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Real-time assistance in suicide prevention helplines using a deep learning-based recommender system: A randomized
Salim Salmi1, Saskia Mérelle2, Nikki van Eijk2
1Research, 113 Suicide Prevention, Paasheuvelweg 25, 1105 BP Amsterdam-Zuidoost, Netherlands; Stochastics, Centrum Wiskunde & Informatica, P.O. Box 94079, 1090 GB Amsterdam, Netherlands; Mathematics, Faculty of Science, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, Netherlands.
This study evaluated an AI tool for suicide prevention helplines. While not improving counselor self-efficacy, the AI provided usable suggestions, particularly in complex, longer conversations.
Area of Science:
- Psychology
- Computer Science
- Public Health
Background:
- Suicide prevention helplines are critical for mental health support.
- Counselors face high-pressure situations requiring real-time decision-making.
- AI tools offer potential for augmenting human support in crisis interventions.
Purpose of the Study:
- To assess the effectiveness and usability of an AI-assisted tool for real-time counselor support in suicide prevention.
- To evaluate the impact of AI assistance on counselor self-efficacy and response times.
- To analyze the patterns and appropriateness of AI tool usage during helpline conversations.
Main Methods:
- A randomized controlled trial (RCT) comparing an AI tool group with a control group (care as usual).
- The AI tool utilized BERT sentence embeddings and cosine similarity for suggestion generation.
- Counselor self-efficacy was measured via questionnaires; tool usage was logged for frequency, duration, and content analysis.
Main Results:
- No significant difference in self-efficacy between AI and control groups (p=0.36).
- AI tool users exhibited marginally lower response times and increased usage in longer conversations.
- Appropriate AI tool use yielded usable suggestions in 83% of instances, but optimal timing was often missed.
Conclusions:
- AI-assisted tools show potential for supporting counselors in suicide prevention, offering usable suggestions.
- Challenges remain in optimal AI tool integration, including counselor proficiency and trust.
- Further research is needed to refine AI tools for effective real-time crisis intervention support.
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