Finding People With Emotional Distress In Online Social Media A Design .

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RESEARCH NOTEFINDING PEOPLE WITH EMOTIONAL DISTRESS IN ONLINESOCIAL MEDIA: A DESIGN COMBINING MACHINELEARNING AND RULE-BASED CLASSIFICATION1Michael ChauFaculty of Business and Economics, The University of Hong Kong,Pokfulam, HONG KONG {mchau@business.hku.hk}Tim M. H. LiDepartment of Social Work and Social Administration, The University of Hong Kong,Pokfulam, HONG KONG {tim.mh.li@connect.hku.hk}Paul W. C. WongDepartment of Social Work and Social Administration, The University of Hong Kong,Pokfulam, HONG KONG {paulw@hku.hk}Jennifer J. XuComputer Information Systems, Bentley University,Waltham, MA 02452 U.S.A. {jxu@bentley.edu}Paul S. F. YipHKJC Center for Suicide Research and Prevention, Faculty of Social Sciences, andDepartment of Social Work and Social Administration, The University of Hong Kong,Pokfulam, HONG KONG {sfpyip@hku.hk}Hsinchun ChenDepartment of Management Information Systems, The University of Arizona,Tucson, AZ 85721 U.S.A. {hchen@eller.arizona.edu}Many people face problems of emotional distress. Early detection of high-risk individuals is the key to preventsuicidal behavior. There is increasing evidence that the Internet and social media provide clues of people’semotional distress. In particular, some people leave messages showing emotional distress or even suicide noteson the Internet. Identifying emotionally distressed people and examining their posts on the Internet areimportant steps for health and social work professionals to provide assistance, but the process is very timeconsuming and ineffective if conducted manually using standard search engines. Following the design scienceapproach, we present the design of a system called KAREN, which identifies individuals who blog about theiremotional distress in the Chinese language, using a combination of machine learning classification and rulebased classification with rules obtained from experts. A controlled experiment and a user study were conducted to evaluate system performance in searching and analyzing blogs written by people who might beemotionally distressed. The results show that the proposed system achieved better classification performancethan the benchmark methods and that professionals perceived the system to be more useful and effective foridentifying bloggers with emotional distress than benchmark approaches.11Sumit Sarker was the accepting senior editor for this paper. Manish Agrawal served as the associate editor.DOI: 10.25300/MISQ/2020/14110MIS Quarterly Vol. 44 No. 2 pp. 933-955/June 2020933

Chau et al./Finding People with Emotional Distress in Social MediaKeywords: Social media, emotional distress, suicide research, design science, classificationIntroductionEmotional distress is a prevailing complex social and publichealth problem in modern societies. About 9.2% of peopleworldwide have had suicidal ideation at least once in theirlifetime, 2% have had that in the past 12 months (Borges et al.2010), and around 804,000 individuals take their own livesevery year (World Health Organization 2014). Emotionaldistress is a robust risk factor for suicidal behavior, and theearly detection of high-risk individuals is the key to preventsuicidal behavior (Turecki et al. 2016). A trend appears to beemerging in which people leave messages showing emotionaldistress or even suicide notes on the Internet (Ruder et al.2011). In Hong Kong, about 30% of the students who committed suicide had expressed their intentions on social media(Hong Kong Education Bureau 2016). It has been suggestedthat content on the Internet, especially narratives and diarieswritten online, have great potential for understanding people’semotional distress and suicidal behaviors (Cheng et al. 2015;Hessler et al. 2003; Huang et al. 2007). In view of this, somenongovernmental organizations (NGOs) have started toactively search for these distressed and negative selfexpressions in social media to identify potentially severelydepressed people in order to provide help and follow-upservices. However, most of the current approaches are verylabor-intensive and time ineffective because they often rely onsimple keyword searches using search engines for socialmedia (e.g., Yahoo! blog search engine and forum searchengines) to find user-generated content expressing emotionaldistress (e.g., Huang et al. 2007). The search results are oftenrather “noisy” and the search targets are buried under a largenumber of irrelevant documents, and only a few texts showinggenuine negative emotions can be found. For example, anews article reporting a suicide case posted on social mediamay match the same set of keywords as a blog entry writtenby someone who expresses suicidal intention. Social workersand professionals often have to spend a large amount of timeto identify people who truly need help.Techniques for text mining and affect analysis have advancedsubstantially in recent years (Liu 2012; Pang and Lee 2008).Web-mining and text-mining techniques have achieved satisfactory performance in extracting opinions and identifyingcommunities in blogs (Abbasi et al. 2008; Chau and Xu 2012;Ceron et al. 2014; Glance et al. 2005; Ishida 2005; Juffingerand Lex 2009; Kumar et al. 2010; Liu et al. 2007; Pang andLee, 2008; Tang and Liu 2010). Many of these techniqueshave been applied to problems