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November 21, 2025Behavioral Sciences0 citationsOpen Access

Digital Detection of Suicidal Ideation: A Scoping Review to Inform Prevention and Psychological Well-Being

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BTBenedetta TrentarossiMRMateus Eduardo RomãoSBSerena Barello

Key Points

  • The review evaluates current methods for detecting suicidal ideation in online settings.
  • Conducted a scoping review following PRISMA guidelines
  • Analyzed 1584 articles, with 48 meeting inclusion criteria
  • Focused on posts in English from Reddit and Twitter
  • Explored interpretative and predictive approaches using AI and mixed methods
  • Most studies utilized artificial intelligence for analysis
  • Identified gaps in ethically obtained datasets and cross-cultural model applicability
  • AI systems struggle with metaphors and contextual meaning, indicating a need for hybrid models combining AI with human insight

Abstract

Suicide is a major global public health concern, especially among young people. Given that digital surroundings are progressively influencing communication patterns, young people frequently communicate their feelings online, including suicidal thoughts. By promptly drawing attention to these posts, a crucial preventive measure could be taken. A scoping review guided by the research question “What is the current state of the art in detecting suicidal ideation in online posts?” following PRISMA guidelines. Out of the 1584 articles identified, only 48 met the inclusion criteria. The majority of articles were related to posts written in English on Reddit and Twitter. The main aim of the studies were interpretative (aim to explore how suicidal ideation is expressed in online environments) or predictive (aim to identify posts that may indicate suicidal ideation) and most of the posts were analyzed using artificial intelligence rather than traditional methods. Some, however, used mixed methods. Despite the potential of AI for rapidly processing and annotating suicidal notes, several hurdles remain, especially ethically obtained data sets and limited cross-cultural portability of models. Furthermore, current AI systems fail to interpret metaphors, irony, or context-specific meaning underscoring the requirement for hybrid models combining machine speed with human judgment.

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Cite This Study

Trentarossi et al. (2025) studied this question.

synapsesocial.com/papers/6924e3ecc0ce034ddc34ed3fhttps://doi.org/10.3390/bs15121601
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