Abstract: Background: Eating disorders are psychological conditions characterized by unhealthy eating habits. Anorexia nervosa (AN) is defined as the belief of being overweight despite being dangerously underweight. The psychological signs involve emotional and behavioral issues. There is evidence that signs and symptoms can manifest on social media, wherein both harmful and beneficial content is shared daily.

Abstract: Background:
Suicide risk assessment usually involves an interaction between doctors and patients. However, a significant number of people with mental disorders receive no treatment for their condition due to the limited access to mental health care facilities; the reduced availability of clinicians; the lack of awareness; and stigma, neglect, and discrimination surrounding mental disorders. In contrast, internet access and social media usage have increased significantly, providing experts and patients with a means of communication that may contribute to the development of methods to detect mental health issues among social media users.
Objective:
This paper aimed to describe an approach for the suicide risk assessment of Spanish-speaking users on social media. We aimed to explore behavioral, relational, and multimodal data extracted from multiple social platforms and develop machine learning models to detect users at risk.
Methods:
We characterized users based on their writings, posting patterns, relations with other users, and images posted. We also evaluated statistical and deep learning approaches to handle multimodal data for the detection of users with signs of suicidal ideation (suicidal ideation risk group). Our methods were evaluated over a dataset of 252 users annotated by clinicians. To evaluate the performance of our models, we distinguished 2 control groups: users who make use of suicide-related vocabulary (focused control group) and generic random users (generic control group).
Results:
We identified significant statistical differences between the textual and behavioral attributes of each of the control groups compared with the suicidal ideation risk group. At a 95% CI, when comparing the suicidal ideation risk group and the focused control group, the number of friends (P=.04) and median tweet length (P=.04) were significantly different. The median number of friends for a focused control user (median 578.5) was higher than that for a user at risk (median 372.0). Similarly, the median tweet length was higher for focused control users, with 16 words against 13 words of suicidal ideation risk users. Our findings also show that the combination of textual, visual, relational, and behavioral data outperforms the accuracy of using each modality separately. We defined text-based baseline models based on bag of words and word embeddings, which were outperformed by our models, obtaining an increase in accuracy of up to 8% when distinguishing users at risk from both types of control users.
Conclusions:
The types of attributes analyzed are significant for detecting users at risk, and their combination outperforms the results provided by generic, exclusively text-based baseline models. After evaluating the contribution of image-based predictive models, we believe that our results can be improved by enhancing the models based on textual and relational features. These methods can be extended and applied to different use cases related to other mental disorders.

Abstract: Social networks have attracted the attention of psychologists, as the behavior of users can be used to assess personality traits, and to detect sentiments and critical mental situations such as depression or suicidal tendencies. Recently, the increasing amount of image uploads to social networks has shifted the focus from text to image-based personality assessment. However, obtaining the ground-truth requires giving personality questionnaires to the users, making the process very costly and slow, and hindering research on large populations. In this paper, we demonstrate that it is possible to predict which images are most associated with each personality trait of the OCEAN personality model, without requiring ground-truth personality labels. Namely, we present a weakly supervised framework which shows that the personality scores obtained using specific images textually associated with particular personality traits are highly correlated with scores obtained using standard text-based personality questionnaires. We trained an OCEAN trait model based on Convolutional Neural Networks (CNNs), learned from 120K pictures posted with specific textual hashtags, to infer whether the personality scores from the images uploaded by users are consistent with those scores obtained from text. In order to validate our claims, we performed a personality test on a heterogeneous group of 280 human subjects, showing that our model successfully predicts which kind of image will match a person with a given level of a trait. Looking at the results, we obtained evidence that personality is not only correlated with text, but with image content too. Interestingly, different visual patterns emerged from those images most liked by persons with a particular personality trait: for instance, pictures most associated with high conscientiousness usually contained healthy food, while low conscientiousness pictures contained injuries, guns, and alcohol. These findings could pave the way to complement text-based personality questionnaires with image-based questions.