BEACON-SP: Ontology-Grounded GraphRAG Framework for Clinical Suicide Risk Assessment
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BEACON-SP is an ontology‑grounded Graph Retrieval‑Augmented Generation framework designed to aid clinicians in suicide risk assessment by integrating diverse clinical, behavioral, social, and temporal data. It constructs patient knowledge graphs guided by a unified suicide prevention ontology that merges the Three‑Step Theory, the Integrated Motivational‑Volitional Model, and the Suicide Social Determinants of Health Ontology. In a benchmark of 1,500 queries across 15 clinical categories, BEACON‑SP outperformed a vector‑based RAG baseline in completeness, clinical relevance, and evidence grounding, with 76.4% of paired comparisons favoring the GraphRAG approach.
The paper introduces a framework for explainable suicide risk assessment from social networking service posts, comprising Risk Assessment, Evidence Grounding, and Factor Identification. Risk Assessment uses length-based routing to handle varying post lengths, while Evidence Grounding highlights supporting phrases and enforces consistency with risk predictions. Factor Identification employs two verifiers—Taxonomy Verifier and Evidence-Aware Verifier—to predict psychosocial factors, achieving weighted F1 scores of 0.8088, 0.7605, and 0.5562 for the three tasks respectively.
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