Reading Between the Signs: Predicting Future Suicidal Ideation from Adolescent Social Media Texts

Paul Blum, Enrico Liscio, Ruixuan Zhang, Caroline Figueroa, Pradeep K. Murukannaiah


Abstract
Suicide is a leading cause of death, yet predicting it remains a significant challenge. Risk factors such as depression or substance use are commonly used for prediction, but their predictive performance is often only slightly better than chance. Additionally, many cases go undetected due to a lack of contact with mental health services. Social media, however, offers a unique opportunity, as people often share their thoughts and struggles online in real time. In this work, we propose a novel task and method intending to achieve a positive impact through earlier identification: we predict suicidal ideation and behavior (SIB) before a user ever expresses it on an online forum. We introduce Early-SIB, a transformer-based model that sequentially processes the posts a user writes and engages with to predict whether they will write a SIB post. Our model achieves a balanced accuracy of 0.73 in predicting future SIB on a Dutch youth forum, demonstrating that such tools can offer a meaningful addition to traditional methods. Additionally, we employ Shapley Additive Explanations to help human reviewers better understand the model’s predictions.
Anthology ID:
2026.nlp4pi-1.31
Volume:
Proceedings of the Fifth Workshop on NLP for Positive Impact (NLP4PI)
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Katherine Atwell, Angana Borah, Daryna Dementieva, Elisa Kreiss, Neema Kotonya, Jiarui Liu, Liz Olson, Ruyuan Wan, Jieyu Zhao
Venues:
NLP4PI | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
360–374
Language:
URL:
https://aclanthology.org/2026.nlp4pi-1.31/
DOI:
Bibkey:
Cite (ACL):
Paul Blum, Enrico Liscio, Ruixuan Zhang, Caroline Figueroa, and Pradeep K. Murukannaiah. 2026. Reading Between the Signs: Predicting Future Suicidal Ideation from Adolescent Social Media Texts. In Proceedings of the Fifth Workshop on NLP for Positive Impact (NLP4PI), pages 360–374, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Reading Between the Signs: Predicting Future Suicidal Ideation from Adolescent Social Media Texts (Blum et al., NLP4PI 2026)
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PDF:
https://aclanthology.org/2026.nlp4pi-1.31.pdf