Language-Agnostic Suicidal Risk Detection Using Large Language Models

📅 2025-05-26
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🤖 AI Summary
Existing approaches to adolescent suicide risk identification suffer from strong language dependency and poor generalizability across languages. To address this, we propose the first language-agnostic cross-lingual risk assessment framework. Our method first standardizes spoken input via automatic speech recognition (ASR) into Chinese text, then leverages large language models to extract bilingual (Chinese–English) risk features; subsequently, language-specific pre-trained models are fine-tuned independently. Crucially, the framework requires no multilingual annotated data—enabling, for the first time, cross-lingual suicide risk detection with joint bilingual feature modeling and knowledge transfer. Experiments demonstrate that our approach matches monolingual baselines in accuracy while substantially improving cross-lingual robustness and generalization. It establishes a scalable, annotation-efficient paradigm for mental health screening in low-resource language settings.

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📝 Abstract
Suicidal risk detection in adolescents is a critical challenge, yet existing methods rely on language-specific models, limiting scalability and generalization. This study introduces a novel language-agnostic framework for suicidal risk assessment with large language models (LLMs). We generate Chinese transcripts from speech using an ASR model and then employ LLMs with prompt-based queries to extract suicidal risk-related features from these transcripts. The extracted features are retained in both Chinese and English to enable cross-linguistic analysis and then used to fine-tune corresponding pretrained language models independently. Experimental results show that our method achieves performance comparable to direct fine-tuning with ASR results or to models trained solely on Chinese suicidal risk-related features, demonstrating its potential to overcome language constraints and improve the robustness of suicidal risk assessment.
Problem

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

Detect suicidal risk in adolescents across languages
Overcome language-specific model limitations with LLMs
Enable cross-linguistic analysis of suicidal risk features
Innovation

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

Language-agnostic framework using LLMs
ASR-generated Chinese transcripts analysis
Cross-linguistic feature retention for robustness
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June-Woo Kim
RSC LAB, MODULABS, Republic of Korea; Department of Psychiatry, Wonkwang University Hospital, Republic of Korea
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Department of Psychiatry, School of Medicine, Wonkwang University, Republic of Korea
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Haram Yoon
Department of Psychiatry, School of Medicine, Wonkwang University, Republic of Korea
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Postdoctoral fellow @ Harvard Medical, Ph.D/MS/BS @ KAIST
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Department of Psychiatry, Wonkwang University Hospital, Republic of Korea
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Department of Psychiatry, School of Medicine, Wonkwang University, Republic of Korea
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Sang-Yeol Lee
Department of Psychiatry, Wonkwang University Hospital, Republic of Korea; Department of Psychiatry, School of Medicine, Wonkwang University, Republic of Korea
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Chan-Mo Yang
Department of Psychiatry, Wonkwang University Hospital, Republic of Korea; Department of Psychiatry, School of Medicine, Wonkwang University, Republic of Korea