Estimating suicide risk from text

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When people reach out during a mental health crisis, a top priority for counselors is identifying those with a high risk of suicide. The distressed person’s language holds critical clues, and a new tool developed by scientists at MIT’s McGovern Institute for Brain Research is designed to pick up on and rapidly evaluate those signals.

The language-processing tool was developed by Daniel Low, a former graduate student in Senior Research Scientist Satra Ghosh’s Senseable Intelligence Group who is now a research scientist at the Child Mind Institute, where he leads its AI, Risk, and Contemplative Science Lab, as well as a visiting scholar at Harvard University. It uses a custom-built list of words and phrases linked to 49 suicide risk factors, searching text for these and using them to estimate an individual’s risk.

Ghosh, Low, and colleagues report today in the Journal of Psychopathology and Clinical Science that their tool accurately predicts suicide risk from text conversations with crisis counselors. It is already helping to clarify which suicide risk factors matter most in times of crisis. With more validation, it could help with risk assessment in clinical settings and crisis-support situations.

Suicide attempts are notoriously difficult to predict. Dozens of risk factors have been linked to suicide, and even trained clinicians struggle to identify who will make an attempt among those who have some form of suicidal ideation. Among the factors that can make suicidal thoughts and behaviors more likely are certain psychiatric symptoms and disorders, like depression, borderline personality disorder, and post-traumatic stress disorder, as well as environmental and social stressors, like poverty, incarceration, discrimination, and loneliness.

“You see all these 50 risk factors, and they're all interacting in ways we don't really understand,” Low says. “Many different pathways could lead to someone feeling they want to escape their internal pain,” he says — and it’s challenging to know whose path will lead to a suicide attempt or death.

Ghosh and Low wanted to understand which risk factors counselors and clinicians should most look out for during a mental health crisis. To do that, they collaborated with the Crisis Text Line, whose trained