scholarly journals Big data in mental health research – do the ns justify the means? Using large data-sets of electronic health records for mental health research

2017 ◽  
Vol 41 (3) ◽  
pp. 129-132 ◽  
Author(s):  
Peter Schofield

SummaryAdvances in information technology and data storage, so-called ‘big data’, have the potential to dramatically change the way we do research. We are presented with the possibility of whole-population data, collected over multiple time points and including detailed demographic information usually only available in expensive and labour-intensive surveys, but at a fraction of the cost and effort. Typically, accounts highlight the sheer volume of data available in terms of terabytes (1012) and petabytes (1015) of data while charting the exponential growth in computing power we can use to make sense of this. Presented with resources of such dizzying magnitude it is easy to lose sight of the potential limitations when the amount of data itself appears unlimited. In this short account I look at some recent advances in electronic health data that are relevant for mental health research while highlighting some of the potential pitfalls.

Author(s):  
Frances Shaw

This paper situates a discussion of Her within contemporary developments in empathic machine learning for mental health treatment and therapy. Her simultaneously hooks into and critiques a particular imaginary about what artificial intelligence can do when combined with big data. Shaw threads the representation of empathy and artificial intelligence in the film into discussions of contemporary mental health research, in particular possibilities for the automation of treatment, whether through machine learning or guided interventions. Her provides some useful ways to think through utopian, dystopian, and ambivalent readings of such applications of technology in a broader sense, raising questions about sincerity and loss of human connectivity, relational ethics and automated empathy.


2018 ◽  
Vol 24 (4) ◽  
pp. 237-244 ◽  
Author(s):  
Peter Schofield ◽  
Jayati Das-Munshi

SUMMARYThis article looks at the use of large datasets of health records, typically linked with other data sources, in mental health research. The most comprehensive examples of this kind of ‘big data’ are typically found in Scandinavian countries, although there are also many useful sources in the UK. There are a number of promising methodological innovations from studies using big data in UK mental health research, including: hybrid study designs, data linkage and enhanced study recruitment. It is, however, important to be aware of the limitations of research using big data, particularly the various pitfalls in analysis. We therefore caution against abandoning traditional research designs, and argue that other data sources are equally valuable and, ideally, research should incorporate data from a range of sources.LEARNING OBJECTIVES•Be aware of major big data resources relevant to mental health research•Be aware of key advantages and innovative study designs using these data sources•Understand the inherent limitations to studies reliant on big data aloneDECLARATION OF INTERESTNone.


2021 ◽  
Vol 12 ◽  
Author(s):  
Mohammad Chowdhury ◽  
Eddie Gasca Cervantes ◽  
Wai-Yip Chan ◽  
Dallas P. Seitz

Introduction: Electronic health records (EHR) and administrative healthcare data (AHD) are frequently used in geriatric mental health research to answer various health research questions. However, there is an increasing amount and complexity of data available that may lend itself to alternative analytic approaches using machine learning (ML) or artificial intelligence (AI) methods. We performed a systematic review of the current application of ML or AI approaches to the analysis of EHR and AHD in geriatric mental health.Methods: We searched MEDLINE, Embase, and PsycINFO to identify potential studies. We included all articles that used ML or AI methods on topics related to geriatric mental health utilizing EHR or AHD data. We assessed study quality either by Prediction model Risk OF Bias ASsessment Tool (PROBAST) or Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) checklist.Results: We initially identified 391 articles through an electronic database and reference search, and 21 articles met inclusion criteria. Among the selected studies, EHR was the most used data type, and the datasets were mainly structured. A variety of ML and AI methods were used, with prediction or classification being the main application of ML or AI with the random forest as the most common ML technique. Dementia was the most common mental health condition observed. The relative advantages of ML or AI techniques compared to biostatistical methods were generally not assessed. Only in three studies, low risk of bias (ROB) was observed according to all the PROBAST domains but in none according to QUADAS-2 domains. The quality of study reporting could be further improved.Conclusion: There are currently relatively few studies using ML and AI in geriatric mental health research using EHR and AHD methods, although this field is expanding. Aside from dementia, there are few studies of other geriatric mental health conditions. The lack of consistent information in the selected studies precludes precise comparisons between them. Improving the quality of reporting of ML and AI work in the future would help improve research in the field. Other courses of improvement include using common data models to collect/organize data, and common datasets for ML model validation.


2020 ◽  
Vol 23 (1) ◽  
pp. 1-1
Author(s):  
Anne Duffy ◽  
Maria Faurholt-Jepsen ◽  
Michael Ostacher

2019 ◽  
Vol 5 (1) ◽  
pp. 1-29 ◽  
Author(s):  
Olivia Banner

This article critiques today’s digital mental health research and treatment paradigms through a crip theoretical approach. I argue that, implemented in a neoliberal risk culture and austerity logics that implement big data to capacitate and debilitate, psychiatric technoscientific endeavors (what I call “technopsyience”) reproduce racial capitalism in their aim of governing mentalities.Yet mobile devices are also the means by which crip bodyminds creatively interrogate and resist racial capitalism and the psy discourses that support it. I explore a recent work of Afro-Surrealism that presents scenes of extractive racial capitalism, fantasies of digital futures, mental distress, and care, and that, I argue, opens up avenues for thinking bodyminds and the digital otherwise.


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