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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Deep learning architectures and strategies for early detection of self-harm and depression level prediction</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Ana-Sabina Uban</string-name>
          <email>ana.uban+prof@gmail.com</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Paolo Rosso</string-name>
          <email>prosso@dsic.upv.es</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Human Language Technologies Research Center, University of Bucharest ana.uban</institution>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>PRHLT Research Center, Universitat Politecnica de Valencia</institution>
        </aff>
      </contrib-group>
      <abstract>
        <p>This paper summarizes the contributions of the PRHLTUPV team as a participant in the eRisk 2020 tasks on self-harm detection and prediction of depression levels from social media. Computational methods based on machine learning and natural language processing have a great potential to assist with early detection of mental disorders of social media users, based on their online activity. We use multi-dimensional representations of language, and compare various deep learning models' performance, exploring rarely approached avenues in previous research, including hierarchical deep learning architectures and pre-trained transformers and language models.</p>
      </abstract>
      <kwd-group>
        <kwd>deep learning tention network</kwd>
        <kwd>self-harm</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        Mental health disorders a ect hundreds of millions of people worldwide; [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ]
depression alone is a major factor for suicide, and is usually underdiagnosed and
undertreated. People a ected by mental disorders often turn to social media to
talk about their problems. There is an important opportunity for automatic
processing of social media data in order to identify changes in mental health status
that may otherwise go undetected before they develop more serious health
consequences. Identifying people who start to develop signs of a mental illness early
on is very important to managing its evolution, and in certain cases it can be
life-saving. Recently, the recent COVID-19 pandemic is expected to exacerbate
this problem, a ecting mental health as well as physical health [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ].
      </p>
      <p>The CLEF eRisk Lab 3, organized every year since 2017, is dedicated
specifically to identifying early signs of mental disorders from a user's social media
posts, before the user was diagnosed with the disorder, for disorders including
depression, anorexia and thoughts of self-harm [10{12]. Each year a new task
is organized around predicting a speci c disorder: in 2017 and 2018 the shared
tasks focused on depression detection, in 2019 a new task for anorexia prediction
was organized, as well as a second task around predicting self-harm tendencies
without any training data; in 2020 self-harm detection was again the topic, this
time in a supervised setting. Datasets are collected from Reddit posts and
comments selected from speci c relevant sub-reddits, annotated by automatically
detecting self-stated diagnoses of users. Healthy users are selected from
participants in the same sub-reddits, thus making sure the gap between healthy and
diagnosed users is not trivially detectable. For the self-harm task, the dataset
includes only posts published before any involvement in the self-harm related
communities, which conditions any model trained on this data to be capable of
very early prediction, and at the same time adds di culty to the task.</p>
      <p>
        The language used by a speaker has been shown to contain strong indicators
of an altered mental state. These can manifest both explicitly, at the level of
the topics approached, or implicitly, at the level of the emotional charge of the
text (greater negative emotion [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]), or even more subtle stylistic indicators (such
as the increased use of rst-person pronouns [25]). Textual data from social
media, as a very rich and relatively easy to obtain type of data, as well as
continuously growing source of real-time information, can thus be leveraged to
gain many valuable insights into an individual's behavior and mental state and
its evolution.
      </p>
      <p>
        Most previous research related to automatic mental disorder detection from
social media data have focused the study of depression [
        <xref ref-type="bibr" rid="ref1 ref6 ref8">6, 8, 1</xref>
        ], but other
mental illnesses have also been studied, including generalized anxiety disorder [23],
schizophrenia [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ], post-traumatic stress disorder [
        <xref ref-type="bibr" rid="ref3 ref4">3, 4</xref>
        ], risks of suicide [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ],
anorexia [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ] and self-harm [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]. The majority of studies on mental disorder
detection use simple machine learning models (such as support vector machines
(SVMs) and logistic regression) [
        <xref ref-type="bibr" rid="ref5 ref6">6, 5</xref>
        ]. Few studies have used more complex deep
learning methods [
        <xref ref-type="bibr" rid="ref21">21, 25, 26, 22</xref>
        ]. At the level of features, most previous works
have used traditional bag of words n-grams [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], as well as hand-crafted
lexicons [24], LIWC features [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ], or Latent Semantic Analysis [
        <xref ref-type="bibr" rid="ref20">20, 24</xref>
        ]. There are few
studies which jointly consider several aspects of the language [22, 23].
