โก Quick Summary
This longitudinal study explored suicidal behavior through the analysis of YouTube videos, revealing novel digital markers associated with suicidality. By examining linguistic patterns, the research identified significant correlations between online behavior and mental health struggles, offering new insights for clinical understanding.
๐ Key Details
- ๐ Dataset: 181 suicide-attempt channels and 134 control channels
- ๐งฉ Features used: Linguistic patterns in YouTube videos
- โ๏ธ Technology: LLM-based topic modeling
- ๐ Key findings: Five topics linked to suicide attempts, with significant temporal changes
๐ Key Takeaways
- ๐ Linguistic analysis on YouTube can provide insights into suicidal behavior.
- ๐ก Five topics were identified as being linked to suicide attempts, including Mental Health Struggles and YouTube Engagement.
- ๐ง Expert review flagged 19 topics as suicide-related, but none showed significant effects beyond bottom-up findings.
- ๐ Temporal changes in language use were observed, indicating shifts in mental health status.
- ๐ค Motivations differed: prior attempt narratives focused on helping others, while current attempts emphasized personal recovery.
- ๐ This study bridges the gap between digital behavior and clinical insights, enhancing understanding of suicidality.
- ๐ Study conducted over a longitudinal timeframe, providing a comprehensive view of changes in behavior.

๐ Background
Suicide is a leading cause of death in Western countries, and understanding the factors contributing to suicidal behavior is crucial for prevention. With the rise of social media, platforms like YouTube have become integral to daily life, offering a unique opportunity to analyze digital footprints. This study aims to leverage these digital markers to gain insights into the linguistic patterns associated with suicidality.
๐๏ธ Study
The research focused on individuals who attempted suicide while actively uploading videos to their YouTube channels. By comparing these individuals with three control groupsโthose with prior attempts, those experiencing major life events, and matched individuals from the broader cohortโthe study employed a combination of bottom-up, hybrid, and expert-driven approaches to analyze the data.
๐ Results
The analysis revealed 166 topics through LLM-based topic modeling, with five topics specifically linked to suicide attempts. Notably, two of these topics exhibited significant temporal changes: Mental Health Struggles (OR = 1.74) and YouTube Engagement (OR = 1.67), both with a p-value of less than .01. The expert review corroborated some findings but did not identify additional significant effects beyond those discovered through the bottom-up approach.
๐ Impact and Implications
This study highlights the potential of using digital behavior as a tool for understanding mental health issues. By identifying novel digital markers associated with suicidality, researchers and clinicians can better tailor interventions and support for individuals at risk. The integration of online behavior analysis into clinical practice could pave the way for more effective suicide prevention strategies.
๐ฎ Conclusion
The findings from this study underscore the importance of bridging the gap between online behavior and clinical insights. By utilizing linguistic patterns from YouTube, we can gain a deeper understanding of suicidality and enhance our approaches to mental health care. Continued research in this area is essential for developing innovative strategies to combat suicide and support those in need.
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Bridging online behavior and clinical insight: A longitudinal LLM-based study of suicidality on youtube reveals novel digital markers.
Abstract
Suicide remains a leading cause of death in Western countries. As social media becomes central to daily life, digital footprints offer valuable insight into suicidal behavior. Focusing on individuals who attempted suicide while uploading videos to their channels, we investigate: How do linguistic patterns on YouTube reflect suicidal behavior, and how do these patterns align with or differ from expert knowledge? We examined linguistic changes around suicide attempts and compared individ- uals who attempted suicide while actively uploading to their channel with three control groups: those with prior attempts, those experiencing major life events, and matched individuals from the broader cohort. Applying complementary bottom-up, hybrid, and expert-driven approaches, we analyzed a novel longitudinal dataset of 181 suicide-attempt channels and 134 controls.1 In the bottom-up analysis, LLM-based topic-modeling identified 166 topics; five were linked to suicide attempts, two also showed attempt-related temporal changes (Mental Health Struggles, OR = 1.74; YouTube Engagement, OR = 1.67; p ยก .01).2 In the hybrid approach, clinical experts reviewed LLM-derived topics and flagged 19 as suicide-related. However, none showed significant effects beyond those identified bottom-up. YouTube Engagement, a platform-specific indicator, was not flagged, underscoring the value of bottom-up discovery. A top-down psycho- logical assessment of suicide narratives revealed differing motivations: individuals describing prior attempts aimed to help others ( = 1.69, p ยก .01), whereas those attempted during the uploading period emphasized personal recovery ( = 1.08, p ยก .01). By integrating these approaches, we offer a nuanced understanding of suicidality, bridging digital behavior and clinical insights.
Author: [‘Sobol I’, ‘Lissak S’, ‘Tikochinski R’, ‘Nakash T’, ‘Klomek AB’, ‘Fruchter E’, ‘Reichart R’]
Journal: J Affect Disord
Citation: Sobol I, et al. Bridging online behavior and clinical insight: A longitudinal LLM-based study of suicidality on youtube reveals novel digital markers. Bridging online behavior and clinical insight: A longitudinal LLM-based study of suicidality on youtube reveals novel digital markers. 2026; (unknown volume):121072. doi: 10.1016/j.jad.2025.121072