related to other domains suchas marketing (e.g., product or movie reviews), politics (e.g.,934MIS Quarterly Vol. 44 No. 2/June 2020political opinions), or leisure (e.g., friends and community).Although these techniques could help with this potentiallylife-saving application, little empirical research has beenconducted.This research is intended to leverage these advanced techniques to enhance the time and cost efficiencies of theseinitiatives that identify people with emotional distress. Weaddressed the problem by designing a system called KARENthat assists social workers and professionals in searching forpeople with emotional distress in blogs in Chinese. Based onsearch keywords entered by users, the system combinessearch results from multiple blog search engines and automatically analyzes and classifies the search results as showingor not showing emotional distress by combining machinelearning classification (with a support vector machine andgenetic algorithm) and rule-based classification (with rulesobtained from experts). Two studies were conducted toevaluate the performance of the proposed system, and theresults showed that (1) the classifier in the system performsbetter than the baseline classification models, (2) professionals can find more blog posts showing emotional distressusing the proposed system than using a regular blog searchengine, and (3) professionals perceive the proposed system tobe more useful than a regular blog search engine in findingpeople with emotional distress.Theoretical Backgroundand Related WorkSentiment and Affect AnalysisUsing Machine LearningSentiment and Affect AnalysisMachine learning has been extensively used in text-basedclassification and object recognition with great success in awide range of applications, including sentiment and affectanalysis (Cambria et al. 2013; Feldman 2013). Sentiment andaffect analysis focuses on categorizing emotions and affectsexpressed in writing into different classes such as happiness,love, attraction, sadness, hate, anger, fear, repulsion, and soon (Subasic and Huettner 2000). For example, the intensityof the general public’s moods during a bombing incident inLondon was estimated with word frequencies and the usageof special characters in blogs (Mishne and de Rijke 2006).

Chau et al./Finding People with Emotional Distress in Social MediaThe affect intensities of web forums and blog messages werealso evaluated in previous research, and the results wereencouraging, showing that affects could be detected automatically (Abbasi et al. 2008). Among various machine learningtechniques, SVMs (support vector machines) are oftenregarded as one of the best classifiers providing goodgeneralization capability in sentiment and affect analysis(Mullen and Collier 2004; Saad 2014). The SVM-basedapproach inherently emphasizes document-level analysis. Itis a well-known and highly effective approach yielding highaccuracy in sentiment and affect analysis (Abbasi et al. 2008;Mullen and Collier 2004).Lexicon-Based Feature ExtractionMost machine learning methods rely on features, which arevariables or predictors, that are present in the data. A welldeveloped lexicon can be used to make the features extractedmore specific to a particular domain. For instance, the linguistic inquiry and word count (LIWC) lexicon (Pennebakeret al. 2007) organizes words into different categories so thatresearchers can employ them as features for analysis. It hasbeen suggested that this kind of category-based features canavoid the ambiguous nature of many words to greatly improvelanguage-model perplexities (Niesler and Woodland 1996;Samuelsson and Reichl 1999). LIWC has been used insentiment analysis studies in public health. For example,preliminary evidence suggests that depressed individuals havea different writing style from that of non-depressed people(Rude et al. 2004; Pennebaker and Chung, 2011). Depressedand suicidal individuals tend to use significantly more selfreferencing words in their writing (Rude et al. 2004; Sloan2005; Stirman and Pennebaker 2001). Other categories ofwords, such as negations, cognitive words, and positive andnegative emotional words, also are used to identify the writingstyles in mentally ill patients (Gruber and Kring 2008; Junghaenel et al. 2008). The LIWC lexicon translated intodifferent languages is widely used in analyses of usergenerated content, including blogs and microblogs (e.g.,Coppersmith et al. 2014; De Choudhury et al. 2013; Gill et al.2008).machine learning text classifiers (Saad 2014). Since anexhaustive search over all possible feature subsets is notfeasible, randomized, population-based heuristic searchtechniques such as genetic algorithms (GAs) can be used infeature selection (Fang et al. 2007; Oreski and Oreski 2014;Yang and Honavar 1998). The GA-based approach to featuresubset selection, based on Darwin’s natural selection theory,searches for the optimal subset according to the principle of“survival of the fittest.” The algorithm starts with randomlyselecting a certain number of feature subsets, which represents a population of potential solutions. Each subset isevaluated with a fitness function. A new population is thenformed by selecting the subsets with a higher average fitnessscore. Some subsets of the new population undergo transformations such as crossover in conjunction with mutation.After multiple iterations, the GA selects