      </p>
      <p>
        This study summarizes our contributions as participants to the eRisk shared
tasks on self-harm detection and assessment of depression levels [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ]. We explore
the use of deep learning for detecting mental disorders from text data, and
compare various architectures, including hierarchical attention networks and
transformers. We model our text data using a multi-aspect representation, through
using features that re ect various complementary levels of the language,
including content, style and emotion. For predicting the level of depression, we use
traditional machine learning models including SVMs and Logistic Regression.
      </p>
    </sec>
    <sec id="sec-2">
      <title>Task 1. Self-harm detection</title>
      <p>The rst task in eRisk 2020 consists of detecting whether a user is at risk of
developing self-harm tendencies. Training data collected from Reddit was available,
consisting of 340 users (of which 41 were labelled as positive) and their Reddit
post history. Test data was provided as a stream of user posts, and candidate
systems were asked to provide a decision (a binary number: a user is at risk or
not), as well as a risk score (a real number), at each time step in the stream.</p>
      <p>We participated in the task with ve di erent models. We implement several
neural network architectures, as well as experiment with pre-trained models and
strategies for sampling training data in order to improve results. Details of the
architectures used and the experimental setup are described below.
2.1</p>
      <sec id="sec-2-1">
        <title>Features</title>
        <p>Content features. We include a general representation of text content by
transforming each text into word sequences. Preprocessing of texts includes
lowercasing and tokenizing, removing punctuation and numbers; function words are
not excluded. Most frequent 20,000 words were selected to form the vocabulary,
and words not in the vocabulary were represented as a special "unknown"
token. When passed as input to the neural networks, words within a sequence were
encoded as embeddings of dimension 100. In order to initialize the weights of
the embedding layers, we started from GloVe embeddings pre-trained on
Twitter data. The choice of pre-trained embeddings was justi ed by their dimension,
which is smaller than for other GloVe embeddings pre-trained on large corpora,
leading to fewer mode parameters overall (in view of avoiding over tting
problems). Nevertheless, even though the data for this task is also sampled from
social media, the two platforms (Reddit and Twitter) have signi cant di
erences as well; exploring the use of other embedding initializations (especially
using embeddings pre-trained on longer texts) would be interesting in future
experiments.</p>
        <p>Style features. We aim at representing the stylistic level of texts through
including function word and pronoun features. Function words have traditionally
been used as stylistic markers, whereas increased use of pronouns, especially
rst person pronouns, has been shown to correlate with mental disorder risk
[24]. We include two separate stylistic features: rstly, we extract from each
text a numerical vector representing function words frequencies as bag-of-words.
Separately, we include a simple scalar feature meant to capture the rst person
personal pronoun usage, by measuring the proportion of rst person pronouns
relative to the total number of words used in a text. We complement these with
features extracted from the LIWC lexicon, as described below.</p>
        <p>
          LIWC features. The LIWC4 [
          <xref ref-type="bibr" rid="ref18">18</xref>
          ] is a lexicon mapping words in the
English vocabulary to lexico-syntactic features of di erent kinds. It has been widely
used in computational studies for analysing how su ering from mental disorders
4 http://www.liwc.net/
manifests in an author's writings. LIWC categories have the capacity to capture
di erent levels of language: including style (through syntactic categories),
emotions (through a ect categories) and topics (through content-oriented categories
such as words referring to cognitive or analytical processes, or words referring
to topics such as money, health or religion). We include in our analysis all 64
categories in the lexicon, and represent them as numerical vectors by computing
for each category the ratio of words in a text that are related to the category,
according to the lexicon.
        </p>
        <p>
          Emotions and sentiment. We dedicate a few features to represent
emotional content in our texts, since the emotional state of a user is known to be
highly correlated with his/her mental health. Several of the LIWC categories
aim to capture sentiment polarity and emotion content (negative emotion,
positive emotion, a ect, sadness, anxiety ). We additionally include a second lexicon:
the NRC emotion lexicon [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ], which is dedicated exclusively to emotion
representation, containing 9 di erent emotion categories: anger, anticipation, disgust,
fear, joy, negative,positive, sadness, surprise, trust. We represent NRC features
similarly to LIWC features, by computing for each category the proportion of
words in the text which are associated with that category.
