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JMIR Infodemiology

Characterizing Family Abuse in Suicidal Ideation Posts on Reddit: Large Language Model-Assisted Content Analysis

Analyzing 27,434 posts from the Reddit SuicideWatch forum with a combination of manual review, large language model-assisted keyword expansion, natural language processing-based information extraction, and human validation, this study identified posts where suicidal ideation and family abuse co-occurred and described self-disclosed age and gender, abuse types, and relationships to perpetrators: among posts with self-reported age, individuals aged 18 to 24 accounted for the largest proportion (144/313, 46.0%); among posts with self-reported gender, men represented 57.3% (86/150); physical abuse was most frequent (683/975, 70.1%; 95% CI 67.18%-72.93%), followed by emotional or psychological abuse (350/975, 35.9%; 95% CI 32.89%-38.91%) and sexual abuse (296/975, 30.4%; 95% CI 27.47%-33.