A Comparative Study of Affective and Linguistic Traits in Online Depression and Suicidal Discussion Forums
Salim Sazzed, Department of Computer Science, Old Dominion University, Norfolk, VA, USA (salim.sazzed@gmail.com)
Published in HT '23: 34th ACM Conference on Hypertext and Social Media · DOI: 10.1145/3603163.3609059 · License: CC BY 4.0
Authors: Salim Sazzed
Keywords: Mental health, depression, linguistic analysis, social health text, suicidal thought
Session: Social and Intelligent Media: Through the mirror of social media
Pages: 6
Conference: HT '23
Abstract
Depression is a type of mental illness that negatively impacts the lives of millions of people worldwide. Extreme depression is related to increasingly hopeless and worthless feelings, which may lead to suicidal attempts. The widespread use of social media, coupled with the anonymity it provides, enables individuals to freely express and share their frustrations and low emotions on these platforms. As a preliminary study, here, we investigate how the user-generated content regarding the two mental-health issues, depression and suicidal tendencies, are related at linguistic levels based on two Reddit mental-health forums. By collecting user posts from two Reddit social media forums, r/depression and r/suicidal watch, we seek to find the (dis)similarity of the various affective, grammatical, and semantic attributes in these two groups. We find that while some of the affective features exhibit some differences, overall, most attributes yield similar patterns in these two groups. The results suggest that it is very challenging to separate depressive posts from suicidal posts at the linguistic level as they possess similar traits. Hence, it is imperative to monitor the content of the depression forum vigilantly (likewise the suicidal forum) to identify any suicidal tendencies.
CCS CONCEPTS
Information systems → World Wide Web;
Computing methodologies → Natural language processing.
KEYWORDS
Mental health, depression, suicidal thought, social health text, linguistic analysis
ACM Reference Format
Salim Sazzed. 2023. A Comparative Study of Affective and Linguistic Traits in Online Depression and Suicidal Discussion Forums. In 34th ACM Conference on Hypertext and Social Media (HT '23), September 4–8, 2023, Rome, Italy. ACM, New York, NY, USA, 6 pages. https://doi.org/10.1145/3603163.3609059
1 INTRODUCTION
Depression is one of the leading causes of disability (e.g., partial, mild, and extreme conditions) [10] that affects over 300 million people worldwide and negatively impacts their family, social and professional life. A depressed person is vulnerable to inflicting self-harm [36] and renders the possibility of being a serious threat to public safety. Unfortunately, the worldwide occurrence of depression is soaring [16], with an increase of 18% between 2005 and 2015. Suicide is one of the leading causes of death, especially for young people in the age group between 15 and 24 years.¹ According to World Health Organization (WHO), over 0.7 million people die from suicide each year²; indeed, suicide is the fourth leading cause of death. Many warning signs of possible suicidal feelings could be related to extreme depression. Early detection of mental illness such as depression and determining its severity can help prevent its negative effects by taking appropriate measures [8, 19].
The increasing popularity of social media platforms (e.g., Twitter [28], Reddit, and Facebook [30]) makes them significant data sources for mental health research as people frequently share their thoughts, feelings, and opinions there [20, 29]. User-generated content on social media portrays behavioral aspects related to individuals' moods, communication styles, activities, and social interactions. The emotional content and language employed in social media posts can serve as potential indicators of mental health issues, including symptoms such as feelings of worthlessness, guilt, helplessness, and self-hatred that are commonly associated with major depression. Previous research has shown that individuals with mental illnesses may utilize social media as an outlet for expressing their emotional state and seeking relief from their condition [25], revealing a potential link between the content of social media posts and mental health.
In recent years, several studies have concentrated on automatically identifying depressive or suicidal text in social media using different techniques [4, 26]. For instance, Pirina and Çöltekin [26] applied the support vector machine (SVM) classifier to analyze depression in Reddit posts. Orabi et al. [24] categorized depressive posts on two Twitter benchmark datasets, CLPsych2015 [5] and Bell Letters Talk datasets utilizing convolutional neural network (CNN) and recurrent neural network (RNN). More recently, Zogan et al. (2021) utilized a fusion of two asymmetric parallel networks representing user behavior and user post history to automatically identify depression. Trifan et al. [34] conducted an investigation to comprehend the impact of various psycholinguistic patterns in writings to classify depressed users. The authors combined these psycholinguistic features with a rule-based estimator and assessed their effects on this classification problem. In a related study, Tadesse et al. (2019) compiled a list of highly common terms utilized by depressed users. Shen et al. [31] proposed a multimodal learning model to detect depressed users on Twitter.