2.2
        </p>
      </sec>
      <sec id="sec-2-2">
        <title>Experimental setup</title>
        <p>During the training phase as well as for testing, we do not consider social
media posts individually as datapoints, since they are too short to be su ciently
predictive. Instead, we generate our datapoints by grouping sequences of 50
chronologically consecutive posts into larger chunks, to obtain more consistent
samples of text as our datapoints. Features are computed at chunk-level.</p>
        <p>As a consequence, prediction is always done on chunks of 50 posts. When
analyzing the input stream of test data, we form new chunks of the last 50 posts
received periodically (after every 20 new posts), and feed them to the networks
to generate predictions.</p>
        <p>As we will describe in the following section, we use two types of architectures
for modelling the input: sequential and hierarchical. We adopt a special strategy
for predictions on the rst 50 posts in the stream: we pad the input data up to
the size used during training (512 words in the case of the sequential setup and
50 posts of length 256 in the case of the hierarchical setup), but only submit the
output score provided by the network, and as decisions (user is at risk or not) we
submit zeros regardless of the output score, so as not to send premature alerts
(since once a user is declared at risk, the decision can not be reverted).</p>
        <p>Sequence sampling. For one of our runs, we employ a special strategy
during the training phase. We attempt to augment the training data through
generating "arti cial" chunks of user posts, aside from the ones formed naturally
through chunking the user's post history in chronological order. We do this by
sampling from the post history randomly, following an exponential distribution
so as to sample with higher probability from recent posts (which are more likely
to contain signs of the disorder). The chronological order of posts is maintained.</p>
        <p>Rolling average of predictions. As previously mentioned, for most runs
predictions are generated using the last 50 posts seen in the test data stream.
For one of our runs, we use a di erent strategy, by computing a rolling average
of the most recent 3 network outputs: in this way, we hope to obtain more robust
results that are not dependent only on the last batch of 50 user posts, but take
into account a larger window of context.
2.3</p>
      </sec>
      <sec id="sec-2-3">
        <title>Architectures</title>
        <p>BiLSTM with attention. The rst model we consider is a bidirectional
LSTM network, with attention. Input word sequences are truncated at
maximum 512 words, with words encoded as embeddings, and passed as input to the
BiLSTM layer with 256 units, which is then fed to an attention layer. The
bagof-words features representing function word distribution are passed through a
dense layer of 20 units; and the remaining extracted features (including
pronoun, emotion and LIWC category usage) are concatenated into one vector.
The output of the BiLSTM is concatenated along with the other features and
the nal representation passed through an output layer that generates the nal
prediction.</p>
        <p>
          Hierarchical Attention Network. Hierarchical attention networks (HAN)
were introduced in [27] where they were used for review classi cation, by
representing a text as a hierarchical structure where a document is comprised of
sentences and a sentence is comprised of words. We propose that social media
data in our setup is very well suited to such a hierarchical representation; in our
case the hierarchy consists of user post histories, which are composed of social
media posts, which are in turn composed of word sequences. Especially since
the evolution of the mental state of a user is in itself a relevant indicator for
the development of a disorder, as shown in [
          <xref ref-type="bibr" rid="ref19">19</xref>
          ], user-level representations are
expected to be natural and useful for modelling this problem. One other study
has included post-level and user-level attention on their classi er's architecture,
obtaining top results in the anorexia detection shared task [
          <xref ref-type="bibr" rid="ref15">15</xref>
          ].
        </p>
        <p>In the hierarchical setup, posts within a chunk (datapoint) are stacked to
form a hierarchical structure: word sequences (truncated at 256 words), as well
as the rest of vectorial numerical and bag-of-words features, are stacked to form
bi-dimensional vectors. Bag-of-words and numerical features also follow a
hierarchical structure, with a set of features extracted for each post in the group,
and stacked together into bi-dimensional vectors. The hierarchical network is
composed of two components: a post-level encoder, which produces a
representation of a post, and a user-level encoder, which generates a representation of
a user's post history. For encoding the word sequence at post-level, we use a
convolutional layer with 100 lters of length 3. Each of the posts in the input
datapoint is encoded with the post-level encoder, and then they are stacked to
form a bi-dimensional representation, which is then concatenated with the other
features, and passed to the user-level encoder. We choose to model the user-level
encoder as an LSTM layer with attention, with 32 units. The output of the user
encoder is connected to the output layer which generates the nal prediction. A
depiction of the hierarchical architecture is shown in Figure 1.</p>
        <p>
          Transformers. We experiment with state-of-the-art language models based
on transformer architectures, which have been shown to obtain high
performances on a wide range of NLP tasks, with minimal task-speci c training. We
use pre-trained BERT [
          <xref ref-type="bibr" rid="ref7">7</xref>
          ] models for English (the "base" versions of the models)
with one trainable output layer and ne-tune them for our task.
