This article presents a novel method for causal discovery with generalized structural equation models suited for analyzing diverse types of outcomes, including discrete, continuous, and mixed data. Causal discovery often faces challenges due to unmeasured confounders that hinder the identification of causal relationships. The proposed approach addresses this issue by developing two peeling algorithms (bottom-up and top-down) to ascertain causal relationships and valid instruments. This approach first reconstructs a super-graph to represent ancestral relationships between variables, using a peeling algorithm based on nodewise GLM regressions that exploit relationships between primary and instrumental variables. Then, it estimates parent-child effects from the ancestral relationships using another peeling algorithm while deconfounding a child's model with information borrowed from its parents' models. The article offers a theoretical analysis of the proposed approach, which establishes conditions for model identifiability and provides statistical guarantees for accurately discovering parent-child relationships via the peeling algorithms. Furthermore, the article presents numerical experiments showcasing the effectiveness of our approach in comparison to state-of-the-art structure learning methods without confounders. Lastly, it demonstrates an application to Alzheimer's disease (AD), highlighting the utility of the method in constructing gene-to-gene and gene-to-disease regulatory networks involving Single Nucleotide Polymorphisms (SNPs) for healthy and AD subjects.
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