Although existing studies analyzed social media texts to recognize the presence of depression or suicidal tendencies, they predominantly treated these topics as separate entities (except [19]). Additionally, these studies have largely focused on classification tasks, such as categorizing text into depressive and non-depressive categories [2, 27], or assessing the level of suicidal risk [37]. In contrast, this study investigates how various textual attributes in posts representing these two mental health-related issues (i.e., suicidal tendencies and generic depression) are related. By performing linguistic analysis, this study reveals the (dis)similarities in these two mental health-related issues in a popular social media forum, Reddit. The posts pertaining to suicidal tendencies were collected from the Reddit discussion forum r/suicidalwatch, which primarily consists of posts made by individuals who are contemplating suicide [32]. On the other hand, the depression-related posts were extracted from the r/depression forum. We conduct a comprehensive analysis of various psychological characteristics, such as sentiment and emotion, to investigate the extent to which they differ across these two types of posts. Additionally, we perform semantic, grammatical, and length-related analyses on these posts. The findings reveal that although some differences exist, there are significant similarities in the linguistic patterns between these two groups, making it challenging to discern text representing suicidal tendencies from generic depression.
2 DATASET
The dataset utilized in this study comprises user posts from two Reddit forums, namely /r/depression and /r/suicidewatch. Reddit is a popular and widely used social media platform where individuals participate in discussions on a wide range of topics. Due to the anonymous nature of Reddit, users often share posts related to stigmatized topics [33]. The considerable length of Reddit posts makes them a valuable resource for exploring linguistic and other textual features. The dataset used in this study was obtained from Kaggle³, a web platform for data scientists and machine learning researchers. The /r/suicidewatch forum contains 10007 posts, while the /r/depression forum contains 10357 posts. After excluding posts with various issues, such as those with minimal content (less than five words), the final dataset consists of 9968 posts from the /r/suicidewatch forum and around 10300 posts from the /r/depression forum.
Each post in the dataset is annotated with a binary label of either 0 or 1, corresponding to the subreddit forums it represents. A label of 0 indicates that the post belongs to the /r/depression forum (i.e., depression group), and a label of 1 indicates that it belongs to the /r/suicidewatch forum (i.e., suicidal group) [32]. It is noteworthy that the guidelines of the /r/depression forum explicitly state that suicidal thoughts should be directed to the /r/suicidewatch forum. Additionally, the /r/suicidewatch forum is widely recognized as a prominent suicide support forum, offering support for individuals struggling with vulnerable thoughts [11]. Thus, based on these observations, it is highly unlikely that posts related to suicidal ideation would appear in the /r/depression forum, as opposed to the /r/suicidewatch forum [7]. Fig 1 shows some examples of posts from two groups.
Figure 1: Examples of posts from Depression and Suicidal groups
3 FEATURE ANALYSIS AND SIGNIFICANCE TEST
We explore a diverse set of affective, grammatical, and semantic features (chosen based on earlier mental health-related research focusing on non-clinical text [3]) in the posts of two groups. We analyze the distributions of these features in the two types of posts and report their mean, median, and standard distribution (std.) values. In addition, we investigate whether the differences in the quantitative values for each attribute in the two types of posts are significant using the Mann-Whitney U test [21, 35]. The Mann-Whitney U test is often interpreted as a comparison between the medians of the two populations. The null hypothesis deems similar distributions in both sets, while the alternative hypothesis suggests the opposite. We use a p-value of 0.05 for the significance test. Note that unlike the t-test, which requires a normal distribution of the values, the U test does not have such constraints, therefore, is a more flexible measure.
3.1 Affective Feature
Psychological attributes such as sentiment and emotion can be closely related to mental health, as they can be indicators of a person's psychological well-being [9, 14]. We utilize several sentiment and emotion lexicons to find the prevalence of sentiment and emotion words in these two types of posts.
3.1.1 Coverage of sentiment lexicon
We examine the sentimental aspects, such as the presence of sentiment and opinion words in the posts of two forums based on two popular English sentiment lexicons, Opinion Lexicon [13] and VADER [15]. The Opinion Lexicon is a binary-level sentiment lexicon that includes approximately 6800 opinion words, each assigned with a polarity score of either -1 (negative) or +1 (positive). On the other hand, the VADER lexicon comprises around 7500 words and emoticons, with each term assigned with an integer polarity score ranging from -4 (strongly negative) to +4 (strongly positive).
Table 1: The presence (%) of sentiment words in the post of Depression and Suicidal groups based on two lexicons
Sentiment Lexicon | Depression Med./Mean/Std. | Suicidal Med./Mean/Std. | Statistically Significant |
|---|---|---|---|
Opinion Lexicon | 8.57/9.09/4.18 | 8.68/9.27/4.65 | No |
VADER | 11.25/11.98/4.89 | 11.84/12.65/5.58 | No |
3.1.2 Coverage of emotion lexicon
We utilize an emotion lexicon, NRC Emotion Lexicon, proposed by Mohammad and Turney [22]. The NRC Emotion lexicon consists of a list of English words and corresponding values representing eight types of emotions (i.e., anger, fear, anticipation, trust, surprise, sadness, joy, and disgust). Here, we consider four negative emotions, such as anger, fear, sadness, and disgust.