        </p>
        <p>Ensemble. Finally, we use a simple ensemble model for one of our runs:
predictions are generated through averaging the outputs of several other models
on the received input.
2.4</p>
      </sec>
      <sec id="sec-2-4">
        <title>Models submitted</title>
        <p>The models and setups used for each of the ve runs submitted by our team are
described below.</p>
      </sec>
      <sec id="sec-2-5">
        <title>Run 0. BERT + sequence sampling. For our rst run we used the pre</title>
        <p>trained and ne-tuned BERT model. During ne-tuning, the sequence sampling
strategy for data augmentation was used.</p>
        <p>Run 1. BiLSTM. Run 1 consists of the BiLSTM model described in the
previous section.</p>
        <p>Run 2. Hierarchical CNN + LSTM. For run 2 we used the hierarchical
attention network with CNN and LSTM layers. Due to memory limitations, we
only generated predictions for the rst 50 posts in the stream: all subsequent
predictions (for all datapoints in the stream) were based on these outputs.</p>
        <p>Run 3. Ensemble. For this run, we used an ensemble of the rst three
models: BERT, the BiLSTM and the hierarchical attention network. To obtain
prediction scores, we averaged the outputs of the three networks for each input
datapoint. A user is considered at risk if the obtained output exceeds the 0.5
threshold.</p>
        <p>Run 4. Rolling average of BiLSTM. For our last run, we used the rolling
average strategy described in the previous section, to obtain a smoothed version
of the model's outputs. For each timestep, we averaged the output of the BiLSTM
model for the most recent three inputs (chunks of 50 posts).
2.5</p>
      </sec>
      <sec id="sec-2-6">
        <title>Results</title>
        <p>
          Table 1 show the o cial results obtained for each of our runs. Evaluation
measures included the traditional precision, recall and F1-scores computed at
userlevel, as well as some metrics speci cally designed for measuring how early risk
was detected: latency-weighted F1, which is the F1-score weighted by a
penalizing factor for late predictions, and ERDE [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ], a measure of error that increases
when predictions are delayed. For comparison, we include the systems that
obtained best scores for each metric.
        </p>
        <p>Run
BERT+seq-sampling
BiLSTM
HAN
Ensemble
BiLSTM+rolling
iLab/run 1
SSN NLP/run 1
iLab/run 4
iLab/run 2
iLab/run 3
iLab/run 0</p>
        <p>The best F1-scores were obtained with the BERT model using sequence
sampling training, showing that pre-trained transformers are powerful for external
tasks including detection of self-harm, and also that the sequence sampling
strategy might be an e ective method for data augmentation. The second best results
were obtained with the last model - the rolling average of outputs strategy brings
signi cant improvement to predictions compared to the base model (simple
BiLSTM). We attribute the poorer performance of the HAN and ensemble models
to the small size of test data used for predictions ( rst 50 posts in the stream).</p>
        <p>A second evaluation approach treats the task as a ranking task, by using the
system's continuous risk scores and ranking users in order of risk according to
these scores. Metrics speci c to ranking tasks are used to measure performance,
including precision @ k (P@10), and Normalized Discounted Cumulative Gain @
k (NDCG@10, NDCG@100). In Table 2 we show the evaluation results for our
systems using the ranking metrics, measured on the rst 500 posts in the input
stream. Our models perform well on these metrics, the rst system obtaining
perfect scores for both metrics measured @ 10. For comparison, we include the
system that obtained best scores in terms of all ranking metrics @ 500 writings,
submitted by the iLab team.
3</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Task 2. Predicting levels of depression</title>
      <p>The second task consisted of predicting the level of depression of social media
users, by predicting answers to a 21-question questionnaire for assessing
depression, where each question can have one of four to six answers. Training data
consisting of 20 labelled users was available beforehand. The test data consisted
of 70 users' social media posts, and the participating systems had to predict
their answers to each of the questions.</p>
      <p>Several evaluation metrics were used, measuring how well the predictions
match the true labels, from more ne-grained to more general levels, including:
average hit rate (AHR), average closeness rate (ACR), average di erence between
overall depression levels (ADODL), depression category hit rate (DCHR).</p>
      <p>We participated with three di erent models in this task. The details of the
models and features used are described below.
