Automatic Extraction of Mental Health Disorders From Domestic Violence Police Narratives: Text Mining Study

Background Vast numbers of domestic violence (DV) incidents are attended by the New South Wales Police Force each year in New South Wales and recorded as both structured quantitative data and unstructured free text in the WebCOPS (Web-based interface for the Computerised Operational Policing System) database regarding the details of the incident, the victim, and person of interest (POI). Although the structured data are used for reporting purposes, the free text remains untapped for DV reporting and surveillance purposes. Objective In this paper, we explore whether text mining can automatically identify mental health disorders from this unstructured text. Methods We used a training set of 200 DV recorded events to design a knowledge-driven approach based on lexical patterns in text suggesting mental health disorders for POIs and victims. Results The precision returned from an evaluation set of 100 DV events was 97.5% and 87.1% for mental health disorders related to POIs and victims, respectively. After applying our approach to a large-scale corpus of almost a half million DV events, we identified 77,995 events (15.83%) that mentioned mental health disorders, with 76.96% (60,032/77,995) of those linked to POIs versus 16.47% (12,852/77,995) for the victims and 6.55% (5111/77,995) for both. Depression was the most common mental health disorder mentioned in both victims (22.25%, 3269) and POIs (18.70%, 8944), followed by alcohol abuse for POIs (12.19%, 5829) and various anxiety disorders (eg, panic disorder, generalized anxiety disorder) for victims (11.66%, 1714). Conclusions The results suggest that text mining can automatically extract targeted information from police-recorded DV events to support further public health research into the nexus between mental health disorders and DV.

[1]  K. Suzanne Barber,et al.  Modelling and Analysis of Identity Threat Behaviors through Text Mining of Identity Theft Stories , 2014, 2014 IEEE Joint Intelligence and Security Informatics Conference.

[2]  Pierre Zweigenbaum,et al.  Text mining applications in psychiatry: a systematic literature review , 2016, International journal of methods in psychiatric research.

[3]  Norman Johnson,et al.  Mental disorder and violence: is there a relationship beyond substance use? , 2012, Social Psychiatry and Psychiatric Epidemiology.

[4]  R. Fischbach,et al.  Domestic violence and mental health: correlates and conundrums within and across cultures. , 1997, Social science & medicine.

[5]  R. Dobson,et al.  Natural language processing to extract symptoms of severe mental illness from clinical text: the Clinical Record Interactive Search Comprehensive Data Extraction (CRIS-CODE) project , 2017, BMJ Open.

[6]  L. Howard,et al.  Experiences of Domestic Violence and Mental Disorders: A Systematic Review and Meta-Analysis , 2012, PloS one.

[7]  Zina M. Ibrahim,et al.  Identification of Adverse Drug Events from Free Text Electronic Patient Records and Information in a Large Mental Health Case Register , 2015, PloS one.

[8]  Goran Nenadic,et al.  Text mining of cancer-related information: Review of current status and future directions , 2014, Int. J. Medical Informatics.

[9]  L. Howard,et al.  Domestic violence and severe psychiatric disorders: prevalence and interventions , 2009, Psychological Medicine.

[10]  Robert Eriksson,et al.  Dictionary construction and identification of possible adverse drug events in Danish clinical narrative text , 2013, J. Am. Medical Informatics Assoc..

[11]  Goran Nenadic,et al.  Automatic mining of symptom severity from psychiatric evaluation notes , 2017, International journal of methods in psychiatric research.

[12]  M. Fava,et al.  Using electronic medical records to enable large-scale studies in psychiatry: treatment resistant depression as a model , 2011, Psychological Medicine.

[13]  Sunghwan Sohn,et al.  Drug side effect extraction from clinical narratives of psychiatry and psychology patients , 2011, J. Am. Medical Informatics Assoc..

[14]  George Hripcsak,et al.  Automated encoding of clinical documents based on natural language processing. , 2004, Journal of the American Medical Informatics Association : JAMIA.

[15]  Jonas Poelmans,et al.  Formally analysing the concepts of domestic violence , 2011, Expert Syst. Appl..

[16]  Kalina Bontcheva,et al.  Getting More Out of Biomedical Documents with GATE's Full Lifecycle Open Source Text Analytics , 2013, PLoS Comput. Biol..

[17]  R. Bhatt Domestic violence and substance abuse , 1998, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[18]  K. Dean,et al.  Gender and violence against people with severe mental illness , 2010, International review of psychiatry.

[19]  Sergei M. Ananyan Crime pattern analysis through text mining , 2004, AMCIS.

[20]  R. Weiss,et al.  Domestic violence in women with PTSD and substance abuse. , 2004, Addictive behaviors.

[21]  Sunghwan Sohn,et al.  Mayo clinical Text Analysis and Knowledge Extraction System (cTAKES): architecture, component evaluation and applications , 2010, J. Am. Medical Informatics Assoc..

[22]  Sophia Ananiadou,et al.  Text mining and its potential applications in systems biology. , 2006, Trends in biotechnology.