, used ICD-10 codes, validated the behaviors against a gold standard, and provided measures of accuracy (eg, specificity, sensitivity). We extracted data on study populations, data sources, ICD-10 codes used, gold-standard comparators, and accuracy measures from included studies.
Results: Of 2246 studies identified, 9 met our inclusion criteria. For methods identifying suicide attempts, sensitivity ranged from 19% to 45%, specificity from 47% to 99%, positive predictive value from 21% to 82%, and negative predictive value from 65% to 92%. For methods identifying self-harm, sensitivity ranged from 12% to 85%, specificity from 98% to 100%, positive predictive value from 64% to 100%, and negative predictive value from 86% to 87%. Only sensitivity was reported for suicide death (range, 78%-97%).
Conclusions: Findings indicate that sensitivity and positive predictive value for identifying suicide attempts using ICD-10 codes are low. Studies and surveillance methods relying on these codes might substantially underestimate rates of suicidal behaviors. ICD-10 codes may provide higher accuracy for identifying self-harm and other nonfatal suicidal behaviors than codes from the International Classification of Diseases, Ninth Revision.
期刊介绍：
Public Health Reports is the official journal of the Office of the U.S. Surgeon General and the U.S. Public Health Service and has been published since 1878. It is published bimonthly, plus supplement issues, through an official agreement with the Association of Schools and Programs of Public Health. The journal is peer-reviewed and publishes original research and commentaries in the areas of public health practice and methodology, original research, public health law, and public health schools and teaching. Issues contain regular commentaries by the U.S. Surgeon General and executives of the U.S. Department of Health and Human Services and the Office of the Assistant Secretary of Health.
The journal focuses upon such topics as tobacco control, teenage violence, occupational disease and injury, immunization, drug policy, lead screening, health disparities, and many other key and emerging public health issues. In addition to the six regular issues, PHR produces supplemental issues approximately 2-5 times per year which focus on specific topics that are of particular interest to our readership. The journal''s contributors are on the front line of public health and they present their work in a readable and accessible format.
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