用人际自杀理论分析网络自杀意念,揭示高危表达特征与支持响应差异。
Interpersonal Theory of Suicide as a Lens to Examine Suicidal Ideation in Online Spaces
- 以人际自杀理论为框架,分类分析5.96万条Reddit帖子的意念维度。
- 高危意念者常提及计划、方法及痛苦,且具明确自我伤害倾向。
- AI虽提升语言结构,但缺乏动态共情,难替代真实支持者。
自杀是全球重大公共卫生问题,每年有数百万人经历自杀意念(SI)。在线空间使个体能表达SI并寻求同伴支持。尽管已有研究利用机器学习和自然语言分析检测SI,但关键局限在于缺乏理论框架来理解影响高风险自杀意图的深层因素。为此,本文采用人际自杀理论(IPTS)作为分析视角,对Reddit r/SuicideWatch社区的59,607篇帖子进行分析,将其划分为四类意念维度(孤独、缺乏互爱、自责、负担感)和三类风险因素(归属受阻、自我负担感、自杀习得能力)。研究发现,高风险意念帖常包含具体计划、实施手段、工具使用以及身心痛苦描述。此外,通过心理语言学与内容分析,发现回应者对不同阶段的意念帖反应存在差异。最后,探索了AI聊天机器人在提供支持性回应中的作用,结果表明,尽管AI提升了语言连贯性,但专家评估指出其在动态适应、个性化和深度共情方面仍存在明显不足。研究强调,在开发和采纳基于AI的心理健康干预时,需更深入地反思其实际效果与伦理边界。
原文摘要 · Abstract (English)
Suicide is a critical global public health issue, with millions experiencing suicidal ideation (SI) each year. Online spaces enable individuals to express SI and seek peer support. While prior research has revealed the potential of detecting SI using machine learning and natural language analysis, a key limitation is the lack of a theoretical framework to understand the underlying factors affecting high-risk suicidal intent. To bridge this gap, we adopted the Interpersonal Theory of Suicide (IPTS) as an analytic lens to analyze 59,607 posts from Reddit's r/SuicideWatch, categorizing them into SI dimensions (Loneliness, Lack of Reciprocal Love, Self Hate, and Liability) and risk factors (Thwarted Belongingness, Perceived Burdensomeness, and Acquired Capability of Suicide). We found that high-risk SI posts express planning and attempts, methods and tools, and weaknesses and pain. In addition, we also examined the language of supportive responses through psycholinguistic and content analyses to find that individuals respond differently to different stages of Suicidal Ideation (SI) posts. Finally, we explored the role of AI chatbots in providing effective supportive responses to suicidal ideation posts. We found that although AI improved structural coherence, expert evaluations highlight persistent shortcomings in providing dynamic, personalized, and deeply empathetic support. These findings underscore the need for careful reflection and deeper understanding in both the development and consideration of AI-driven interventions for effective mental health support.
Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。