Illicit drug use among teenagers and young adults (TYAs) remains a pressing public health concern, with rising prevalence and long-term impacts on health and well-being. To detect illicit drug use among TYAs, researchers analyze large-scale surveys such as the Youth Risk Behavior Survey (YRBS) and the National Survey on Drug Use and Health (NSDUH), which preserve rich demographic, psychological, and environmental factors related to substance use. However, existing modeling methods treat survey variables independently, overlooking latent and interconnected structures among them. To address this limitation, we propose LAMI (LAtent relation Mining with bi-modal Interpretability), a novel joint graph-language modeling framework for detecting illicit drug use and interpreting behavioral risk factors among TYAs. LAMI represents individual responses as relational graphs, learns latent connections through a specialized graph structure learning layer, and integrates a large language model to generate natural language explanations grounded in both graph structures and survey semantics. Experiments on the YRBS and NSDUH datasets show that LAMI outperforms competitive baselines in predictive accuracy. Interpretability analyses further demonstrate that LAMI reveals meaningful behavioral substructures and psychosocial pathways, such as family dynamics, peer influence, and school-related distress, that align with established risk factors for substance use.

Nonmedical opioid use is an urgent public health challenge, with far-reaching clinical and social consequences that are often underreported in traditional healthcare settings. Social media platforms, where individuals candidly share first-person experiences, offer a valuable yet underutilized source of insight into these impacts. In this study, we present a named entity recognition (NER) framework to extract two categories of self-reported consequences from social media narratives related to opioid use: ClinicalImpacts (e.g., withdrawal, depression) and SocialImpacts (e.g., job loss). To support this task, we introduce RedditImpacts 2.0, a high-quality dataset with refined annotation guidelines and a focus on first-person disclosures, addressing key limitations of prior work. We evaluate both fine-tuned encoder-based models and state-of-the-art large language models (LLMs) under zero- and few-shot in-context learning settings. Our fine-tuned DeBERTa-large model achieves a relaxed token-level F1 of 0.61 [95% CI: 0.43-0.62], consistently outperforming LLMs in precision, span accuracy, and adherence to task-specific guidelines. Furthermore, we show that strong NER performance can be achieved with substantially less labeled data, emphasizing the feasibility of deploying robust models in resource-limited settings. Our findings underscore the value of domain-specific fine-tuning for clinical NLP tasks and contribute to the responsible development of AI tools that may enhance addiction surveillance, improve interpretability, and support real-world healthcare decision-making. The best performing model, however, still significantly underperforms compared to inter-expert agreement (Cohen's kappa: 0.81), demonstrating that a gap persists between expert intelligence and current state-of-the-art NER/AI capabilities for tasks requiring deep domain knowledge.

Predicting behavioral variables from neuroimaging modalities such as magnetic resonance imaging (MRI) has the potential to allow the development of neuroimaging biomarkers of mental and neurological disorders. A crucial processing step to this aim is the extraction of suitable features. These can differ in how well they predict the target of interest, and how this prediction scales with sample size and scan time. Here, we compare nine feature subtypes extracted from resting-state functional MRI recordings for behavior prediction, ranging from regional measures of functional activity to functional connectivity (FC) and metrics derived with graph signal processing (GSP), a principled approach for the extraction of structure-informed functional features. We study 979 subjects from the Human Connectome Project Young Adult dataset, predicting summary scores for mental health, cognition, processing speed, and substance use, as well as age and sex. The scaling properties of the features are investigated for different combinations of sample size and scan time. FC comes out as the best feature for predicting cognition, age, and sex. Graph power spectral density is the second best for predicting cognition and age, while for sex, variability-based features show potential as well. When predicting sex, the low-pass graph filtered coupled FC slightly outperforms the simple FC variant. None of the other targets were predicted significantly. The scaling results point to higher performance reserves for the better-performing features. They also indicate that it is important to balance sample size and scan time when acquiring data for prediction studies. The results confirm FC as a robust feature for behavior prediction, but also show the potential of GSP and variability-based measures. We discuss the implications for future prediction studies in terms of strategies for acquisition and sample composition.

Adolescence is a critical stage often linked to risky behaviors, including substance use, with significant developmental and public health implications. Social media provides a lens into adolescent self-expression, but interpreting emotional and contextual signals remains complex. This study applies Large Language Models (LLMs) to analyze adolescents' social media posts, uncovering emotional patterns (e.g., sadness, guilt, fear, joy) and contextual factors (e.g., family, peers, school) related to substance use. Heatmap and machine learning analyses identified key predictors of substance use-related posts. Negative emotions like sadness and guilt were significantly more frequent in substance use contexts, with guilt acting as a protective factor, while shame and peer influence heightened substance use risk. Joy was more common in non-substance use discussions. Peer influence correlated strongly with sadness, fear, and disgust, while family and school environments aligned with non-substance use. Findings underscore the importance of addressing emotional vulnerabilities and contextual influences, suggesting that collaborative interventions involving families, schools, and communities can reduce risk factors and foster healthier adolescent development.

Stigma is a barrier to treatment for individuals struggling with substance use disorders (SUD), which leads to significantly lower treatment engagement rates. With only 7% of those affected receiving any form of help, societal stigma not only discourages individuals with SUD from seeking help but isolates them, hindering their recovery journey and perpetuating a cycle of shame and self-doubt. This study investigates how stigma manifests on social media, particularly Reddit, where anonymity can exacerbate discriminatory behaviors. We analyzed over 1.2 million posts, identifying 3,207 that exhibited stigmatizing language towards people who use substances (PWUS). Using Informed and Stylized LLMs, we develop a model for de-stigmatization of these expressions into empathetic language, resulting in 1,649 reformed phrase pairs. Our paper contributes to the field by proposing a computational framework for analyzing stigma and destigmatizing online content, and delving into the linguistic features that propagate stigma towards PWUS. Our work not only enhances understanding of stigma's manifestations online but also provides practical tools for fostering a more supportive digital environment for those affected by SUD. Code and data will be made publicly available upon acceptance.

