Suicide is a serious public health concern in the U.S., taking the lives of over 47,000 people in 2017. Early detection of suicidal ideation is key to prevention. One promising approach to symptom monitoring is suicidal speech prediction, as speech can be passively collected and may indicate changes in risk. However, directly identifying suicidal speech is difficult, as characteristics of speech can vary rapidly compared with suicidal thoughts. Suicidal ideation is also associated with emotion dysregulation. Therefore, in this work, we focus on the detection of emotion from speech and its relation to suicide. We introduce the Ecological Measurement of Affect, Speech, and Suicide (EMASS) dataset, which contains phone call recordings of individuals recently discharged from the hospital following admission for suicidal ideation or behavior, along with controls. Participants self-report their emotion periodically throughout the study. However, the dataset is relatively small and has uncertain labels. Because of this, we find that most features traditionally used for emotion classification fail. We demonstrate how outside emotion datasets can be used to generate more relevant features, making this analysis possible. Finally, we use emotion predictions to differentiate healthy controls from those with suicidal ideation, providing evidence for suicidal speech detection using emotion.
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This content will become publicly available on May 20, 2025
User Dynamics and Thematic Exploration in r/Depression During the COVID-19 Pandemic: Insights From Overlapping r/SuicideWatch Users
In 2023, the United States experienced its highest- recorded number of suicides, exceeding 50,000 deaths. In the realm of psychiatric disorders, major depressive disorder stands out as the most common issue, affecting 15% to 17% of the population and carrying a notable suicide risk of approximately 15%. However, not everyone with depression has suicidal thoughts. While “suicidal depression” is not a clinical diagnosis, it may be observed in daily life, emphasizing the need for awareness.
This study aims to examine the dynamics, emotional tones, and topics discussed in posts within the r/Depression subreddit, with a specific focus on users who had also engaged in the r/SuicideWatch community. The objective was to use natural language processing techniques and models to better understand the complexities of depression among users with potential suicide ideation, with the goal of improving intervention and prevention strategies for suicide.
Archived posts were extracted from the r/Depression and r/SuicideWatch Reddit communities in English spanning from 2019 to 2022, resulting in a final data set of over 150,000 posts contributed by approximately 25,000 unique overlapping users. A broad and comprehensive mix of methods was conducted on these posts, including trend and survival analysis, to explore the dynamic of users in the 2 subreddits. The BERT family of models extracted features from data for sentiment and thematic analysis.
On August 16, 2020, the post count in r/SuicideWatch surpassed that of r/Depression. The transition from r/Depression to r/SuicideWatch in 2020 was the shortest, lasting only 26 days. Sadness emerged as the most prevalent emotion among overlapping users in the r/Depression community. In addition, physical activity changes, negative self-view, and suicidal thoughts were identified as the most common depression symptoms, all showing strong positive correlations with the emotion tone of disappointment. Furthermore, the topic “struggles with depression and motivation in school and work” (12%) emerged as the most discussed topic aside from suicidal thoughts, categorizing users based on their inclination toward suicide ideation.
Our study underscores the effectiveness of using natural language processing techniques to explore language markers and patterns associated with mental health challenges in online communities like r/Depression and r/SuicideWatch. These insights offer novel perspectives distinct from previous research. In the future, there will be potential for further refinement and optimization of machine classifications using these techniques, which could lead to more effective intervention and prevention strategies.
- Award ID(s):
- 2041065
- PAR ID:
- 10523849
- Publisher / Repository:
- JMIR
- Date Published:
- Journal Name:
- Journal of Medical Internet Research
- Volume:
- 26
- ISSN:
- 1438-8871
- Page Range / eLocation ID:
- e53968
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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