Table 2: The presence (%) of four negative types of emotion words in the posts of Depression and Suicidal groups
Emotion type | Depression Med./Mean/Std. | Suicidal Med./Mean/Std. | Statistically Significant |
|---|---|---|---|
Anger | 1.94/2.38/2.36 | 2.16/2.60/2.58 | No |
Fear | 2.38/2.87/2.72 | 2.99/3.61/3.22 | Yes |
Sadness | 3.10/3.60/3.02 | 3.33/3.90/3.29 | No |
Disgust | 1.37/1.80/2.10 | 1.55/2.03/2.37 | Yes |
3.1.3 Dominant emotion in post
In addition to determining the proportions of words representing different types of emotion, we also identify the dominant negative emotions at the post level. For this purpose, we utilize EmoNet [1], a free emotion recognition framework capable of identifying eight primary emotions: joy, anticipation, surprise, trust, anger, disgust, fear, and sadness. Considering that depressive or suicidal posts are likely to contain predominantly negative emotions, we specifically focus on the four negative emotions of anger, disgust, fear, and sadness in our analysis.
3.2 Grammatical and Semantic Feature
Linguistic features could be related to mental illness as shown in earlier studies [6, 17]. We consider a number of grammatical and semantic features in the two groups.
3.2.1 Subordinating conjunction
We study the presence of subordinating conjunctions that indicates the presence of complex sentence. Subordinating conjunctions are frequently employed to connect an independent clause with a dependent clause, resulting in the formation of complex sentences. Complex sentences are more difficult to process than simple sentences; nevertheless, they are likely to convey a clear and more informative message. A list of 50 commonly used subordinating conjunctions is considered in this study.⁴
3.2.2 Adjectives & Verbs & Preposition & Article
The proportions of adjectives, verbs, and prepositions in each post from both forums, relative to the total words, are calculated, and various statistical measures are reported. The spaCy library [12] is employed to identify adjectives and verbs in the text. A list of the commonly used preposition is considered.⁵ Besides, the percentages of articles (i.e., a, an, the) are investigated.
3.2.3 Negation words
The proportions of negation words in both groups are determined using the extended VADER [15] negation word list as a reference.
3.2.4 Presence of named entity
A named entity (NE) refers to a real-world entity, such as the name of a person or location. In this study, the analysis focuses on the three most common types of entities: person, location, and organization, as found in two types of posts. The mentions of person names (PER), geographical entities (GE) such as countries, cities, or similar references, and organizations (ORG) are retrieved using the spaCy library [12].
3.2.5 Deontic modals
Deontic modals are auxiliary verbs that express some kind of necessity, obligation, or moral recommendation [18]. We aim to find whether the content of these two forums shows any difference related to necessities or obligations based on the following four deontic modals: must, should, ought, and need.
3.3 Length Statistics
In addition, the following length-related statistics of the posts of two groups are compared: i) average post length (#word); ii) average post length (#sentence); iii) average sentence length (#words).
Table 3: Distributions of dominant emotions (%) in Depression and Suicidal groups
Group | Anger | Disgust | Fear | Sadness |
|---|---|---|---|---|
Depression | 4628 (44.68%) | 277 (2.67%) | 1441 (13.91%) | 4011 (38.72%) |
Suicidal | 4940 (49.55%) | 309 (3.09%) | 1477 (14.81%) | 3242 (32.52%) |
Table 4: Presence (%) of various linguistic and semantic features in the posts of Depression and Suicidal groups
Type | Depression Median/Mean/Std. | Suicidal Median/Mean/Std. | Statistically Significant |
|---|---|---|---|
Subordinating Conjunction | 6.36/ 6.41/ 3.20 | 6.12/ 6.14/ 3.50 | No |
Verb | 14.72/ 14.99/ 3.60 | 15.28/ 15.64/ 4.40 | No |
Adjective | 5.88/ 6.08/ 2.90 | 5.58/ 5.79/ 3.2 | No |
Preposition | 8.28/ 8.27/ 3.19 | 8.27/ 8.30/ 3.50 | No |
Article | 3.71/ 3.78/ 2.24 | 3.61/ 3.71/ 2.52 | No |
Negation | 4.58/ 5.02/ 3.68 | 4.85/ 5.32/ 4.19 | No |
Deontic Modals | 0.0/ 0.28/ 0.79 | 0.0 / 0.35 /1.07 | No |
Named Entity - GE | 0.0/ 0.08/ 0.39 | 0.0/ 0.11/ 0.57 | No |
Named Entity - PER | 0.0/ 0.15/ 0.55 | 0.0/ 0.15/ 0.86 | No |
Named Entity - ORG | 0.0/ 0.16/ 0.68 | 0.0/ 0.16/ 0.94 | No |
Table 5: Statistics of length-related attributes in the Depression and Suicidal posts
Post Statistics | Depression Median/Mean/Std. | Suicidal Median/Mean/Std. | Statistically Significant |
|---|---|---|---|
#Words | 124/179.34/190.59 | 99.0/153.78/180.08 | Yes |
#Sentences | 7/10.53/11.98 | 6.0/ 9.56/10.90 | No |
Sentence length (in words) | 16.4/21.39/23.39 | 15.0/20.51/26.23 | Yes |
4 RESULTS, DISCUSSION AND FUTURE WORKS
As evident from Table 1, there are subtle differences in the sentiment features between the two groups, albeit not statistically significant as determined by the Mann-Whitney U Test. Specifically, mean and median values of sentiment words are slightly higher in the suicidal group based on both the Opinion Lexicon and VADER. Table 2 illustrates the presence of four types of emotion words, anger, fear, sadness, and disgust in the suicidal and depressive posts. We observe some differences in the presence of all four types of emotion words. The difference is more prominent for the anger and fear related emotion words, which are much higher in the suicidal group. The higher presence of all four types of emotion suggests that suicidal posts are likely to be more emotional. This finding is also in accord with the earlier observation by [23], who analyzed the difference between genuine and simulated suicidal notes.
