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Predicting Momentary Suicidal Ideation From Smartphone Screenshots Using Vision-Language Models: Prospective Machine

Ross Jacobucci1, Wenpei Shao1, Veronika Kobrinsky2

  • 1Center for Healthy Minds, University of Wisconsin-Madison, 625 W Washington Ave, Madison, WI, 53703, United States, 1 (608) 263-6321.

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Summary
This summary is machine-generated.

Analyzing smartphone screenshots with vision-language models (VLMs) can predict momentary suicidal ideation (SI) when personalized. This approach offers a promising, privacy-preserving tool for suicide prevention, complementing traditional methods.

Keywords:
digital phenotypingfoundation modelspassive sensingphone usesmartphonesuicide

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Area of Science:

  • Digital Health
  • Artificial Intelligence in Mental Health
  • Computational Psychiatry

Background:

  • Passive smartphone sensing offers potential for suicide prevention but lacks contextual data for acute distress detection.
  • Analyzing on-phone content (vision, text) may provide more direct indicators of psychological risk than usage patterns alone.

Purpose of the Study:

  • To evaluate the efficacy of vision-language models (VLMs) in predicting momentary suicidal ideation (SI) from smartphone screenshots.
  • To compare the performance of VLM-based prediction against text-only models and traditional lexical screening.

Main Methods:

  • Seventy-nine adults with recent suicidal thoughts/behaviors underwent 28-day monitoring with passive screenshot capture.
  • Fine-tuned open-source VLMs and text-only models to predict SI from screenshots preceding ecological momentary assessments (EMAs).
  • Evaluated model performance using temporal and subject holdout validation strategies.

Main Results:

  • VLM-based models demonstrated strong discrimination (AUC=0.83) at the EMA level, outperforming text-only models.
  • Subject-level generalization was limited (AUC≈0.50), indicating a need for personalization.
  • Smaller models showed comparable performance, suggesting feasibility for on-device deployment.

Conclusions:

  • Smartphone screen content analysis effectively predicts short-term SI with personalized models.
  • A two-stage clinical approach is proposed: initial lexical screening followed by personalized VLM monitoring.
  • On-device inference holds potential for privacy-preserving mental health monitoring.