Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit

Introduction: Opioid misuse is a public health crisis in the US, and misuse of synthetic opioids such as fentanyl have driven the most recent waves of opioid-related deaths. Because those who misuse fentanyl are often a hidden and high-risk group, innovative methods for identifying individuals at ri...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Sanjana Garg, Jordan Taylor, Mai El Sherief, Erin Kasson, Talayeh Aledavood, Raven Riordan, Nina Kaiser, Patricia Cavazos-Rehg, Munmun De Choudhury
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://doaj.org/article/12cf30b0277c4df481418643049149e3
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:12cf30b0277c4df481418643049149e3
record_format dspace
spelling oai:doaj.org-article:12cf30b0277c4df481418643049149e32021-11-06T04:29:15ZDetecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit2214-782910.1016/j.invent.2021.100467https://doaj.org/article/12cf30b0277c4df481418643049149e32021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S221478292100107Xhttps://doaj.org/toc/2214-7829Introduction: Opioid misuse is a public health crisis in the US, and misuse of synthetic opioids such as fentanyl have driven the most recent waves of opioid-related deaths. Because those who misuse fentanyl are often a hidden and high-risk group, innovative methods for identifying individuals at risk for fentanyl misuse are needed. Machine learning has been used in the past to investigate discussions surrounding substance use on Reddit, and this study leverages similar techniques to identify risky content from discussions of fentanyl on this platform. Methods: A codebook was developed by clinical domain experts with 12 categories indicative of fentanyl misuse risk, and this was used to manually label 391 Reddit posts and comments. Using this data, we built machine learning classification models to identify fentanyl risk. Results: Our machine learning risk model was able to detect posts or comments labeled as risky by our clinical experts with 76% accuracy and 76% sensitivity. Furthermore, we provide a vocabulary of community-specific, colloquial words for fentanyl and its analogues. Discussion: This study uses an interdisciplinary approach leveraging machine learning techniques and clinical domain expertise to automatically detect risky discourse, which may elicit and benefit from timely intervention. Moreover, our vocabulary of online terms for fentanyl and its analogues expands our understanding of online “street” nomenclature for opiates. Through an improved understanding of substance misuse risk factors, these findings allow for identification of risk concepts among those misusing fentanyl to inform outreach and intervention strategies tailored to this at-risk group.Sanjana GargJordan TaylorMai El SheriefErin KassonTalayeh AledavoodRaven RiordanNina KaiserPatricia Cavazos-RehgMunmun De ChoudhuryElsevierarticleFentanylOpioidsOverdoseMachine learningDetectionSocial mediaInformation technologyT58.5-58.64PsychologyBF1-990ENInternet Interventions, Vol 26, Iss , Pp 100467- (2021)
institution DOAJ
collection DOAJ
language EN
topic Fentanyl
Opioids
Overdose
Machine learning
Detection
Social media
Information technology
T58.5-58.64
Psychology
BF1-990
spellingShingle Fentanyl
Opioids
Overdose
Machine learning
Detection
Social media
Information technology
T58.5-58.64
Psychology
BF1-990
Sanjana Garg
Jordan Taylor
Mai El Sherief
Erin Kasson
Talayeh Aledavood
Raven Riordan
Nina Kaiser
Patricia Cavazos-Rehg
Munmun De Choudhury
Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit
description Introduction: Opioid misuse is a public health crisis in the US, and misuse of synthetic opioids such as fentanyl have driven the most recent waves of opioid-related deaths. Because those who misuse fentanyl are often a hidden and high-risk group, innovative methods for identifying individuals at risk for fentanyl misuse are needed. Machine learning has been used in the past to investigate discussions surrounding substance use on Reddit, and this study leverages similar techniques to identify risky content from discussions of fentanyl on this platform. Methods: A codebook was developed by clinical domain experts with 12 categories indicative of fentanyl misuse risk, and this was used to manually label 391 Reddit posts and comments. Using this data, we built machine learning classification models to identify fentanyl risk. Results: Our machine learning risk model was able to detect posts or comments labeled as risky by our clinical experts with 76% accuracy and 76% sensitivity. Furthermore, we provide a vocabulary of community-specific, colloquial words for fentanyl and its analogues. Discussion: This study uses an interdisciplinary approach leveraging machine learning techniques and clinical domain expertise to automatically detect risky discourse, which may elicit and benefit from timely intervention. Moreover, our vocabulary of online terms for fentanyl and its analogues expands our understanding of online “street” nomenclature for opiates. Through an improved understanding of substance misuse risk factors, these findings allow for identification of risk concepts among those misusing fentanyl to inform outreach and intervention strategies tailored to this at-risk group.
format article
author Sanjana Garg
Jordan Taylor
Mai El Sherief
Erin Kasson
Talayeh Aledavood
Raven Riordan
Nina Kaiser
Patricia Cavazos-Rehg
Munmun De Choudhury
author_facet Sanjana Garg
Jordan Taylor
Mai El Sherief
Erin Kasson
Talayeh Aledavood
Raven Riordan
Nina Kaiser
Patricia Cavazos-Rehg
Munmun De Choudhury
author_sort Sanjana Garg
title Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit
title_short Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit
title_full Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit
title_fullStr Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit
title_full_unstemmed Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit
title_sort detecting risk level in individuals misusing fentanyl utilizing posts from an online community on reddit
publisher Elsevier
publishDate 2021
url https://doaj.org/article/12cf30b0277c4df481418643049149e3
work_keys_str_mv AT sanjanagarg detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT jordantaylor detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT maielsherief detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT erinkasson detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT talayehaledavood detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT ravenriordan detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT ninakaiser detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT patriciacavazosrehg detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
AT munmundechoudhury detectingrisklevelinindividualsmisusingfentanylutilizingpostsfromanonlinecommunityonreddit
_version_ 1718443899469430784