Multiclass SVM with Kernel Optimization for Schizophrenia Subtype Classification Using Clinical Symptom Records

Authors

  • Reisa Maulidya Rohman Department of Informatics, Faculty of Engineering, Mulawarman University, Indonesia
  • Anindita Septiarini Department of Informatics, Faculty of Engineering, Mulawarman University, Indonesia
  • Andi Tejawati Department of Informatics, Faculty of Engineering, Mulawarman University, Indonesia

DOI:

10.33395/sinkron.v10i2.15926

Keywords:

Clinical Symptom Records; Multiclass SVM; One-Against-All; RBF Kernel; Schizophrenia

Abstract

Schizophrenia is a mental disorder that affects about 0.3% of the world population. It is characterized by a wide range of symptoms that form several subtypes. Overlapping symptoms and subjective clinical assessments may reduce consistency and make subtype classification challenging. Machine learning algorithms that use patients’ medical records offer a potentially objective approach for subtype classification. This study aims to classify four schizophrenia subtypes: paranoid, catatonic, undifferentiated, and residual, based on subtype labels recorded in the hospital using a multiclass SVM approach with kernel optimization. The dataset consists of 218 medical records of schizophrenia patients with 25 binary symptom variables used as input features. SVM was trained using two multiclass approaches, namely OAO and OAA. Evaluation was performed using five-fold stratified cross-validation. Performance was calculated using accuracy, macro-precision, macro-recall, and macro F1-score. Optimal performance was achieved using the OAA approach with an RBF kernel at C = 10 and gamma = 0.1. This configuration achieved an accuracy, macro-precision, macro-recall, and macro F1-score of 0.89, 0.90, 0.86, and 0.87, respectively. These results show that the multiclass approach, kernel functions, and parameter configuration influence classification performance. The proposed model may serve as a screening or decision-support tool to assist subtype identification based on clinical symptom records.

 

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References

Abdelfattah, S., Baza, M., Mahmoud, M., Fouda, M. M., Abualsaud, K., Yaacoub, E., … Guizani, M. (2023). Lightweight Multi-Class Support Vector Machine-Based Medical Diagnosis System with Privacy Preservation. Sensors, 23(22). doi:10.3390/s23229033

An, Q., Rahman, S., Zhou, J., & Kang, J. J. (2023). A Comprehensive Review on Machine Learning in Healthcare Industry: Classification, Restrictions, Opportunities and Challenges. Sensors, 23(9). doi:10.3390/s23094178

Anwar, A., Mustafa, A. M., Abdou, K., A. Rabie, M., El-Shiekh, R. A., & El-Dessouki, A. M. (2025). A comprehensive review on schizophrenia: epidemiology, pathogenesis, diagnosis, conventional treatments, and proposed natural compounds used for management. Naunyn-Schmiedeberg’s Archives of Pharmacology, 398(11), 15231–15255. doi:10.1007/s00210-025-04351-0

Aurelia, J. E., Rustam, Z., Wirasati, I., Hartini, S., & Saragih, G. S. (2021). Hepatitis classification using support vector machines and random forest. IAES International Journal of Artificial Intelligence, 10(2), 446–451. doi:10.11591/IJAI.V10.I2.PP446-451

Delimayanti, M. K., Sari, R., Laya, M., Faisal, M. R., & Pahrul. (2021). Pemanfaatan Metode Multiclass-SVM pada Model Klasifikasi Pesan Bencana Banjir di Twitter. Edu Komputika, 8(1), 39–47.

Desiawan, M., & Solichin, A. (2024). SVM Optimization with Grid Search Cross Validation for Improving Accuracy of Schizophrenia Classification Based on EEG Signal. JURNAL TEKNIK INFORMATIKA, 17(1), 10–20. doi:10.15408/jti.v17i1.37422

Elbillihy, T. A., AbdElhalim, E., Ashour, M., & Nafea, H. B. (2026). Prediction of Thyroid Disease Based on Machine Learning Algorithms. Mansoura Engineering Journal, 51(1). doi:10.58491/2735-4202.3388

Faden, J., & Citrome, L. (2023). Schizophrenia: One Name, Many Different Manifestations. Medical Clinics of North America, 107(1), 61–72. doi:10.1016/j.mcna.2022.05.005