In the analysis of dominant negative emotions using the emotion recognition framework (refer to Table 3), it is observed that anger is the most prevalent emotion among the four negative emotions in both the suicidal and depression groups. Furthermore, the dominant emotions in posts from both groups exhibit a similar pattern, with anger, sadness, fear, and disgust occurring in descending order of frequency. However, the dominance of anger-related emotions in the suicidal group is markedly higher compared to sadness, accounting for 49.55% of the emotions, as opposed to 32.52% for sadness. In contrast, the gap between anger and sadness in the depression group is relatively smaller, with anger accounting for 44.68% compared to 38.72% for sadness. These findings suggest that emotions associated with frustration, rage, and resentment, which are likely triggers of anger, are more prevalent in posts from the suicidal group. It should be noted that we observe differences in the relative precedence of the emotions anger and sadness at the word and post levels, which could potentially be influenced by factors such as the scope of features (i.e., word or post) and the type of resource or framework employed.
Table 4 presents a comparison of grammatical attributes, including subordinating conjunctions, verbs, adjectives, and prepositions, between the two groups. Mean and median values indicate that the grammatical attributes are highly similar in both types of posts, with differences typically below 5%. The Mann-Whitney U test confirms that these differences are not statistically significant. These findings suggest that the use of grammatical features alone may not be sufficient to effectively differentiate between posts representing generic depression and suicidal tendencies. Notably, the slightly higher presence of verbs in suicidal forums aligns with earlier studies by Gregory et al. (2018) and Schoene et al. (2016), who also reported a similar pattern in suicidal notes. Additionally, at the semantic level, the presence of negation words, named entities, and deontic modals exhibit similar patterns in both groups, as indicated in Table 4. However, differences are observed in the post-length statistics, as presented in Table 5, with the average length of suicidal text tending to be slightly shorter compared to depressive text, which could be a significant distinguishing factor. Nevertheless, the average sentence length remains similar in both groups.
This preliminary study analyzing a number of features followed by the significance test reveals that only a limited number of length-related and affective features demonstrate discriminative capabilities for distinguishing these two types of posts. The high similarity and lack of apparent distinction among various attributes suggest a strong connection between depression and suicidal tendencies which is very challenging to separate.
Despite predominantly negative results and findings, this study lays the groundwork for future analyses by highlighting the limitations of conventional attributes in distinguishing between these two types of posts. Moreover, these findings imply that, in addition to closely monitoring suicidal forums, it is crucial to also monitor depression forums, as users of these forums may be at risk of suicidal ideation. Future research will involve a more comprehensive analysis with additional features and larger datasets to identify better signals. Furthermore, manual intervention in the data labeling process will be incorporated to enhance the quality of the currently automatically labeled data.
5 ETHICAL STATEMENT
This study utilizes Reddit data publicly available on Kaggle.⁶ The research ensures that no user identity information is collected, used, or disclosed during the analysis or afterwards.
Notes
https://www.nami.org/Your-Journey/Kids-Teens-and-Young-Adults/What-You-Need-to-Know-About-Youth-Suicide
https://www.who.int/news-room/fact-sheets/detail/suicide
https://www.kaggle.com/datasets/xavrig/reddit-dataset-rdepression-and-rsuicidewatch
https://github.com/sazzadcsedu/LinguisticAnalysis/blob/main/50subordinateclause.txt
https://github.com/sazzadcsedu/LinguisticAnalysis/blob/main/preposition.png
https://www.kaggle.com/
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