the best featuresubset out of all populations.Rule-Based Classification withExpert JudgmentAlthough machine learning techniques are shown to performwell in various text classification tasks, some drawbacks exist.First, they are entirely data driven. If the training data set isbiased, it may affect the classification performance. Second,expert judgment and experience cannot be incorporated intothe model. Third, machine learning techniques only treat eachdocument as a set of features without considering the writingat the sentence or paragraph level, which may affect performance. One way to address these issues is to use a rule-basedclassification approach, where some rules developed by experts are used to assign a score to each document. The benefitof doing this is to incorporate human judgment into theclassification process. It is also possible to include sentencelevel or paragraph-level analysis. While rule-based approaches have been used in sentiment analysis and emotiondetection research (e.g., Hutto and Gilbert, 2014; Neviarouskaya et al. 2010, 2011; Wu et al. 2006), they have not beenapplied in classifying emotional distress. Combining bothmachine learning and rule-based classification to take advantage of both approaches may be beneficial.Feature Selection TechniquesSystem DesignFeature selection techniques can be used to reduce the numberof features by finding the optimal subset of features thatachieve the best classification performance. Feature selectionis a crucial preprocessing step for improving the effectivenessand efficiency of the training process in machine learningapplications. Previous research has shown that featureselection may significantly improve the performance ofThis research aims to design, implement, and evaluate asearch system that helps professionals identify people whoshow emotional distress in their blogs. Because of the natureof our research objective, we followed the design sciencemethodology (Gregor and Hevner 2013; Hevner et al. 2004).In this section, we present the design of our system (i.e., theMIS Quarterly Vol. 44 No. 2/June 2020935

Chau et al./Finding People with Emotional Distress in Social MediaFigure 1. System Architectureartifact that addresses the classification problem described inthe previous sections). The system, called KAREN, whichstands for “Karen Automated Rating of Emotional Negativity,” consists of four major components: a blog crawler, amachine learning classifier, a rule-based classifier, and resultaggregation. Figure 1 presents the system architecture.The core of our design is the classification process. Based onour review of the literature, we propose to use an aggregationmethod to combine different techniques in our classification.First, we use the SVM classifier, which has achieved the bestperformance in various text classification tasks (Abbasi et al.2008; Yang and Liu 1999). In addition, as we expect that theproportion of blogs showing emotional distress is muchsmaller than that of regular blogs, SVM would be a suitabletechnique as it is one of the classifiers that perform betterwhen the number of positive training instances is small (Yangand Liu 1999). Given the nature of our application, we alsopropose to use the lexicon defined by LIWC, which hasperformed satisfactorily in understanding emotions in texts,to extract words from documents into category-based features.As LIWC has 71 categories, further reducing the number offeatures using feature selection would be beneficial. We propose to use a GA-based feature selection method to improvethe performance of the SVM classifier.Because of the uniqueness of the application domain asreviewed earlier, we postulate that using SVM, a machinelearning classifier, alone may not be sufficient. Some expressions showing emotional distress can only be identified when936MIS Quarterly Vol. 44 No. 2/June 2020the context of the whole document is analyzed, which is notpossible for SVM as it does not consider the order of wordsin the document. To address this problem, we propose tocomplement SVM with a rule-based classifier with rulesobtained from experts. While it is possible to combine SVMwith other machine learning classifiers such as a decision tree,we choose to complement SVM with a rule-based classifier asit can perform sentence-level and paragraph-level analysis anddirectly incorporate context-specific heuristics in its rules. Asthe SVM classifier focuses on word-level analysis and therule-based classifier focuses on sentence-level and paragraphlevel analysis, we believe that they can complement eachother and obtain better performance when combined.When using the system, a user will first enter keywordsrelated to emotional distress into the system, which will thenbe sent to various blog search engines, such as Google blogsearch and Yahoo! blog search. The search results from theseengines will be extracted, and the actual content of the blogswill be downloaded by the system to the local database. Eachblog will then be analyzed by both a machine learning classifier and a rule-based classifier, and the results from the twoclassifiers will be aggregated into a final classification decision. Finally, the search results will be presented to the userbased on the classification. The workflow of a typical searchsession is shown in Figure 2.The four components of the design are discussed in detail inthe following subsections.

