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Assessing a patient's risk of an impending suicide attempt has been hampered by limited information about dynamic factors that change rapidly in the days leading up to an attempt. The storage of patient data in electronic health records (EHRs) has facilitated population-level risk assessment studies using machine learning techniques. Until recently, most such work has used only structured EHR data and excluded the unstructured text of clinical notes. In this article, we describe our experiments on suicide risk assessment, modelling the problem as a classification task. Given the wealth of text data in mental health EHRs, we aimed to assess the impact of using this data in distinguishing periods prior to a suicide attempt from those not preceding such an attempt. We compare three different feature sets, one structured and two text-based, and show that inclusion of text features significantly improves classification accuracy in suicide risk assessment.

Online social media, such as Reddit, has become an important resource to share personal experiences and communicate with others. Among other personal information, some social media users communicate about mental health problems they are experiencing, with the intention of getting advice, support or empathy from other users. Here, we investigate the language of Reddit posts specific to mental health, to define linguistic characteristics that could be helpful for further applications. The latter include attempting to identify posts that need urgent attention due to their nature, e.g. when someone announces their intentions of ending their life by suicide or harming others. Our results show that there are a variety of linguistic features that are discriminative across mental health user communities and that can be further exploited in subsequent classification tasks. Furthermore, while negative sentiment is almost uniformly expressed across the entire data set, we demonstrate that there are also condition-specific vocabularies used in social media to communicate about particular disorders. Source code and related materials are available from: https: //github.com/gkotsis/ reddit-mental-health.

Mental health problems represent a major public health challenge. Automated analysis of text related to mental health is aimed to help medical decision-making, public health policies and to improve health care. Such analysis may involve text classification. Traditionally, automated classification has been performed mainly using machine learning methods involving costly feature engineering. Recently, the performance of those methods has been dramatically improved by neural methods. However, mainly Convolutional neural networks (CNNs) have been explored. In this paper, we apply a hierarchical Recurrent neural network (RNN) architecture with an attention mechanism on social media data related to mental health. We show that this architecture improves overall classification results as compared to previously reported results on the same data. Benefitting from the attention mechanism, it can also efficiently select text elements crucial for classification decisions, which can also be used for in-depth analysis.

Platforms like Reddit and Twitter offer internet users an opportunity to talk about diverse issues, including those pertaining to physical and mental health. Some of these forums also function as a safe space for severely distressed mental health patients to get social support from peers. The online community platform Reddit's SuicideWatch is one example of an online forum dedicated specifically to people who suffer from suicidal thoughts, or who are concerned about people who might be at risk. It remains to be seen if these forums can be used to understand and model the nature of online social support, not least because of the noisy and informal nature of conversations. Moreover, understanding how a community of volunteering peers react to calls for help in cases of suicidal posts, would help to devise better tools for online mitigation of such episodes. In this paper, we propose an approach to characterise conversations in online forums. Using data from the SuicideWatch subreddit as a case study, we propose metrics at a macroscopic level -- measuring the structure of the entire conversation as a whole. We also develop a framework to measure structures in supportive conversations at a mesoscopic level -- measuring interactions with the immediate neighbours of the person in distress. We statistically show through comparison with baseline conversations from random Reddit threads that certain macro and meso-scale structures in an online conversation exhibit signatures of social support, and are particularly over-expressed in SuicideWatch conversations.