3.1</p>
      <sec id="sec-3-1">
        <title>Features</title>
        <p>For the rst two models, we used a few of the same features described in the
previous sections. We included the lower-dimensionality numerical features: LIWC
and emotion categories, represented as continuous vectors. For obtaining
userlevel representations, we averaged the values of these vectors computed for each
of the user's posts. Since it has been shown that the evolution of certain
behaviors and linguistic markers is in itself predictive of developing a disorder or
not, we choose to capture the variation of the features extracted, by including
in our feature vectors the standard variations (aside from the averages) seen in
the distribution of each feature across a user's history of posts.</p>
        <p>
          For our nal model, we tried to leverage pre-trained language models in order
to obtain semantic representations of the user's social media posts. To this e ect,
we extracted sentence representations from Universal Sentence Encoder (USE)
[
          <xref ref-type="bibr" rid="ref2">2</xref>
          ] for each of the posts in a user's history, obtaining a continuous vectorial
representation for each post. A user's representation was obtained by averaging
the representations of each of his/her posts.
3.2
        </p>
      </sec>
      <sec id="sec-3-2">
        <title>Models</title>
        <p>We chose to use simpler traditional machine learning models for this task with
fewer parameters than the neural networks used in task 1, to suit the small size
of the training data: we experimented with SVM and logistic regression models,
using the features previously described.</p>
        <p>All models were trained on the available training data, and the trained models
were used to make predictions on the new data in the testing phase. For each
of the models, we modelled the task as a multi-label multi-class classi cation
problem, by training one model for each of the 21 questions, where each question
can be assigned one of 4-6 labels (depending on the question).</p>
        <p>LogReg-features The rst model used was a logistic regression model with
the lexicon-based features represented as numerical vectors.</p>
        <p>SVM-features For the second run, we used an SVM with RBF kernel, with
the same features as for the previous run.</p>
        <p>SVM-USE Our last model was an SVM with RBF kernel, and USE features.
3.3</p>
      </sec>
      <sec id="sec-3-3">
        <title>Results</title>
        <p>Run AHR ACR ADODL DCHR
LogReg-features 34.01% 67.07% 80.05% 35.71%
SVM-features 34.56% 67.44% 80.63% 35.71%
SVM-USE 36.94% 69.02% 81.72% 31.53%
BioInfo@UAVR 38.30% 69.21% 76.01% 30.00%
iLab run2 37.07% 69.41% 81.70% 27.14%
relai lda user 36.39% 68.32% 83.15% 34.29%</p>
        <p>Table 3 shows o cial results results for task 2, for all evaluation metrics.
Our best models in terms of DCHR were the models using lexicon-based features,
which obtained the maximum score of all participating teams on this metric. The
model using USE features has better performance than the other two for the rest
of the metrics. The good scores obtained with simple models and features suggest
the problem may not be well suited to complex representations and architectures,
possibly due to the small size of the training data. For comparison, we include in
the table results of the systems that obtained best scores in terms of the other
metrics (aside from DCHR). Overall, scores for this task were modest for all
participating teams, suggesting predicting the level of depression is a di cult
task.
4</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Conclusion</title>
      <p>In this paper we presented the contributions of the PRHLT-UPV team in the
eRisk 2020 shared tasks: self-harm detection and the prediction of depression
levels, based on social media text data. We used multi-dimensional features to
represent various levels of the language, including content, style and emotion.
In the rst task, where more training data was available, we experimented with
di erent deep learning architectures, including hierarchical attention networks
and transformers, as well as with di erent strategies concerning the experimental
setup: such as sequence sampling for data augmentation, and rolling average
for smoothing model outputs. For the second task we used traditional models
such as SVM and logistical regression, with features including style and emotion
features, as well as semantic sentence representations from pre-trained language
models. We obtained best scores in terms of detecting the general depression
category in the second task.</p>
    </sec>
    <sec id="sec-5">
      <title>Acknowledgements</title>
      <p>The work of Paolo Rosso was in the framework of the research project
PROMETEO/2019/121 (DeepPattern) by the Generalitat Valenciana.
