Evidence map›Paper›PMID 38771256›Full record

ArticleJMIR mental health2024

Using Large Language Models to Understand Suicidality in a Social Media-Based Taxonomy of Mental Health Disorders: Linguistic Analysis of Reddit Posts.

Brian Bauer, Raquel Norel, Alex Leow, Zad Abi Rached, Bo Wen, Guillermo Cecchi

Abstract read
In one paragraph

Article in JMIR mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brian Bauer *Department of Psychology, University of Georgia, Athens, GA, United States.ORCID 0000-0002-8939-4100
Raquel Norel *Digital Health, IBM Research, New York, NY, United States.ORCID 0000-0001-7737-4172
Alex LeowDepartment of Psychiatry, University of Illinois Chicago, Chicago, IL, United States.ORCID 0000-0002-5660-8651
Zad Abi RachedCollege Louise Wegmann, Beirut, Lebanon.ORCID 0009-0008-1979-2921
Bo WenDigital Health, IBM Research, New York, NY, United States.ORCID 0000-0002-2017-1822
Guillermo CecchiDigital Health, IBM Research, New York, NY, United States.ORCID 0000-0003-1013-8348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rates of suicide have increased by over 35% since 1999. Despite concerted efforts, our ability to predict, explain, or treat suicide risk has not significantly improved over the past 50 years. Objective: The aim of this study was to use large language models to understand natural language use during public web-based discussions (on Reddit) around topics related to suicidality. Methods: We used large language model-based sentence embedding to extract the latent linguistic dimensions of user postings derived from several mental health-related subreddits, with a focus on suicidality. We then applied dimensionality reduction to these sentence embeddings, allowing them to be summarized and visualized in a lower-dimensional Euclidean space for further downstream analyses. We analyzed 2.9 million posts extracted from 30 subreddits, including r/SuicideWatch, between October 1 and December 31, 2022, and the same period in 2010. Results: Our results showed that, in line with existing theories of suicide, posters in the suicidality community (r/SuicideWatch) predominantly wrote about feelings of disconnection, burdensomeness, hopeless, desperation, resignation, and trauma. Further, we identified distinct latent linguistic dimensions (well-being, seeking support, and severity of distress) among all mental health subreddits, and many of the resulting subreddit clusters were in line with a statistically driven diagnostic classification system-namely, the Hierarchical Taxonomy of Psychopathology (HiTOP)-by mapping onto the proposed superspectra. Conclusions: Overall, our findings provide data-driven support for several language-based theories of suicide, as well as dimensional classification systems for mental health disorders. Ultimately, this novel combination of natural language processing techniques can assist researchers in gaining deeper insights about emotions and experiences shared on the web and may aid in the validation and refutation of different mental health theories.

Indexed as

LinguisticsMental DisordersSocial MediaSuicideHumansNatural Language ProcessingAIanxietyartificial intelligencedepressiondownstream analysesexplainable AIexplainable artificial intelligencelarge language modelLLMmental healthmental health disordermental health disordersnatural language processingonlineonline discussionssocial mediastresssuicidetraumaweb-based discussions

Identifiers

PMID38771256
PMCPMC11112053

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.