Evidence map›Paper›PMID 40739513›Full record

ArticleBMC psychiatry2025

MentalAId: an improved DenseNet model to assist scalable psychosis assessment.

Muxi Li, Farong Liu, Fei Du, Guolin Hong, Qing Hu, Zhi-Liang Ji, Pan You

Erratum issuedAbstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Muxi Li *State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen, Fujian, 361102, P R China.
Farong Liu *Xiamen Key Laboratory of Brain Center, Fujian Provincial Key Laboratory of Neurodegenerative Disease and Aging Research, Institute of Neuroscience, School of Medicine, Xiamen University, Xiamen, Fujian, 361102, China.
Fei Du *State Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen, Fujian, 361102, P R China.
Guolin Hong *Department of Laboratory Medicine, Xiamen Key Laboratory of Genetic Testing, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361005, P R China.
Qing HuFujian Psychiatric Center, Fujian Clinical Research Center for Mental Disorders, Xiamen Xianyue Hospital, Xianyue Hospital Affiliated to Xiamen Medical College, Xiamen, Fujian, 361012, China.
Zhi-Liang JiState Key Laboratory of Cellular Stress Biology, School of Life Sciences, Faculty of Medicine and Life Sciences, Xiamen University, Xiamen, Fujian, 361102, P R China. appo@xmu.edu.cn.
Pan YouFujian Psychiatric Center, Fujian Clinical Research Center for Mental Disorders, Xiamen Xianyue Hospital, Xianyue Hospital Affiliated to Xiamen Medical College, Xiamen, Fujian, 361012, China. panyou001@yahoo.com.

Funding

the National Key Research & Developmental Program of China 2024YFF1206802the National Natural Science Foundation of China 82171474the Natural Science Foundation of Fujian Province of China 2020J011241the XMU-Xianyue Hospital Collaboration Project XDHT2016013C
6 · The paper itself

Abstract

backgroundThe escalating mental health crisis during and post-COVID-19 underscores the urgent need for scalable, timely, cost-effective assessment solutions for general psychotic disorders. Regretfully, traditional symptom-based, one-to-one assessment face inherent limitations in large-scale and longitudinal screening, likely delaying early intervention.

methodsWe developed MentalAId, an improved densely connected convolutional network (DenseNet) model, to assist automated psychosis recognition, leveraging accessible routine laboratory data without requiring additional specialized tests. MentalAId learned subtle variations in 49 routine clinical hematological tests and two demographic variables (sex and age) across 28,746 individuals spanning four distinct cohorts: psychotic inpatients (n = 9,271), non-psychotic inpatients with various diseases (n = 14,508), healthy controls (n = 1,826), and drug-naïve first-episode psychosis (FEP) patients (n = 3,141).

resultsThe MentalAId model achieved high accuracy in generally discriminating psychoses from both healthy individuals and patients with other physical diseases, achieving 93.3% accuracy and AUC of 0.983. Further validating its robustness, MentalAId demonstrated high performance under real-world clinical conditions, accurately handling extreme values and missing values, with accuracies of 92.4% and 92.0%, respectively. Even encompassing the drug-naïve FEPs, MentalAId maintained an accuracy of 91.9%, underscoring its translational potential for early FEP recognition. Interpretability analyses identified indirect bilirubin, direct bilirubin, and basophil ratio as potential metabolic indicators.

conclusionsCollectively, MentalAId offers an accessible, affordable, and scalable solution to assist timely psychosis assessment and monitoring, irrespective of the complexity of pathology or manifestation of symptoms. By requiring standard blood tests solely, it can be easily integrated into existing healthcare workflow. This empowers long-term and population-wide monitoring of disease progression and prognosis, particularly during public health crises like COVID-19.

Indexed as

Convolutional Neural NetworksCOVID-19Psychotic DisordersAdultFemaleHumansMaleMiddle AgedNeural Networks, ComputerYoung AdultBlood testDeep learningFirst-episode psychosisHematological characteristicsPsychosis diagnosis

Identifiers

PMID40739513
PMCPMC12312544

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.