Transferable Self-Harm Surveillance from Emergency Department Triage Notes Using an Evidence-Augmented Machine Learning Approach
Self-harm is a major public health concern, but current surveillance relying on hospital presentations is inadequate due to the low sensitivity of diagnostic codes. Emergency Department (ED) triage notes, recorded at the initial point of contact, provide a succinct summary of presentations and an opportunity to identify self-harm. We developed a three-stage approach, augmenting traditional machine learning with large language model-based screening and evidence extraction to detect self-harm in ED triage notes. We assessed model transferability across three Australian hospitals. Our approach showed AUPRCs of 0.887 +/- 0.016 and 0.884 +/- 0.012 during internal and external validation. Prosp...
| Authors | Liuliu Chen, Gowri Rajaram, Eleanor Bailey et al. |
|---|---|
| Primary category | cs.CL |
| Published | 1 June 2026 |
| Last updated at source | 1 June 2026 |
Silytics shows public metadata from arXiv and links to the original. Information may be incomplete or out of date. Last refreshed 17 October 2026. Licenses and terms of the original apply to the work itself. Not financial, legal or professional advice.