Bayesian Supervised Causal Clustering

Conventional subgroup analyses can yield unstable and difficult-to-interpret conclusions, especially in observational biomedical data where each individual is observed under only one exposure state, true individual treatment effects are unavailable, and causal structure is uncertain. We investigate whether subgroups constructed from pretreatment characteristics, without using exposure, outcome, or estimated treatment-effect information, can serve as interpretable units for budget-constrained policy prioritization. We propose a framework combining causal-discovery-informed covariate selection, discovery-evaluation sample splitting, inductive unsupervised clustering, uncertainty-aware subgroup selection, and held-out doubly robust policy evaluation. We compare K-means, hard, membership-weighted, and stochastic Fuzzy C-means, Bayesian Gaussian mixture models, and a supervised causal-forest-derived CATE-tree comparator. Policies are evaluated under a 70% budget for hypothetical obesity-to-non-obesity and elevated-to-lower-glucose state shifts in the PIMA Indians Diabetes dataset and for a lifetime-smoking-history contrast in NHANES. The highest estimated ungated utilities were 0.799 for the BMI policy using Bayesian GMM, 0.735 for the glucose policy using hard or membership-weighted FCM, and 0.775 for the smoking-history policy using K-means. All paired 95% confidence intervals for policy-risk differences included zero, and no comparison remained statistically significant after Holm adjustment. Bayesian pooling generally preserved ungated allocations, whereas Empirical Bernstein gating was more conservative. Policies with similar estimated utility could nevertheless prioritize different individuals. The findings should be interpreted as assumption-dependent decision-support evidence for hypothetical state contrasts rather than proof of intervention benefit.

We propose CaSPECT, a causal spectral clustering framework for discovering causally homogeneous subgroups from observational data. Rather than clustering in covariate space, CaSPECT defines similarity through the topology of a learned directed acyclic graph (DAG); a bootstrap-stabilised PC algorithm recovers the causal skeleton; a novel Orientation Validation Score (OVS) combines PC bootstrap evidence with DirectLiNGAM to orient edges robustly; directed edges are weighted by backdoor-identified average treatment effects estimated via OLS or double machine learning. Chung's directed Laplacian provides a spectral embedding in which individuals close together share the same causal propagation pathways. We establish almost-sure consistency of the full pipeline and validate the method through a controlled simulation study and on LaLonde CPS1, IHDP, and 401(k) datasets, where CaSPECT recovers a positive and statistically significant treatment effect within the causally comparable subpopulation and corrects for severe confounding without requiring a pre-specified propensity score model.

Causal discovery aims to understand the relationships between individual random variables. In many applications, such as brain imaging and climate modeling, it is more meaningful to consider interactions among groups of variables. Existing methods assume that knowledge of such groups or clusters is explicitly available when modeling interactions. However, in practice, these clusters as well as the causal relationships among them, are latent. In this paper, we present a novel approach based on variational inference to simultaneously infer both the latent clusters and causal structures. We learn an approximate posterior over clusters and graph-structure by considering variational distributions based on categorical and Bernoulli models respectively. We derive variational lower bounds and estimation techniques to learn variational and model parameters. The effectiveness of our proposed methods for cluster and causal discovery are demonstrated on both synthetic and real data sets.