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Detection of Suicidal Ideation in Clinical Interviews for Depression Using Natural Language Processing and Machine

Tim M H Li1, Jie Chen1, Framenia O C Law1

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Summary
This summary is machine-generated.

Analyzing patient speech with natural language processing (NLP) and machine learning (ML) can detect suicide risk in depression, even when patients deny suicidal ideation. This technology offers a promising tool for more accurate and objective suicide risk assessment.

Keywords:
automated detectionclinical interviewdepressionmachine learningnatural language processingsuicidal ideation

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Area of Science:

  • Psychiatry
  • Computational Linguistics
  • Machine Learning

Background:

  • Assessing suicide risk is challenging, particularly when patients deny suicidal ideation.
  • Primary care providers show limited agreement in screening suicide risk.
  • Patients' speech patterns may offer objective, language-based indicators of suicidal ideation.

Purpose of the Study:

  • To determine if suicidal ideation can be detected using language features from clinical depression interviews via natural language processing (NLP) and machine learning (ML).

Main Methods:

  • A cross-sectional study of 305 participants (depression and healthy controls) using structured interviews (Hamilton Depression Rating Scale).
  • Suicide risk was clinician-rated; interviews were transcribed and analyzed using Linguistic Inquiry and Word Count (LIWC).
  • Ordinal logistic regression and random forest models were employed to analyze language features and detect suicide risk.

Main Results:

  • Significant suicide-related language features were identified; increased use of anger words correlated with higher suicide risk (OR 2.91, P=.02).
  • Random forest models effectively identified high suicide risk (AUC 0.76-0.89) and general suicide risk (AUC 0.83-0.92) through text analysis.
  • Satisfactory suicide risk detection was achieved even without explicit disclosure of suicidal ideation.

Conclusions:

  • NLP and ML analysis of clinical interview texts show potential for accurate and specific suicidality detection.
  • Findings may lead to high-performance, automated suicide risk assessment tools, including chatbot-based screening.
  • Language-based analysis offers a novel approach to identifying suicide risk in individuals with depression.