🤖 AI Summary
Suicide risk prediction among military personnel and veterans remains clinically challenging due to heterogeneous data, sparse labels, small sample sizes, and institutional data silos. Method: This study conducts a systematic review (2010–2024) of 127 machine learning (ML) studies addressing suicidal ideation, attempts, and mortality in this population, employing bibliometric analysis, topic modeling, PROBAST-based quality assessment, and a clinical–technical co-design matrix. Contribution/Results: We introduce the first ML research taxonomy specifically for military and veteran suicide risk prediction. XGBoost and LSTM are the most widely adopted models; however, only 12% underwent prospective clinical validation. Critical gaps include insufficient model interpretability, lack of real-world deployment feasibility, and inadequate generalizability. We identify methodological bottlenecks—particularly data scarcity and cross-institutional interoperability—and propose a multi-center validation roadmap to advance rigorous, scalable, and clinically actionable suicide risk forecasting.