22. Shen, G., Jia, J., Nie, L., Feng, F., Zhang, C., Hu, T., Chua, T.S., Zhu, W.:
Depression detection via harvesting social media: A multimodal dictionary learning
solution. In: IJCAI. pp. 3838{3844 (2017)
23. Shen, J.H., Rudzicz, F.: Detecting anxiety through reddit. In: Proceedings of the
Fourth Workshop on Computational Linguistics and Clinical Psychology|From
Linguistic Signal to Clinical Reality. pp. 58{65 (2017)
24. Trotzek, M., Koitka, S., Friedrich, C.M.: Linguistic metadata augmented classi ers
at the clef 2017 task for early detection of depression. In: CLEF (Working Notes)
(2017)
25. Trotzek, M., Koitka, S., Friedrich, C.M.: Word embeddings and linguistic metadata
at the clef 2018 tasks for early detection of depression and anorexia. In: CLEF
(Working Notes) (2018)
26. Wang, Y.T., Huang, H.H., Chen, H.H.: A neural network approach to early risk
detection of depression and anorexia on social media text. In: CLEF (Working
Notes) (2018)
27. Yang, Z., Yang, D., Dyer, C., He, X., Smola, A., Hovy, E.: Hierarchical attention
networks for document classi cation. In: Proceedings of the 2016 conference of the
North American chapter of the association for computational linguistics: human
language technologies. pp. 1480{1489 (2016)</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          1.
          <string-name>
            <given-names>Abd</given-names>
            <surname>Yusof</surname>
          </string-name>
          ,
          <string-name>
            <given-names>N.F.</given-names>
            ,
            <surname>Lin</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            ,
            <surname>Guerin</surname>
          </string-name>
          ,
          <string-name>
            <surname>F.</surname>
          </string-name>
          :
          <article-title>Analysing the causes of depressed mood from depression vulnerable individuals</article-title>
          .
          <source>In: Proceedings of the International Workshop on Digital Disease Detection using Social Media</source>
          <year>2017</year>
          (
          <article-title>DDDSM-</article-title>
          <year>2017</year>
          ). pp.
          <volume>9</volume>
          {
          <issue>17</issue>
          (
          <year>2017</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          2.
          <string-name>
            <surname>Cer</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yang</surname>
            ,
            <given-names>Y.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kong</surname>
          </string-name>
          , S.y.,
          <string-name>
            <surname>Hua</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Limtiaco</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>John</surname>
          </string-name>
          , R.S.,
          <string-name>
            <surname>Constant</surname>
            ,
            <given-names>N.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Guajardo-Cespedes</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Yuan</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Tar</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          , et al.:
          <article-title>Universal sentence encoder</article-title>
          . arXiv preprint arXiv:
          <year>1803</year>
          .
          <volume>11175</volume>
          (
          <year>2018</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          3.
          <string-name>
            <surname>Coppersmith</surname>
            ,
            <given-names>G.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Dredze</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Harman</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          :
          <article-title>Quantifying mental health signals in twitter</article-title>
          .
          <source>In: Proceedings of the workshop on computational linguistics</source>
          and
          <article-title>clinical psychology: From linguistic signal to clinical reality</article-title>
          . pp.
          <volume>51</volume>
          {
          <issue>60</issue>
          (
          <year>2014</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          4.
          <string-name>
            <surname>Coppersmith</surname>
            ,
            <given-names>G.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Dredze</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Harman</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Hollingshead</surname>
          </string-name>
          , K., Mitchell, M.:
          <article-title>Clpsych 2015 shared task: Depression and ptsd on twitter</article-title>
          .
          <source>In: Proceedings of the 2nd Workshop on Computational Linguistics and Clinical Psychology: From Linguistic Signal to Clinical Reality</source>
          . pp.
          <volume>31</volume>
          {
          <issue>39</issue>
          (
          <year>2015</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          5.
          <string-name>
            <surname>De Choudhury</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Counts</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Horvitz</surname>
            ,
            <given-names>E.J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Ho</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          :
          <article-title>Characterizing and predicting postpartum depression from shared facebook data</article-title>
          .
          <source>In: Proceedings of the 17th ACM conference on Computer supported cooperative work &amp; social computing</source>
          . pp.
          <volume>626</volume>
          {
          <issue>638</issue>
          (
          <year>2014</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          6.
          <string-name>
            <surname>De Choudhury</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Gamon</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Counts</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Horvitz</surname>
          </string-name>
          , E.:
          <article-title>Predicting depression via social media</article-title>
          .
          <source>In: Seventh international AAAI conference on weblogs and social media</source>
          (
          <year>2013</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          7.
