Assessing Suicide Risk in Arabic Crisis Helpline Calls: A Comparison of Arabic and English Large Language Models

📅 2026-08-31
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🤖 AI Summary
研究通过对比阿拉伯语和英语大型语言模型,利用自然语言处理技术对黎巴嫩情感支持和自杀预防热线的去识别化通话记录进行自杀风险评估,以辅助操作员快速判断并优先处理高风险来电。
📝 Abstract
Crisis helplines assess suicide risk through structured interviews, a process that is slow and dependent on operator training and workload. Natural language processing could support risk assessment and call prioritization, but almost no work addresses Arabic-language helpline calls or operates within the privacy constraints of real helpline data. We analysed de-identified transcripts from Lebanon's National Lifeline for Emotional Support and Suicide Prevention. Audio never left the helpline: calls were transcribed on site with a speech recognition model for Levantine Arabic, and an Arabic named-entity recognition model removed identifying information locally. Only the de-identified transcripts were shared with the research team. Operators recorded the five suicidal ideation items of the Columbia Suicide Severity Rating Scale, which we combined into two binary outcomes: at-risk and high-risk. We also machine-translated the transcripts into English, giving a paired Arabic/English comparison. On each corpus, we fine-tuned five instruction-tuned large language models alongside six transformer encoder baselines (four Arabic, two English) and evaluated all models on a held-out test set. We included 383 calls: 373 for the at-risk task (52.3% positive) and 297 for the high-risk task (30.0% positive). The best Arabic model reached a macro-F1 of 81.19 and a ROC-AUC of 90.61 on high-risk; the best English model reached 85.00 and 92.59, identifying 88.9% of high-risk calls. In both languages, high-risk calls separated more cleanly than at-risk calls, and translation to English did not reduce the best observed performance. Suicide risk can be classified from de-identified Arabic transcripts without sending audio outside the helpline. The high-risk results support further testing as an operator-facing tool; lower-severity ideation proved the harder case.
Problem

Research questions and friction points this paper is trying to address.

Suicide Risk
Arabic Crisis Helpline
Privacy Constraints
Innovation

Methods, ideas, or system contributions that make the work stand out.

Natural Language Processing
Privacy Constraints
Arabic Large Language Models
Suicide Risk Assessment
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Yale University
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Rita El Hachem
Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon.
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Mahatab El Hajj
Embrace, Mental Health Center, Beirut, Lebanon.
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Lilian Ghandour
Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon.
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Samah Fodeh
Department of Emergency Medicine, Yale University, New Haven, CT, USA.