分析青少年自杀死亡案例,揭示线上行为与自杀风险的关联。
Characterizing Online Activities Contributing to Suicide Mortality among Youth
- 基于2.9万份死亡调查文本,提炼12类相关线上活动
- 发现疫情期间线上风险行为普遍上升,与年龄、死因等特征相关
- 融合自杀理论与计算模型,为非明显预警信号提供干预思路
近年来青少年自杀率上升,凸显了理解在线经历如何影响这一公共卫生问题的紧迫性。本研究采用混合方法,基于2013至2022年间29,124份公开的死亡调查文本摘要,通过主题分析识别出12类被调查人员或家属认为与自杀死亡相关的线上活动,并构建零样本学习框架实现大规模建模。研究发现,这些活动涉及自伤、伤人、人际互动、线上活跃度及生活事件等,对应两大主流自杀理论中的不同风险阶段。分析显示,这些主题与逝者年龄、死亡方式及人际问题有关,且在2020年新冠封锁期间显著增多。尽管数字平台已对自杀表达采取一定措施,本研究展示了结合自杀理论与计算方法,针对非明显风险信号开发干预策略的潜力。
原文摘要 · Abstract (English)
The recent rise in youth suicide highlights the urgent need to understand how online experiences contribute to this public health issue. Our mixed-methods approach responds to this challenge by developing a set of themes focused on risk factors for suicide mortality in online spaces among youth ages 10-24, and a framework to model these themes at scale. Using 29,124 open text summaries of death investigations between 2013-2022, we conducted a thematic analysis to identify 12 types of online activities that were considered by investigators or next of kin to be relevant in contextualizing a given suicide death. We then develop a zero-shot learning framework to model these 12 themes at scale, and analyze variation in these themes by decedent characteristics and over time. Our work uncovers several online activities related to harm to self, harm to others, interpersonal interactions, activity levels online, and life events, which correspond to different phases of suicide risk from two prominent suicide theories. We find an association between these themes and decedent characteristics like age, means of death, and interpersonal problems, and many themes became more prevalent during the 2020 COVID-19 lockdowns. While digital spaces have taken some steps to address expressions of suicidality online, our work illustrates the opportunities for developing interventions related to less explicit indicators of suicide risk by combining suicide theories with computational research.
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