Large language models (LLMs) are increasingly being used in human-centered social scientific tasks, such as data annotation, synthetic data creation, and engaging in dialog. However, these tasks are highly subjective and dependent on human factors, such as one's environment, attitudes, beliefs, and lived experiences. Thus, employing LLMs (which do not have such human factors) in these tasks may result in a lack of variation in data, failing to reflect the diversity of human experiences. In this paper, we examine the role of prompting LLMs with human-like personas and asking the models to answer as if they were a specific human. This is done explicitly, with exact demographics, political beliefs, and lived experiences, or implicitly via names prevalent in specific populations. The LLM personas are then evaluated via (1) subjective annotation task (e.g., detecting toxicity) and (2) a belief generation task, where both tasks are known to vary across human factors. We examine the impact of explicit vs. implicit personas and investigate which human factors LLMs recognize and respond to. Results show that LLM personas show mixed results when reproducing known human biases, but generate generally fail to demonstrate implicit biases. We conclude that LLMs lack the intrinsic cognitive mechanisms of human thought, while capturing the statistical patterns of how people speak, which may restrict their effectiveness in complex social science applications.

Substance use disorders (SUDs) are a growing concern globally, necessitating enhanced understanding of the problem and its trends through data-driven research. Social media are unique and important sources of information about SUDs, particularly since the data in such sources are often generated by people with lived experiences. In this paper, we introduce Reddit-Impacts, a challenging Named Entity Recognition (NER) dataset curated from subreddits dedicated to discussions on prescription and illicit opioids, as well as medications for opioid use disorder. The dataset specifically concentrates on the lesser-studied, yet critically important, aspects of substance use--its clinical and social impacts. We collected data from chosen subreddits using the publicly available Application Programming Interface for Reddit. We manually annotated text spans representing clinical and social impacts reported by people who also reported personal nonmedical use of substances including but not limited to opioids, stimulants and benzodiazepines. Our objective is to create a resource that can enable the development of systems that can automatically detect clinical and social impacts of substance use from text-based social media data. The successful development of such systems may enable us to better understand how nonmedical use of substances affects individual health and societal dynamics, aiding the development of effective public health strategies. In addition to creating the annotated data set, we applied several machine learning models to establish baseline performances. Specifically, we experimented with transformer models like BERT, and RoBERTa, one few-shot learning model DANN by leveraging the full training dataset, and GPT-3.5 by using one-shot learning, for automatic NER of clinical and social impacts. The dataset has been made available through the 2024 SMM4H shared tasks.

Substance use, substance use disorder, and overdoses related to substance use are major public health problems globally and in the United States. A key aspect of addressing these problems from a public health standpoint is improved surveillance. Traditional surveillance systems are laggy, and social media are potentially useful sources of timely data. However, mining knowledge from social media is challenging, and requires the development of advanced artificial intelligence, specifically natural language processing (NLP) and machine learning methods. We developed a sophisticated end-to-end pipeline for mining information about nonmedical prescription medication use from social media, namely Twitter and Reddit. Our pipeline employs supervised machine learning and NLP for filtering out noise and characterizing the chatter. In this paper, we describe our end-to-end pipeline developed over four years. In addition to describing our data mining infrastructure, we discuss existing challenges in social media mining for toxicovigilance, and possible future research directions.

Stigma toward people who use substances (PWUS) is a leading barrier to seeking treatment.Further, those in treatment are more likely to drop out if they experience higher levels of stigmatization. While related concepts of hate speech and toxicity, including those targeted toward vulnerable populations, have been the focus of automatic content moderation research, stigma and, in particular, people who use substances have not. This paper explores stigma toward PWUS using a data set of roughly 5,000 public Reddit posts. We performed a crowd-sourced annotation task where workers are asked to annotate each post for the presence of stigma toward PWUS and answer a series of questions related to their experiences with substance use. Results show that workers who use substances or know someone with a substance use disorder are more likely to rate a post as stigmatizing. Building on this, we use a supervised machine learning framework that centers workers with lived substance use experience to label each Reddit post as stigmatizing. Modeling person-level demographics in addition to comment-level language results in a classification accuracy (as measured by AUC) of 0.69 -- a 17% increase over modeling language alone. Finally, we explore the linguist cues which distinguish stigmatizing content: PWUS substances and those who don't agree that language around othering ("people", "they") and terms like "addict" are stigmatizing, while PWUS (as opposed to those who do not) find discussions around specific substances more stigmatizing. Our findings offer insights into the nature of perceived stigma in substance use. Additionally, these results further establish the subjective nature of such machine learning tasks, highlighting the need for understanding their social contexts.

The media's representation of illicit substance use can lead to harmful stereotypes and stigmatization for individuals struggling with addiction, ultimately influencing public perception, policy, and public health outcomes. To explore how the discourse and coverage of illicit drug use changed over time, this study analyzes 157,476 articles published in the Philadelphia Inquirer over a decade. Specifically, the study focuses on articles that mentioned at least one commonly abused substance, resulting in a sample of 3,903 articles. Our analysis shows that cannabis and narcotics are the most frequently discussed classes of drugs. Hallucinogenic drugs are portrayed more positively than other categories, whereas narcotics are portrayed the most negatively. Our research aims to highlight the need for accurate and inclusive portrayals of substance use and addiction in the media.