Goel, S. (2025). Early Detection of Schizophrenia Using Machine Learning Algorithms: A Comprehensive Review. Journal of Ecophysiology and Occupational Health, 529–547. doi:10.18311/jeoh/2025/49515

Guido, R., Ferrisi, S., Lofaro, D., & Conforti, D. (2024). An Overview on the Advancements of Support Vector Machine Models in Healthcare Applications: A Review. Information (Switzerland), 15(4). doi:10.3390/info15040235

Hamdani, H., Hatta, H. R., Puspitasari, N., Septiarini, A., & Henderi. (2022). Dengue classification method using support vector machines and cross-validation techniques. IAES International Journal of Artificial Intelligence, 11(3), 1119–1129. doi:10.11591/ijai.v11.i3.pp1119-1129

Haque, R., Islam, N., Tasneem, M., & Das, A. K. (2023). Multi-class sentiment classification on Bengali social media comments using machine learning. International Journal of Cognitive Computing in Engineering, 4, 21–35. doi:10.1016/j.ijcce.2023.01.001

Hartini, S., & Rustam, Z. (2020). The comparison study of kernel KC-means and support vector machines for classifying schizophrenia. Telkomnika (Telecommunication Computing Electronics and Control), 18(3), 1643–1649. doi:10.12928/TELKOMNIKA.v18i3.14847

Jain, N., & Kumar, R. (2022). A Review on Machine Learning & It’s Algorithms. International Journal of Soft Computing and Engineering, 12(5), 1–5. doi:10.35940/ijsce.E3583.1112522

Kiram, M. A., Darnila, E., & Sahputra, I. (2025). Machine Learning Klasifikasi Penyakit Jiwa Menggunakan Metode K-Nearest Neighbor Berbasis Web. Jurnal Ners, 9(2), 2445–2456. doi:10.31004/jn.v9i2.43319

Krebs, R., Bagui, S. S., Mink, D., & Bagui, S. C. (2024). Applying Multi-CLASS Support Vector Machines: One-vs.-One vs. One-vs.-All on the UWF-ZeekDataFall22 Dataset. Electronics (Switzerland), 13(19). doi:10.3390/electronics13193916

Lee, M. C. H., Braet, J., & Springael, J. (2024). Performance Metrics for Multilabel Emotion Classification: Comparing Micro, Macro, and Weighted F1-Scores. Applied Sciences (Switzerland), 14(21). doi:10.3390/app14219863

Lim, D. X. E., Yeo, S. Y., Chia, Z. Y. A., Fernandis, A. Z., Lee, J., & Chua, J. J. E. (2025). Schizophrenia: Genetics, neurological mechanisms, and therapeutic approaches. Neural Regeneration Research, 21(3), 1089–1103. doi:10.4103/NRR.NRR-D-24-01375

Miras, J. R. de, Ibáñez-Molina, A. J., Soriano, M. F., & Iglesias-Parro, S. (2023). Schizophrenia classification using machine learning on resting state EEG signal. Biomedical Signal Processing and Control, 79. doi:10.1016/j.bspc.2022.104233

Nisa, K., & Wibisono, S. K. (2023). Klasifikasi Penyakit Skizofrenia menggunakan Algoritma Logistic Regresion. Jurnal Riset Sistem Informasi Dan Teknik Informatika (JURASIK), 8(2), 696–704.

Prambudi, O. C., Susanto, A., & Sari, C. A. (2025). KLASIFIKASI SKIZOFRENIA MENGGUNAKAN FUZZY K- NEAREST NEIGHBOR PADA DATA PASIEN RSJD Dr. AMINO GONDOHUTOMO. INOVTEK Polbeng - Seri Informatika, 10(2), 796–805. doi:10.35314/t2mfvf14

Prusty, S., Patnaik, S., & Dash, S. K. (2022). SKCV: Stratified K-fold cross-validation on ML classifiers for predicting cervical cancer. Frontiers in Nanotechnology, 4. doi:10.3389/fnano.2022.972421

Purnami, S. W., Karimah, S., Andari, S., Wulandari, D. P., Hadiwidodo, Y. S., Islamiyah, W. R., … Zain, J. M. (2025). Mental state classification based on electroencephalogram (EEG) using multiclass support vector machine. The Medical Journal of Malaysia, 80(3), 352–358.

