Suicide remains a public health challenge, necessitating improved detection methods to facilitate timely intervention and treatment. This systematic review evaluates the role of Artificial Intelligence (AI) and Machine Learning (ML) in assessing suicide risk through acoustic analysis of speech. Following PRISMA guidelines, we analyzed 33 articles selected from PubMed, Cochrane, Scopus, and Web of Science databases. The last search was conducted in February 2025. Risk of bias was assessed using the PROBAST tool. Studies analyzing acoustic features between individuals at risk of suicide (RS) and those not at risk (NRS) were included, while studies lacking acoustic data, a suicide-related focus, or sufficient methodological details were excluded. Sample sizes varied widely and were reported in terms of participants or speech segments, depending on the study. Results were synthesized narratively based on acoustic features and classifier performance. Findings consistently showed significant acoustic feature variations between RS and NRS populations, particularly involving jitter, fundamental frequency (F0), Mel-frequency cepstral coefficients (MFCC), and power spectral density (PSD). Classifier performance varied based on algorithms, modalities, and speech elicitation methods, with multimodal approaches integrating acoustic, linguistic, and metadata features demonstrating superior performance. Among the 29 classifier-based studies, reported AUC values ranged from 0.62 to 0.985 and accuracies from 60% to 99.85%. Most datasets were imbalanced in favor of NRS, and performance metrics were rarely reported separately by group, limiting clear identification of direction of effect.

We introduce VERA-MH (Validation of Ethical and Responsible AI in Mental Health), an automated evaluation of the safety of AI chatbots used in mental health contexts, with an initial focus on suicide risk. Practicing clinicians and academic experts developed a rubric informed by best practices for suicide risk management for the evaluation. To fully automate the process, we used two ancillary AI agents. A user-agent model simulates users engaging in a mental health-based conversation with the chatbot under evaluation. The user-agent role-plays specific personas with pre-defined risk levels and other features. Simulated conversations are then passed to a judge-agent who scores them based on the rubric. The final evaluation of the chatbot being tested is obtained by aggregating the scoring of each conversation. VERA-MH is actively under development and undergoing rigorous validation by mental health clinicians to ensure user-agents realistically act as patients and that the judge-agent accurately scores the AI chatbot. To date we have conducted preliminary evaluation of GPT-5, Claude Opus and Claude Sonnet using initial versions of the VERA-MH rubric and used the findings for further design development. Next steps will include more robust clinical validation and iteration, as well as refining actionable scoring. We are seeking feedback from the community on both the technical and clinical aspects of our evaluation.

--Suicide is a critical global health issue that requires urgent attention. Even though prior work has revealed valuable insights into detecting current suicide risk on social media, little attention has been paid to developing models that can predict subsequent suicide risk over time, limiting their ability to capture rapid fluctuations in individuals' mental state transitions. In addition, existing work ignores protective factors that play a crucial role in suicide risk prediction, focusing predominantly on risk factors alone. Protective factors such as social support and coping strategies can mitigate suicide risk by moderating the impact of risk factors. Therefore, this study proposes a novel framework for predicting subsequent suicide risk by jointly learning the dynamic influence of both risk factors and protective factors on users' suicide risk transitions. We propose a novel Protective Factor-A ware Dataset, which is built from 12 years of Reddit posts along with comprehensive annotations of suicide risk and both risk and protective factors. We also introduce a Dynamic Factors Influence Learning approach that captures the varying impact of risk and protective factors on suicide risk transitions, recognizing that suicide risk fluctuates over time according to established psychological theories. Our thorough experiments demonstrate that the proposed model significantly outperforms state-of-the-art models and large language models across three datasets. In addition, the proposed Dynamic Factors Influence Learning provides interpretable weights, helping clinicians better understand suicidal patterns and enabling more targeted intervention strategies. Suicide issue remains one of society's most urgent challenges, with each case representing not only the loss of an individual life but also creating profound ripple effects across families, healthcare systems, and communities that persist for generations. Jun Li, X. Wang, H. Li, H. Leong, and Qing Li are with Department of Computing, The Hong Kong Polytechnic University, Hong Kong SAR, China (e-mail: hialex.li@connect.polyu.hk;

AI chatbots are stepping into the therapist's chair – and not everyone is thrilled about it. In March alone, 16.7 million posts from TikTok users discussed using ChatGPT as a therapist, but mental health professionals are raising red flags over the growing trend that sees artificial intelligence tools being used in their place to treat anxiety, depression and other mental health challenges. "ChatGPT singlehandedly has made me a less anxious person when it comes to dating, when it comes to health, when it comes to career," user @christinazozulya shared in a TikTok video posted to her profile last month. "Any time I have anxiety, instead of bombarding my parents with texts like I used to or texting a friend or crashing out essentially… before doing that, I always voice memo my thoughts into ChatGPT, and it does a really good job at calming me down and providing me with that immediate relief that unfortunately isn't as accessible to everyone." The ChatGPT logo on a laptop computer arranged in New York, US, on Thursday, March 9, 2023.

