arXiv subjects

Shir Lissak

Publications and source records attributed to Shir Lissak.

4 recordsLinked to original sources

arXiv2026

Ground Truths in Suicide Research: The Current State of AI-Based Suicide Detection in Social Media

Recent advances in artificial intelligence (AI) and social media data have led to growing optimism about the ability to detect suicide risk at scale. However, the empirical foundations of this work remain unclear. This article provides a synthesis of current research on AI-based suicide detection in social media, drawing on a recent umbrella review of 22 systematic reviews covering studies up to 2022, alongside an ongoing literature review extending the analysis to more recent work. Across these sources, we identified 195 relevant studies, which are documented in a detailed supplementary dataset outlining their key characteristics and findings (see Supplementary Information). Analysis of these studies reveals consistent patterns, including rapid growth, concentration on a small number of platforms, reliance on textual and English-language data, and repeated use of similar datasets. Most importantly, the majority of studies rely on indirect labeling strategies that do not involve direct, individual-level validation of suicide risk. Instead, ground truth is typically inferred from observable features of online content, such as linguistic markers or community membership. As a result, the predictive task often shifts from identifying individuals at risk to classifying posts that contain suicidal or distress-related language, limiting the ability of current approaches to detect individuals who do not express such content explicitly online. These findings suggest that current advances in model performance should be interpreted with caution. Progress in this field is likely to depend less on improving model performance and more on ensuring that model predictions meaningfully correspond to suicide risk as it is experienced in real life.

cs.CY↗

arXiv2025

Bridging Online Behavior and Clinical Insight: A Longitudinal LLM-based Study of Suicidality on YouTube Reveals Novel Digital Markers

Suicide remains a leading cause of death in Western countries. As social media becomes central to daily life, digital footprints offer valuable insight into suicidal behavior. Focusing on individuals who attempted suicide while uploading videos to their channels, we investigate: How do linguistic patterns on YouTube reflect suicidal behavior, and how do these patterns align with or differ from expert knowledge? We examined linguistic changes around suicide attempts and compared individuals who attempted suicide while actively uploading to their channel with three control groups: those with prior attempts, those experiencing major life events, and matched individuals from the broader cohort. Applying complementary bottom-up, hybrid, and expert-driven approaches, we analyzed a novel longitudinal dataset of 181 suicide-attempt channels and 134 controls. In the bottom-up analysis, LLM-based topic-modeling identified 166 topics; five were linked to suicide attempts, two also showed attempt-related temporal changes (Mental Health Struggles, $OR = 1.74$; YouTube Engagement, $OR = 1.67$; $p < .01$). In the hybrid approach, clinical experts reviewed LLM-derived topics and flagged 19 as suicide-related. However, none showed significant effects beyond those identified bottom-up. YouTube Engagement, a platform-specific indicator, was not flagged, underscoring the value of bottom-up discovery. A top-down psychological assessment of suicide narratives revealed differing motivations: individuals describing prior attempts aimed to help others ($\beta=-1.69$, $p<.01$), whereas those attempted during the uploading period emphasized personal recovery ($\beta=1.08$, $p<.01$). By integrating these approaches, we offer a nuanced understanding of suicidality, bridging digital behavior and clinical insights.

cs.CL↗

arXiv2024

Bored to Death: Artificial Intelligence Research Reveals the Role of Boredom in Suicide Behavior

Background: Recent advancements in Artificial Intelligence (AI) contributed significantly to suicide assessment, however, our theoretical understanding of this complex behavior is still limited. Objective: This study aimed to harness AI methodologies to uncover hidden risk factors that trigger or aggravate suicide behaviors. Method: The primary dataset included 228,052 Facebook postings by 1,006 users who completed the gold-standard Columbia Suicide Severity Rating Scale. This dataset was analyzed using a bottom-up research pipeline without a-priory hypotheses and its findings were validated using a top-down analysis of a new dataset. This secondary dataset included responses by 1,062 participants to the same suicide scale as well as to well-validated scales measuring depression and boredom. Results: An almost fully automated, AI-guided research pipeline resulted in four Facebook topics that predicted the risk of suicide, of which the strongest predictor was boredom. A comprehensive literature review using APA PsycInfo revealed that boredom is rarely perceived as a unique risk factor of suicide. A complementing top-down path analysis of the secondary dataset uncovered an indirect relationship between boredom and suicide, which was mediated by depression. An equivalent mediated relationship was observed in the primary Facebook dataset as well. However, here, a direct relationship between boredom and suicide risk was also observed. Conclusions: Integrating AI methods allowed the discovery of an under-researched risk factor of suicide. The study signals boredom as a maladaptive 'ingredient' that might trigger suicide behaviors, regardless of depression. Further studies are recommended to direct clinicians' attention to this burdening, and sometimes existential experience.

cs.CL↗

arXiv2024

The Colorful Future of LLMs: Evaluating and Improving LLMs as Emotional Supporters for Queer Youth

Queer youth face increased mental health risks, such as depression, anxiety, and suicidal ideation. Hindered by negative stigma, they often avoid seeking help and rely on online resources, which may provide incompatible information. Although access to a supportive environment and reliable information is invaluable, many queer youth worldwide have no access to such support. However, this could soon change due to the rapid adoption of Large Language Models (LLMs) such as ChatGPT. This paper aims to comprehensively explore the potential of LLMs to revolutionize emotional support for queers. To this end, we conduct a qualitative and quantitative analysis of LLM's interactions with queer-related content. To evaluate response quality, we develop a novel ten-question scale that is inspired by psychological standards and expert input. We apply this scale to score several LLMs and human comments to posts where queer youth seek advice and share experiences. We find that LLM responses are supportive and inclusive, outscoring humans. However, they tend to be generic, not empathetic enough, and lack personalization, resulting in nonreliable and potentially harmful advice. We discuss these challenges, demonstrate that a dedicated prompt can improve the performance, and propose a blueprint of an LLM-supporter that actively (but sensitively) seeks user context to provide personalized, empathetic, and reliable responses. Our annotated dataset is available for further research.

cs.CL↗