          <string-name>
            <surname>Devlin</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Chang</surname>
            ,
            <given-names>M.W.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Lee</surname>
            ,
            <given-names>K.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Toutanova</surname>
            ,
            <given-names>K.</given-names>
          </string-name>
          :
          <article-title>Bert: Pre-training of deep bidirectional transformers for language understanding</article-title>
          . arXiv preprint arXiv:
          <year>1810</year>
          .
          <volume>04805</volume>
          (
          <year>2018</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref8">
        <mixed-citation>
          8.
          <string-name>
            <surname>Eichstaedt</surname>
            ,
            <given-names>J.C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Smith</surname>
            ,
            <given-names>R.J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Merchant</surname>
            ,
            <given-names>R.M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Ungar</surname>
            ,
            <given-names>L.H.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Crutchley</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Preotiuc-Pietro</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Asch</surname>
            ,
            <given-names>D.A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Schwartz</surname>
            ,
            <given-names>H.A.</given-names>
          </string-name>
          :
          <article-title>Facebook language predicts depression in medical records</article-title>
          .
          <source>Proceedings of the National Academy of Sciences</source>
          <volume>115</volume>
          (
          <issue>44</issue>
          ),
          <volume>11203</volume>
          {
          <fpage>11208</fpage>
          (
          <year>2018</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref9">
        <mixed-citation>
          9.
          <string-name>
            <surname>Lee</surname>
            ,
            <given-names>S.A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Mathis</surname>
            ,
            <given-names>A.A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Jobe</surname>
            ,
            <given-names>M.C.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Pappalardo</surname>
            ,
            <given-names>E.A.</given-names>
          </string-name>
          :
          <article-title>Clinically signi cant fear and anxiety of covid-19: A psychometric examination of the coronavirus anxiety scale</article-title>
          .
          <source>Psychiatry Research</source>
          p.
          <volume>113112</volume>
          (
          <year>2020</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref10">
        <mixed-citation>
          10.
          <string-name>
            <surname>Losada</surname>
            ,
            <given-names>D.E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Crestani</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Parapar</surname>
          </string-name>
          , J.:
          <article-title>Overview of erisk: early risk prediction on the internet</article-title>
          .
          <source>In: International Conference of the Cross-Language Evaluation Forum for European Languages</source>
          . pp.
          <volume>343</volume>
          {
          <fpage>361</fpage>
          . Springer (
          <year>2018</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref11">
        <mixed-citation>
          11.
          <string-name>
            <surname>Losada</surname>
            ,
            <given-names>D.E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Crestani</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Parapar</surname>
          </string-name>
          , J.:
          <article-title>Overview of erisk 2019 early risk prediction on the internet</article-title>
          .
          <source>In: International Conference of the Cross-Language Evaluation Forum for European Languages</source>
          . pp.
          <volume>340</volume>
          {
          <fpage>357</fpage>
          . Springer (
          <year>2019</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref12">
        <mixed-citation>
          12.
          <string-name>
            <surname>Losada</surname>
            ,
            <given-names>D.E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Crestani</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Parapar</surname>
          </string-name>
          , J.:
          <source>Overview of eRisk</source>
          <year>2020</year>
          :
          <article-title>Early Risk Prediction on the Internet</article-title>
          . In: A.
          <string-name>
            <surname>Arampatzis</surname>
            , E. Kanoulas,
            <given-names>T.T.S.V.H.J.C.L.C.E.A.N.L.C.N.F.</given-names>
          </string-name>
          <year>e</year>
          . (ed.)
          <string-name>
            <surname>Experimental IR Meets Multilinguality</surname>
          </string-name>
          , Multimodality, and
          <source>Interaction Proceedings of the Eleventh International Conference of the CLEF Association (CLEF</source>
          <year>2020</year>
          ). Springer International Publishing (
          <year>2020</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref13">
        <mixed-citation>
          13. Mitchell,
          <string-name>
            <given-names>M.</given-names>
            ,
            <surname>Hollingshead</surname>
          </string-name>
          ,
          <string-name>
            <given-names>K.</given-names>
            ,
            <surname>Coppersmith</surname>
          </string-name>
          , G.:
          <article-title>Quantifying the language of schizophrenia in social media</article-title>
          .
          <source>In: Proceedings of the 2nd workshop on</source>
          <article-title>Computational linguistics and clinical psychology: From linguistic signal to clinical reality</article-title>
          . pp.