Chau et al./Finding People with Emotional Distress in Social MediaFigure 2. Workflow of a Typical Search SessionBlog CrawlerMachine Learning ClassifierThe first component in the proposed architecture is a blogcrawler that collects blogs from different blog-hosting sites.Using a metasearch approach (Chen et al. 2001), the crawlersends keywords entered by the user to blog search enginessuch as Google blog search and Yahoo! blog search andextracts the addresses of the blogs identified. As the searchengines only return the URL, title, and summary of a blog,which are insufficient for our analysis, the crawler will alsovisit the hosting sites of these blogs directly to download theentire content through standard HTTP protocol.The proposed architecture uses two classification models—namely, a machine learning model and a rule-based model—as a classification ensemble. The models are designed toclassify whether a blog shows emotional distress based on aset of training examples. This would help professionals identify potential emotional distress of the blog author. We use anSVM as our machine learning classifier as SVMs have beenshown to be highly effective in conventional text classification and achieved the best performance among different textclassifiers (Abbasi et al. 2008; Yang and Liu 1999). Wesuggest that it is well suited for our application of classifyingtexts as whether or not showing emotional distress.After a blog is downloaded, our system will extract its contentand perform word segmentation (i.e., tokenize the documentinto words) for further analysis. Simple word segmentationbased on common delimiters such as spaces and punctuationmarks can be employed for blogs in English. For blogswritten in Chinese, which is a character-based language without explicit delimiters between words, the segmentationprocess is often more difficult and less accurate than for blogswritten in English. In our system, we use a Chinese segmentation tool developed by the Chinese Academy of Sciencescalled ICTCLAS, a popular tool that has been used in manyprior studies (Zeng et al. 2011; Zhang et al. 2003).Feature ExtractionAfter a blog is parsed into words, each word is matched withthe LIWC lexicon to determine which category it belongs to.As we are focusing on blogs written in Chinese, the Chineseversion of LIWC, called C-LIWC (Huang et al. 2012), isemployed. Similar to LIWC, C-LIWC provides multipleword categories such as positive or negative emotions, selfreferences, and causal words for text analyses on emotionalMIS Quarterly Vol. 44 No. 2/June 2020937

Chau et al./Finding People with Emotional Distress in Social Mediaand cognitive words. This approach is effective becausemany studies show that people’s mental health can be predicted with the words they use in writing by observing whatLIWC category the words belong to (Pennebaker 2003).Thus, the frequency count of every word in the categories’word list is used to calculate the feature value (fi) for each ofthe 71 categories in C-LIWC. The word-to-document proportion is incorporated in the calculation to reflect word importance corresponding to the document. A document is oneblog post. For each document d, the value fi (for i 1 to 71)is calculated as follows:Document length, measured by the number of words, is alsoadded as the 72nd feature. Therefore, after this stage of processing, a vector of 72 values is created for each document d.Feature Selection Using Genetic AlgorithmThere are different ways of choosing which features we passto SVM for training and performing the classification. Oneway is to use all the 72 features identified by LIWC anddocument length. However, as discussed in our literaturereview, extracting a subset of features to improve performance is often desirable. In the proposed architecture, we usea generic algorithm (GA) in our feature selection process.GAs have been employed for feature selection in previousresearch and are applicable here (Fang et al. 2007; Oreski andOreski 2014; Yang and Honavar 1998). In our GA implementation, the initial population contains a fixed number ofindividuals (chromosomes), where each individual representsa set of a variable number of features. Each individual isrepresented with a binary vector of bits, where a bit value of1 means that the corresponding feature is selected while 0means that the corresponding attribute is not selected. Inother words, each individual in the population is a candidatesolution to the feature subset selection problem. Standard GAoperations such as roulette-wheel selection, crossover, andmutation are implemented in a standard way (Goldberg 1989;Michalewicz 1996). In calculating the fitness value of achromosome, the set of features