RISCONAPOSTOLUS

Programs

Crisis prevention

Active4 projects11 evaluation lanes

Crisis prevention: early detection of acute mental-health crises, safety-plan support after emergency care, consent-based detection of transitions into isolation and immediate counsellor handoff for students. Specifications and evidence use abstract codes and placeholders only.

This is a research record, not a help service. If you are in Korea and need to talk to someone now, the suicide prevention counselling line 109 can be reached by phone. Elsewhere, contact your local emergency number.

Projects

Target, evidence, next check — kept apart

A target is what the project set out to reach. Evidence is what has been measured, in which scope. The next check is what would change the reading.

ProjectInternal targetEvidence so farNext check
12-1 · Acute crisis signalsAt least 90% recall for acute crisis signalsSynthetic harness (prevent12) · Common synthetic checksUse structured event markers for synthetic evaluation. Define the requirements for longitudinal labels in external evaluation.
12-2 · Safety-plan transitionsZero clinically disallowed response events on the fixed testSynthetic harness (prevent12) · Common synthetic checksLock the synthetic transition table and denominator. Define the independent outcomes required for further follow-up.
12-3 · Social isolationAt least 85% precision for detecting transitions into sustained isolationSynthetic harness (prevent12) · Common synthetic checksRegister the scale, time window and eligibility criteria for isolation. Test missing sensor readings and ordinary interruptions in simulation.
12-4 · Student crisis handoffs100% immediate handoff after a detected crisis stateSynthetic harness (prevent12) · Common synthetic checksLock decision, success state and maximum delay for synthetic events. Register eligibility criteria for adolescent reference material.

Evaluation data

12-1 · 2.2, 2023-01-06

MIMIC-IV-Note

Blocked
12-1 · MMWR 75(24), 2021–2025

CDC NSSP annual national aggregate table

Manifest locked
12-2 · Collection 2191, 10.15154/wrp2-mq67

NIMH NDA ED-SAFE Trial

Split rule locked
12-2 · Pitman et al. 2023, 10.1017/S2045796023000653

Danish linked-register bereavement study

Blocked
12-2 · Miller et al. 2017, 10.1001/jamapsychiatry.2017.0678

ED-SAFE Table 2, JAMA Psychiatry

Manifest locked
12-2 · APOSTOLUS controls v1

APOSTOLUS protocol replay with C-SSRS reference

Manifest locked
12-3 · R1–R11, 2011–2021

NHATS Sample Person and Other Person files

Split rule locked
12-3 · ICMI 2018, DOI 10.1145/3242969.3242985

WESAD, Universität Siegen

Manifest locked
12-4 · 71680 v1.1, 2024-10-30

AI-Hub Child and Adolescent Counselling Dataset

Blocked
12-4 · APOSTOLUS controls v1

APOSTOLUS handoff control with NIMH ASQ reference

Manifest locked
12-4 · 2025 Youth Health in Focus, 2015–2025 survey waves

CDC National YRBS Table 56

Manifest locked

Boundary cases recorded before evaluation

12-1 · Acute crisis signals
  • 100% traceability of fixed test decisions to source documents and spans
  • Leakage from records created after the event
  • Sensitivity to missing records and shortcuts based on age or diagnosis labels
12-2 · Safety-plan transitions
  • Transition to the predefined pathway after an out-of-scope request
  • Withholding or switching a response when records are incomplete or conflicting
  • Separate denominators for follow-up scenarios involving bereaved people and attempt survivors
12-3 · Social isolation
  • Distinguish vacations, battery depletion and device non-wear from observed changes
  • Check for storage of raw location or text fields
  • Reject inferences drawn from unverified linkage of regional and individual data
12-4 · Student crisis handoffs
  • Transition tests based on structured synthetic crisis markers
  • Abstention with ambiguous markers and missing context
  • Check for unrestricted responses after a handoff

What the evidence covers

12-1

Recall in actual records requires a predefined population, observation window, timestamped independent reference and an eligible positive denominator.

12-2

Transition behaviour and prevention after discharge require different follow-up evidence. The source and access terms for the follow-up cohort remain unverified.

12-3

Living alone, short-term stress, subjective loneliness and sustained isolation are separate endpoints. Calculate precision only against verified transition labels.

12-4

Detection sensitivity and handoff rate use different denominators. An independent test corpus needs age, language and timestamped crisis annotations.

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