Back

The Shape of a Final Message: An Emotional Landscape in the Language of Suicide

Pestian, J. P.; Jacobson, D. A.; Pedapati, E. V.; Mendonca, E. A.; McMahon, B. H.; Ive, J.; Glauser, T. A.

2026-07-17 psychiatry and clinical psychology
10.64898/2026.07.16.26358230 medRxiv
Show abstract

The emotional content of suicide notes is typically examined using categorical coding, where each labeled passage is treated in isolation from its surrounding language. In contrast, dimensional models of psychopathology propose that affective content varies along continuous gradients. We evaluated this proposition directly. Excerpts from 884 annotated suicide notes were embedded in a semantic space defined solely by their linguistic properties, and we investigated whether human-assigned emotion labels changed smoothly across this space. They did: affective tone showed clear spatial autocorrelation (Moran's $I = 0.18$, $z = 19.68$, $p < 0.001$), an effect that replicated across three different encoders and remained after removing all within-note dependencies. Emotions occupied recognizable yet overlapping regions rather than forming distinct clusters and varied substantially in how tightly they were concentrated: love and hopelessness appeared with similar frequency, but love was far more localized ($z = 15.7$ versus $10.8$). Among all emotions, hopelessness was the most linguistically diffuse, implying that a single categorical label is capturing multiple, qualitatively different manifestations of suicidal distress.

Matching journals

The top 14 journals account for 50% of the predicted probability mass.

1
PLOS ONE
5266 papers in training set
Top 25%
6.6%
2
Journal of Affective Disorders
92 papers in training set
Top 0.5%
5.4%
3
Scientific Reports
3612 papers in training set
Top 21%
4.7%
4
Translational Psychiatry
260 papers in training set
Top 1%
4.7%
5
Psychiatry Research
41 papers in training set
Top 0.3%
4.3%
6
Molecular Psychiatry
282 papers in training set
Top 2%
4.3%
7
Psychological Medicine
88 papers in training set
Top 0.6%
3.9%
8
Acta Neuropsychiatrica
14 papers in training set
Top 0.1%
3.1%
9
The British Journal of Psychiatry
23 papers in training set
Top 0.2%
2.7%
10
Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
71 papers in training set
Top 0.6%
2.6%
11
Journal of The Royal Society Interface
235 papers in training set
Top 2%
2.6%
12
npj Digital Medicine
118 papers in training set
Top 2%
2.6%
13
Proceedings of the National Academy of Sciences
2444 papers in training set
Top 23%
2.3%
14
Nature Medicine
125 papers in training set
Top 1%
2.3%
50% of probability mass above
15
Journal of Psychiatric Research
32 papers in training set
Top 0.4%
2.3%
16
BioData Mining
22 papers in training set
Top 0.2%
2.3%
17
Nature Neuroscience
252 papers in training set
Top 3%
2.1%
18
BJPsych Open
29 papers in training set
Top 0.3%
2.1%
19
Nature Human Behaviour
95 papers in training set
Top 1%
1.9%
20
Acta Psychiatrica Scandinavica
10 papers in training set
Top 0.1%
1.7%
21
Cortex
119 papers in training set
Top 1%
1.7%
22
European Psychiatry
11 papers in training set
Top 0.1%
1.6%
23
Frontiers in Psychiatry
87 papers in training set
Top 1%
1.6%
24
Frontiers in Psychology
56 papers in training set
Top 0.9%
1.5%
25
eLife
5828 papers in training set
Top 59%
1.1%
26
Journal of Medical Internet Research
87 papers in training set
Top 2%
1.1%
27
Communications Psychology
22 papers in training set
Top 0.3%
1.0%
28
NeuroImage: Clinical
144 papers in training set
Top 2%
1.0%
29
Frontiers in Artificial Intelligence
20 papers in training set
Top 0.6%
1.0%
30
Nature Communications
5641 papers in training set
Top 58%
0.8%