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Deductively coding psychosocial autopsy interview data using a few-shot learning large language model.

Elias Balt1,2, Salim Salmi1, Sandjai Bhulai3

  • 1Research Department, 113 Suicide Prevention, Amsterdam, Netherlands.

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Summary
This summary is machine-generated.

Large Language Models (LLMs) can assist in psychosocial autopsy research by deductively coding interview data, showing substantial agreement with human researchers. A collaborative approach integrating LLMs with human review is recommended for efficient qualitative data analysis.

Keywords:
large language model (LLM)psychosocial autopsypublic healthqualitative researchsuicide prevention

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Area of Science:

  • Computational Social Science
  • Psychiatry
  • Artificial Intelligence in Research

Background:

  • Psychosocial autopsy is a qualitative method to identify suicide risk factors.
  • Traditional qualitative research is time-intensive, costly, and prone to bias.
  • Investigating Large Language Models (LLMs) for integration into qualitative research procedures.

Purpose of the Study:

  • To evaluate the feasibility of integrating LLMs into psychosocial autopsy research.
  • To assess LLM performance in deductively coding and summarizing qualitative interview data.
  • To compare LLM performance against human qualitative researchers.

Main Methods:

  • 38 semi-structured interviews from individuals bereaved by suicide were analyzed.
  • Data was deductively coded by qualitative researchers and a LLAMA3 LLM.
  • LLM performance was evaluated on classification tasks and data summarization using Cohen's Kappa and Constant Comparative Method.

Main Results:

  • LLM achieved substantial agreement (accuracy: 0.84 for binary classification, 0.67 for sliding window).
  • LLM summaries were generally adequate (80% rated 'adequate' or 'good').
  • LLM performance varied across codes, with issues like elaboration and hallucination noted.

Conclusions:

  • LLMs show potential to support researchers in coding complex interview data, saving time and resources.
  • A collaborative model, combining LLM coding with researcher review and interpretation, is recommended.
  • Future research should explore LLM performance in diverse contexts and with larger context sizes.