Breaking the silence: leveraging social interaction data to identify high-risk suicide users online using network analysis and machine learning.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
20 08 2024
Historique:
received: 02 02 2024
accepted: 14 08 2024
medline: 22 8 2024
pubmed: 22 8 2024
entrez: 21 8 2024
Statut: epublish

Résumé

Suicidal thought and behavior (STB) is highly stigmatized and taboo. Prone to censorship, yet pervasive online, STB risk detection may be improved through development of uniquely insightful digital markers. Focusing on Sanctioned Suicide, an online pro-choice suicide forum, this work derived 17 egocentric network features to capture dynamics of social interaction and engagement within this uniquely uncensored community. Using network data generated from over 3.2 million unique interactions of N = 192 individuals, n = 48 of which were determined to be highest risk users (HRUs), a machine learning classification model was trained, validated, and tested to predict HRU status. Model prediction dynamics were analyzed using introspection techniques to uncover patterns in feature influence and highlight social phenomena. The model achieved a test AUC = 0.73 ([0.61, 0.85], 95% CI), suggesting that network-based socio-behavioral patterns of online interaction can signal for heightened suicide risk. Transitivity, density, and in-degree centrality were among the most important features driving this performance. Moreover, predicted HRUs tended to be targets of social exchanges with lesser frequency and possessed egocentric networks with "small world" network properties. Through the implementation of an underutilized method on an unlikely data source, findings support future incorporation of network-based social interaction features in descriptive, predictive, and preventative STB research.

Identifiants

pubmed: 39169143
doi: 10.1038/s41598-024-70282-0
pii: 10.1038/s41598-024-70282-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

19395

Subventions

Organisme : NIDA NIH HHS
ID : NIDA-5P30DA02992610
Pays : United States
Organisme : NIDA NIH HHS
ID : NIDA-5P30DA02992610
Pays : United States

Informations de copyright

© 2024. The Author(s).

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Auteurs

Damien Lekkas (D)

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, 46 Centerra Parkway, Suite 300, Office #313S, Lebanon, NH, 03766, USA. Damien.Lekkas.GR@dartmouth.edu.
Quantitative Biomedical Sciences Program, Dartmouth College, Hanover, NH, USA. Damien.Lekkas.GR@dartmouth.edu.

Nicholas C Jacobson (NC)

Center for Technology and Behavioral Health, Geisel School of Medicine, Dartmouth College, 46 Centerra Parkway, Suite 300, Office #313S, Lebanon, NH, 03766, USA.
Quantitative Biomedical Sciences Program, Dartmouth College, Hanover, NH, USA.
Department of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Lebanon, NH, USA.
Department of Psychiatry, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.

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