Identifying statements related to suicidal behaviour in psychiatric electronic health records (EHRs) is an important step when modeling that behaviour, and when assessing suicide risk. We apply a deep neural network based classification model with a lightweight context encoder, to classify sentence level suicidal behaviour in EHRs. We show that incorporating information from sentences to left and right of the target sentence significantly improves classification accuracy. Our approach achieved the best performance when classifying suicidal behaviour in Autism Spectrum Disorder patient records. The results could have implications for suicidality research and clinical surveillance.

Free text fields within electronic health records (EHRs) contain valuable clinical information which is often missed when conducting research using EHR databases. One such type of information is medications which are not always available in structured fields, especially in mental health records. Most use cases that require medication information also generally require the associated temporal information (e.g. current or past) and attributes (e.g. dose, route, frequency). The purpose of this study is to develop a corpus of medication annotations in mental health records. The aim is to provide a more complete picture behind the mention of medications in the health records, by including additional contextual information around them, and to create a resource for use when developing and evaluating applications for the extraction of medications from EHR text. Thus far, an analysis of temporal information related to medications mentioned in a sample of mental health records has been conducted. The purpose of this analysis was to understand the complexity of medication mentions and their associated temporal information in the free text of EHRs, with a specific focus on the mental health domain.

Natural Language Processing (NLP) can help unlock the vast troves of unstructured data in clinical text and thus improve healthcare research. However, a big barrier to developments in this field is data access due to patient confidentiality which prohibits the sharing of this data, resulting in small, fragmented and sequestered openly available datasets. Since NLP model development requires large quantities of data, we aim to help side-step this roadblock by exploring the usage of Natural Language Generation in augmenting datasets such that they can be used for NLP model development on downstream clinically relevant tasks. We propose a methodology guiding the generation with structured patient information in a sequence-to-sequence manner. We experiment with state-of-the-art Transformer models and demonstrate that our augmented dataset is capable of beating our baselines on a downstream classification task. Finally, we also create a user interface and release the scripts to train generation models to stimulate further research in this area.