represented by the chromosome is used as the input for the SVM, which will go throughtraining and testing using tenfold cross validation. The fitnessvalue is calculated as the F value of the classification testingperformance, the harmonic mean of precision and recall. Allthe three performance metrics have been widely used inclassification and retrieval research. Readers are referred toVan Rijsbergen (1979) for more details on these measures.938MIS Quarterly Vol. 44 No. 2/June 2020Rule-Based ClassifierBesides the machine learning classification model, a rulebased classification model is also employed in our architecture to automatically classify a blog as showing emotionaldistress or not. To build our rule-based classifier, we firstcreate a lexicon consisting of words related to emotionaldistress. Then for each document to classify, we will performthe following steps:1.We identify whether each sentence is a self-referencingsentence.2.We calculate a score of emotional distress for eachsentence.3.We aggregate the scores for all sentences in a documentand come up with a single score for the document.Our rule-based classifier can then classify blog content atsentence and document levels. The sentence-level classification differentiates sentences into positive or negativeemotions; as a result, the model is able to determine whetherthe whole document shows emotional distress from theautomatically annotated sentences. Below, we will discussthe details of the lexicon-creation process and the threeanalysis steps.Lexicon CreationSince no lexicon specifically concerning emotional distresswords in Chinese is available, we develop our own lexicon inthis model. The lexicon is constructed by the manual inspection of blog content by professionals familiar with webdiscourse terminology for emotional distress. Similar lexiconcreation approaches have been used in previous studies andhave shown encouraging results (Abbasi and Chen 2007;Subasic and Huettner 2000). In this particular study, 3,147blogs were collected from Google blog search, and twoclinical psychologists familiar with emotional distress andsuicide research were asked to read these blog content andextract emotional expressions and representative words ofpositive, negative, and neutral emotions in a macro view.Manual lexicon creation is used since blogs contain their ownterminology, which can be difficult to extract without humanjudgment and the manual evaluation of conversation text.The words in the lexicon are categorized into ten groups inthe rule-based model. The ten groups are self-reference,positive emotion, negative emotion, risk factors, suicide, time,negation, leisure, references, and gratitude expressions. The

Chau et al./Finding People with Emotional Distress in Social MediaTable 1. Examples and Number of Words in the Ten Lexical Groups.examples and number of words in each group are shown inTable 1. All the words are treated equally in the lexiconwithout individual score assignment. Different groups ofwords are, however, used in different components in asentence-level scoring process in the model (to be discussedlater). Compared with C-LIWC, this lexicon is more preciseand customized for the domain as C-LIWC has a largecoverage and contains categories and words that are not veryrelevant to the application domain. On the other hand, themanual lexicon contains words that have actually been usedby bloggers in their online emotional expressions, whichinclude colloquial words and domain-specific words that arenot found in C-LIWC.Self-Referencing Sentence IdentificationWe want to identify self-referencing sentences as they directlyreflect the writer’s cognition. Studies in psycholinguisticsreveal that people who currently have depression or suicidalideation have a distinctive linguistic style and tend to usesignificantly more self-referencing words (e.g., I, me, myself)in their writing, entailing strong self-orientation (Li et al.2014; Ramirez-Esparza et al. 2006; Rude et al. 2004) andeven withdrawal from social relationships (Stirman andPennebaker 2001). Although this self-referencing style isdifficult to identify with human judgment, sentences with selfreferencing words are believed to provide more clues on identifying disengagement behavior and hence emotional distress.It should be noted that this is different from subjective sentence identification in some previous studies that made use ofsubjective words in existing knowledge and sentiment databases (Riloff and Wiebe, 2003; Zhang et al. 2009).Sentence-Score CalculationInstead of finding expressions of common affects such as fearand anger, the model is aimed at identifying emotionaldistress that consists of multiple affects. Many