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Uncovering Intervention Opportunities for Suicide Prevention with Language Model Assistants

Suicide mortality research includes working with data called death narratives, which are text summaries created by coroner and medical examiner offices that describe the scene, body, and informant interview information about a decedent. The narratives can be graphic and emotionally difficult to read, but they can contain crucial information to inform prevention. This project uses data from over 270,000 suicide death narratives in the National Violent Death Reporting System to determine if language models can help to identify novel variables.

Goals

To identify both novel suicide risk factors and potential bystanders from suicide death narratives

Methods

We facilitate data-driven insights from the NVDRS data to support the development of novel suicide interventions by leveraging language models as assistants to both NVDRS data annotators and prevention research experts. First, we design an algorithm that uses language models (LMs) to predict existing structured variables in the NVDRS from the law enforcement and coroner’s medical reports, to ensure that language models can do this task effectively. Indeed, we find that LM predictions match existing data annotations with high accuracy across multiple NVDRS variables. Next, we introduce a human-in-the-loop algorithm that helps experts efficiently build and refine guidelines for predicting novel variables by having them only focus on providing feedback for incorrect LM predictions. We apply our algorithm to a real-world case study to find evidence of victim interactions with legal professionals, which surfaces a substantial opportunity for upstream intervention that is not captured in the original structured data.

If you or someone you know are in crisis, please call the free National Suicide Prevention Lifeline at 988 or chat with someone at 988lifeline.org. Call and chat are available 24 hours a day, 7 days a week. 

John Blosnich

Swabha Swayamdipta

Jaspreet Ranjit

National Institute of Mental Health

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