Qaiser, A., Manzoor, S., Hashmi, A. H., Javed, H., Zafar, A., & Ashraf, J. (2024). Support Vector Machine Outperforms Other Machine Learning Models in Early Diagnosis of Dengue Using Routine Clinical Data. Advances in Virology, 2024(1). doi:10.1155/2024/5588127

Ramadhan, T. F., Asrianda, & Risawandi. (2025). Penerapan Metode Algoritma SVM (Support Vector Machine) Untuk Klasifikasi Penderita Penyakit Gastroesophageal Reflux Disease. Rabit : Jurnal Teknologi Dan Sistem Informasi Univrab, 10(2), 1212–1219. doi:10.36341/rabit.v10i2.6466

Razali, M. N., Arbaiy, N., Lin, P. C., & Ismail, S. (2025). Optimizing Multiclass Classification Using Convolutional Neural Networks with Class Weights and Early Stopping for Imbalanced Datasets. Electronics (Switzerland), 14(4). doi:10.3390/electronics14040705

Shanarova, N., Pronina, M., Lipkovich, M., Ponomarev, V., Müller, A., & Kropotov, J. (2023). Application of Machine Learning to Diagnostics of Schizophrenia Patients Based on Event-Related Potentials. Diagnostics, 13(3). doi:10.3390/diagnostics13030509

Silva, H., Duque, V., Macedo, M., & Mendes, M. (2024). Aiding ICD-10 Encoding of Clinical Health Records Using Improved Text Cosine Similarity and PLM-ICD. Algorithms, 17(4). doi:10.3390/a17040144

Soria, C., Arroyo, Y., Torres, A. M., Redondo, M. Á., Basar, C., & Mateo, J. (2023). Method for Classifying Schizophrenia Patients Based on Machine Learning. Journal of Clinical Medicine, 12(13). doi:10.3390/jcm12134375

Sunaryo, R. P., Somantri, M., & Triwiyatno, A. (2025). A Supervised Learning Approach for Schizophrenia Subtype Classification Using Clinical Data from XYZ Psychiatric Hospital (pp. 1–6). Institute of Electrical and Electronics Engineers (IEEE). doi:10.1109/icitacee66165.2025.11232780

Tandon, R., Nasrallah, H., Akbarian, S., Carpenter, W. T., DeLisi, L. E., Gaebel, W., … Keshavan, M. (2024). The schizophrenia syndrome, circa 2024: What we know and how that informs its nature. Schizophrenia Research, 264, 1–28. doi:10.1016/j.schres.2023.11.015

Tavakoli, H., Rostami, R., Shalbaf, R., & Nazem-Zadeh, M. R. (2025). Diagnosis of Schizophrenia and Its Subtypes Using MRI and Machine Learning. Brain and Behavior, 15(1). doi:10.1002/brb3.70219

Valle, R. (2020). Schizophrenia in ICD-11: Comparison of ICD-10 and DSM-5. Revista de Psiquiatría y Salud Mental, 13(2), 95–104. doi:10.1016/j.rpsm.2020.01.001

Velligan, D. I., & Rao, S. (2023). The Epidemiology and Global Burden of Schizophrenia. The Journal of Clinical Psychiatry, 84(1). doi:10.4088/JCP.MS21078COM5

World Health Organization. (2025). World Mental Health Today: Latest Data. Geneva: World Health Organization.

Yamasari, Y., Qoiriah, A., Rochmawati, N., Yoshimoto, K., Ahmad, R. A., & Putra, O. V. (2023). Detecting Students’ Behavior on the E-Learning System Using SVM Kernels - Based Ensemble Learning Algorithm. International Journal of Intelligent Engineering and Systems, 16(1), 142–153. doi:10.22266/ijies2023.0228.13

Yuliana, Y., Robet, R., & Hoki, L. (2026). Comparative Analysis of XGBoost, KNN, and SVM Algorithms for Heart Disease Prediction Using SMOTE-Tomek Balancing. Sinkron, 10(1), 305–314. doi:10.33395/sinkron.v10i1.15469

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How to Cite

Rohman, R. M., Septiarini, A., & Tejawati, A. . (2026). Multiclass SVM with Kernel Optimization for Schizophrenia Subtype Classification Using Clinical Symptom Records. Sinkron : Jurnal Dan Penelitian Teknik Informatika, 10(2), 835-845. https://doi.org/10.33395/sinkron.v10i2.15926