researchershave studied discrete affects such as fear, worry, sadness,contempt, disgust, guilt, nervousness, and anger (Abbasi et al.2008; Subasic and Huettner, 2000). The identification of twoopposite affects—namely, positive and negative—has becomedominant in the literature. Although the negative affect isassociated with emotional distress, these two terms are notequivalent (Crawford and Henry 2004; Matthews et al. 1990).Emotional distress consists of multiple affects in differentsituations and life stressors. For instance, bereavementrelated emotional distress would have affects such as sadnessand nervousness (Chen et al. 1999), while diabetes-relatedemotional distress would have affects such as fear and worry(Snoek et al. 2000). Also, instead of using many negativeemotion words, people may talk about what has happened intheir daily lives, which may be the cause for their emotionaldistress. Therefore, besides analyzing negative and positiveemotion words, we also look at other words related toemotional distress such as various risk factors and suicidewords as well as words that indicate positive well-being andattitudes.The procedure for calculating the emotional-distress score foreach sentence is shown in Figure 3. A positive value of thescore means that the sentence shows emotional distress, whilea zero or negative value means otherwise. In calculating thesentence scores, we pay special attention to self-referencingsentences (sentences containing self-reference words), whichMIS Quarterly Vol. 44 No. 2/June 2020939

Chau et al./Finding People with Emotional Distress in Social MediaSentence Score 17.18.19.20.21.22.23.24.25.Inputs:s, a sentencelexicon, a lexicon of words divided into 10 groupsOutput:score, the emotional distress score for sentence sProcedure:score 0if s contains (Self-reference)if s contains (Negative Emotion and not Negation)or s contains (Positive Emotion and Negation)score 1for each (Risk Factors or Suicide) in sif s contains (Time)score score 2elsescore score 1else if s contains (Positive Emotion and not Negation)or s contains (Negative Emotion and Negation)score –1for each (Leisure) in sscore score – 1elsefor each (References or Gratitude expressions) in sscore score – 1return scoreFigure 3. Sentence Score Calculationare more likely to be about the writer’s own feelings thannon–self-referencing sentences. Also, as discussed, peoplewith emotional distress are more likely to write selfreferencing sentences (Ramirez-Esparza et al. 2006; Rude etal. 2004; Stirman and Pennebaker 2001). A self-referencingsentence’s score of emotional distress is calculated based onthe positive emotion and negative emotion words present.Intuitively, a sentence is classified as showing emotionaldistress when only negative emotion words are found (Chenget al. 2015; Li et al. 2014), and a score of 1 is first assigned.On the other hand, the sentence is considered as not havingemotional distress when only positive emotion words arefound, and a score of –1 is assigned. When neither positiveemotion nor negative emotion words are found, the sentenceis regarded in the same way as a non–self-referencing sentence. In the case where both positive and negative emotionwords are found, the sentence is classified as showingnegative emotion. This is to avoid overlooking possiblynegative documents. Because of the nature of our application,we want to reduce the chance of not finding documents940MIS Quarterly Vol. 44 No. 2/June 2020showing emotional distress, even though doing so may resultin a higher chance of classifying a normal document asshowing emotional distress. Negation words (e.g., no, not,and never) are also checked in the calculation.Based on what we discussed, the score of each selfreferencing sentence is assigned as 1 or –1 based on whetherit contains any positive emotion, negative emotion, andnegation words (as shown in lines 9–11 and 17–19 in Figure3). We give only a score of 1 or –1 even if the sentencecontains multiple negative or positive emotion words, respectively, because we want to distinguish our approach fromstandard sentiment analysis methods. Therefore, instead ofgiving the same weight to different word categories, we wantto focus more on words related to emotional distress andmental well-being. For sentences showing negative emotion,the score is increased w

Lexicon-Based Feature Extraction Most machine learning methods rely on features, which are variables or predictors, that are present in the data. A well-developed lexicon can be used to make the features extracted more specific to a particular domain. For instance, the lin-guistic inquiry and word count (LIWC) lexicon (Pennebaker

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