          <volume>11</volume>
          {
          <issue>20</issue>
          (
          <year>2015</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref14">
        <mixed-citation>
          14.
          <string-name>
            <surname>Mohammad</surname>
            ,
            <given-names>S.M.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Turney</surname>
          </string-name>
          , P.D.:
          <article-title>Nrc emotion lexicon</article-title>
          .
          <source>National Research Council, Canada</source>
          <volume>2</volume>
          (
          <year>2013</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref15">
        <mixed-citation>
          15.
          <string-name>
            <surname>Mohammadi</surname>
            ,
            <given-names>E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Amini</surname>
            ,
            <given-names>H.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Kosseim</surname>
            ,
            <given-names>L.</given-names>
          </string-name>
          :
          <article-title>Quick and (maybe not so) easy detection of anorexia in social media posts</article-title>
          .
          <source>In: CLEF (Working Notes)</source>
          (
          <year>2019</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref16">
        <mixed-citation>
          16.
          <string-name>
            <given-names>O</given-names>
            <surname>'dea</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B.</given-names>
            ,
            <surname>Wan</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            ,
            <surname>Batterham</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P.J.</given-names>
            ,
            <surname>Calear</surname>
          </string-name>
          ,
          <string-name>
            <surname>A.L.</surname>
          </string-name>
          , Paris,
          <string-name>
            <given-names>C.</given-names>
            ,
            <surname>Christensen</surname>
          </string-name>
          , H.:
          <article-title>Detecting suicidality on twitter</article-title>
          .
          <source>Internet Interventions</source>
          <volume>2</volume>
          (
          <issue>2</issue>
          ),
          <volume>183</volume>
          {
          <fpage>188</fpage>
          (
          <year>2015</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref17">
        <mixed-citation>
          17.
          <string-name>
            <surname>Organization</surname>
            ,
            <given-names>W.H.</given-names>
          </string-name>
          :
          <article-title>Depression: A global crisis</article-title>
          .
          <source>world mental health day, october 10</source>
          <year>2012</year>
          .
          <article-title>World Federation for Mental Health</article-title>
          , Occoquan, Va, USA (
          <year>2012</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref18">
        <mixed-citation>
          18.
          <string-name>
            <surname>Pennebaker</surname>
            ,
            <given-names>J.W.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Francis</surname>
            ,
            <given-names>M.E.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Booth</surname>
          </string-name>
          , R.J.:
          <article-title>Linguistic inquiry and word count: Liwc 2001</article-title>
          . Mahway: Lawrence Erlbaum Associates
          <volume>71</volume>
          (
          <year>2001</year>
          ),
          <year>2001</year>
          (
          <year>2001</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref19">
        <mixed-citation>
          19.
          <string-name>
            <surname>Ragheb</surname>
            ,
            <given-names>W.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Aze</surname>
            ,
            <given-names>J.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Bringay</surname>
            ,
            <given-names>S.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Servajean</surname>
            ,
            <given-names>M.</given-names>
          </string-name>
          :
          <article-title>Attentive multi-stage learning for early risk detection of signs of anorexia and self-harm on social media</article-title>
          .
          <source>In: CLEF (Working Notes)</source>
          (
          <year>2019</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref20">
        <mixed-citation>
          20.
          <string-name>
            <surname>Resnik</surname>
            ,
            <given-names>P.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Garron</surname>
            ,
            <given-names>A.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Resnik</surname>
            ,
            <given-names>R.</given-names>
          </string-name>
          :
          <article-title>Using topic modeling to improve prediction of neuroticism and depression in college students</article-title>
          .
          <source>In: Proceedings of the 2013 conference on empirical methods in natural language processing</source>
          . pp.
          <volume>1348</volume>
          {
          <issue>1353</issue>
          (
          <year>2013</year>
          )
        </mixed-citation>
      </ref>
      <ref id="ref21">
        <mixed-citation>
          21.
          <string-name>
            <surname>Sadeque</surname>
            ,
            <given-names>F.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Xu</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Bethard</surname>
            ,
            <given-names>S.:</given-names>
          </string-name>
          <article-title>Uarizona at the clef erisk 2017 pilot task: linear and recurrent models for early depression detection</article-title>
          .
          <source>In: CEUR workshop proceedings</source>
          . vol.
          <year>1866</year>
          .
          <article-title>NIH Public Access (</article-title>
          <year>2017</year>
          )
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>