Suicide remains one of the main preventable causes of death among active service members and veterans. Early detection and prediction are crucial in suicide prevention. Machine learning techniques have yielded promising results in this area recently. This study aims to assess and summarize current research and provides a comprehensive review regarding the application of machine learning techniques in assessing and predicting suicidal ideation, attempts, and mortality among members of military and veteran populations. A keyword search using PubMed, IEEE, ACM, and Google Scholar was conducted, and the PRISMA protocol was adopted for relevant study selection. Thirty-two articles met the inclusion criteria. These studies consistently identified risk factors relevant to mental health issues such as depression, post-traumatic stress disorder (PTSD), suicidal ideation, prior attempts, physical health problems, and demographic characteristics. Machine learning models applied in this area have demonstrated reasonable predictive accuracy. However, additional research gaps still exist. First, many studies have overlooked metrics that distinguish between false positives and negatives, such as positive predictive value and negative predictive value, which are crucial in the context of suicide prevention policies. Second, more dedicated approaches to handling survival and longitudinal data should be explored. Lastly, most studies focused on machine learning methods, with limited discussion of their connection to clinical rationales. In summary, machine learning analyses have identified a wide range of risk factors associated with suicide in military populations. The diversity and complexity of these factors also demonstrates that effective prevention strategies must be comprehensive and flexible.

Call the 988 Suicide and Crisis Lifeline or text TALK to 741741 at the Crisis Text Line if you are in need of help. Health experts say that artificial intelligence (AI) chatbots posing as therapists could cause "serious harm" to struggling people, including adolescents, without the proper safety measures. Christine Yu Moutier, M.D., Chief Medical Officer at the American Foundation for Suicide Prevention, told Fox News Digital there are "critical gaps" in research regarding the intended and unintended impacts of AI on suicide risk, mental health and larger human behavior. "The problem with these AI chatbots is that they were not designed with expertise on suicide risk and prevention baked into the algorithms. Additionally, there is no helpline available on the platform for users who may be at risk of a mental health condition or suicide, no training on how to use the tool if you are at risk, nor industry standards to regulate these technologies," Moutier said.

In recent times, more and more people are posting about their mental states across various social media platforms. Leveraging this data, AI-based systems can be developed that help in assessing the mental health of individuals, such as suicide risk. This paper is a study done on suicidal risk assessments using Reddit data leveraging Base language models to identify patterns from social media posts. We have demonstrated that using smaller language models, i.e., less than 500M parameters, can also be effective in contrast to LLMs with greater than 500M parameters. We propose Su-RoBERTa, a fine-tuned RoBERTa on suicide risk prediction task that utilized both the labeled and unlabeled Reddit data and tackled class imbalance by data augmentation using GPT-2 model. Our Su-RoBERTa model attained a 69.84% weighted F1 score during the Final evaluation. This paper demonstrates the effectiveness of Base language models for the analysis of the risk factors related to mental health with an efficient computation pipeline

The detection of suicide risk in social media is a critical task with potential life-saving implications. This paper presents a study on leveraging state-of-the-art natural language processing solutions for identifying suicide risk in social media posts as a submission for the "IEEE BigData 2024 Cup: Detection of Suicide Risk on Social Media" conducted by the kubapok team. We experimented with the following configurations of transformer-based models: fine-tuned DeBERTa, GPT-4o with CoT and few-shot prompting, and fine-tuned GPT-4o. The task setup was to classify social media posts into four categories: indicator, ideation, behavior, and attempt. Our findings demonstrate that the fine-tuned GPT-4o model outperforms two other configurations, achieving high accuracy in identifying suicide risk. Notably, our model achieved second place in the competition. By demonstrating that straightforward, general-purpose models can achieve state-of-the-art results, we propose that these models, combined with minimal tuning, may have the potential to be effective solutions for automated suicide risk detection on social media.

Suicide is a pressing global issue, demanding urgent and effective preventive interventions. Among the various strategies in place, psychological support hotlines had proved as a potent intervention method. Approximately two million people in China attempt suicide annually, with many individuals making multiple attempts. Prompt identification and intervention for high-risk individuals are crucial to preventing tragedies. With the rapid advancement of artificial intelligence (AI), especially the development of large-scale language models (LLMs), new technological tools have been introduced to the field of mental health. This study included 1284 subjects, and was designed to validate whether deep learning models and LLMs, using audio and transcribed text from support hotlines, can effectively predict suicide risk. We proposed a simple LLM-based pipeline that first summarizes transcribed text from approximately one hour of speech to extract key features, and then predict suicidial bahaviours in the future. We compared our LLM-based method with the traditional manual scale approach in a clinical setting and with five advanced deep learning models. Surprisingly, the proposed simple LLM pipeline achieved strong performance on a test set of 46 subjects, with an F1 score of 76\% when combined with manual scale rating. This is 7\% higher than the best speech-based deep learning models and represents a 27.82\% point improvement in F1 score compared to using the manual scale apporach alone. Our study explores new applications of LLMs and demonstrates their potential for future use in suicide prevention efforts.

Psychological support hotlines are an effective suicide prevention measure that typically relies on professionals using suicide risk assessment scales to predict individual risk scores. However, the accuracy of scale-based predictive methods for suicide risk assessment can vary widely depending on the expertise of the operator. This limitation underscores the need for more reliable methods, prompting this research's innovative exploration of the use of artificial intelligence to improve the accuracy and efficiency of suicide risk prediction within the context of psychological support hotlines. The study included data from 1,549 subjects from 2015-2017 in China who contacted a psychological support hotline. Each participant was followed for 12 months to identify instances of suicidal behavior. We proposed a novel multi-task learning method that uses the large-scale pre-trained model Whisper for feature extraction and fits psychological scales while predicting the risk of suicide. The proposed method yields a 2.4\% points improvement in F1-score compared to the traditional manual approach based on the psychological scales. Our model demonstrated superior performance compared to the other eight popular models. To our knowledge, this study is the first to apply deep learning to long-term speech data to predict suicide risk in China, indicating grate potential for clinical applications. The source code is publicly available at: \url{https://github.com/songchangwei/Suicide-Risk-Prediction}.