Background The COVID-19 pandemic has caused several disruptions in personal and collective lives worldwide. The uncertainties surrounding the pandemic have also led to multifaceted mental health concerns, which can be exacerbated with precautionary measures such as social distancing and self-quarantining, as well as societal impacts such as economic downturn and job loss. Despite noting this as a “mental health tsunami”, the psychological effects of the COVID-19 crisis remain unexplored at scale. Consequently, public health stakeholders are currently limited in identifying ways to provide timely and tailored support during these circumstances. Objective Our study aims to provide insights regarding people’s psychosocial concerns during the COVID-19 pandemic by leveraging social media data. We aim to study the temporal and linguistic changes in symptomatic mental health and support expressions in the pandemic context. Methods We obtained about 60 million Twitter streaming posts originating from the United States from March 24 to May 24, 2020, and compared these with about 40 million posts from a comparable period in 2019 to attribute the effect of COVID-19 on people’s social media self-disclosure. Using these data sets, we studied people’s self-disclosure on social media in terms of symptomatic mental health concerns and expressions of support. We employed transfer learning classifiers that identified the social media language indicative of mental health outcomes (anxiety, depression, stress, and suicidal ideation) and support (emotional and informational support). We then examined the changes in psychosocial expressions over time and language, comparing the 2020 and 2019 data sets. Results We found that all of the examined psychosocial expressions have significantly increased during the COVID-19 crisis—mental health symptomatic expressions have increased by about 14%, and support expressions have increased by about 5%, both thematically related to COVID-19. We also observed a steady decline and eventual plateauing in these expressions during the COVID-19 pandemic, which may have been due to habituation or due to supportive policy measures enacted during this period. Our language analyses highlighted that people express concerns that are specific to and contextually related to the COVID-19 crisis. Conclusions We studied the psychosocial effects of the COVID-19 crisis by using social media data from 2020, finding that people’s mental health symptomatic and support expressions significantly increased during the COVID-19 period as compared to similar data from 2019. However, this effect gradually lessened over time, suggesting that people adapted to the circumstances and their “new normal.” Our linguistic analyses revealed that people expressed mental health concerns regarding personal and professional challenges, health care and precautionary measures, and pandemic-related awareness. This study shows the potential to provide insights to mental health care and stakeholders and policy makers in planning and implementing measures to mitigate mental health risks amid the health crisis.

Stress constitutes a persistent wellbeing challenge to college students, impacting their personal, social, and academic life. However, violent events on campuses may aggravate student stress, due to the induced fear and trauma. In this paper, leveraging social media as a passive sensor of stress, we propose novel computational techniques to quantify and examine stress responses after gun violence on college campuses. We first present a machine learning classifier for inferring stress expression in Reddit posts, which achieves an accuracy of 82%. Next, focusing on 12 incidents of campus gun violence in the past five years, and social media data gathered from college Reddit communities, our methods reveal amplified stress levels following the violent incidents, which deviate from usual stress patterns on the campuses. Further, distinctive temporal and linguistic changes characterize the campus populations, such as reduced cognition, higher self pre-occupation and death-related conversations. We discuss the implications of our work in improving mental wellbeing and rehabilitation efforts around crisis events in college student populations.

LGBTQ+ (lesbian, gay, bisexual, transgender, queer) individuals are at significantly higher risk for mental health challenges than the general population. Social media and online communities provide avenues for LGBTQ+ individuals to have safe, candid, semi-anonymous discussions about their struggles and experiences. We study minority stress through the language of disclosures and self-experiences on the r/lgbt Reddit community. Drawing on Meyer's minority stress theory, and adopting a combined qualitative and computational approach, we make three primary contributions, 1) a theoretically grounded codebook to identify minority stressors across three types of minority stress-prejudice events, perceived stigma, and internalized LGBTphobia, 2) a machine learning classifier to scalably identify social media posts describing minority stress experiences, that achieves an AUC of 0.80, and 3) a lexicon of linguistic markers, along with their contextualization in the minority stress theory. Our results bear implications to influence public health policy and contribute to improving knowledge relating to the mental health disparities of LGBTQ+ populations. We also discuss the potential of our approach to enable designing online tools sensitive to the needs of LGBTQ+ individuals.

Active and passive sensing technologies are providing powerful mechanisms to track, model, and understand a range of health behaviors and well-being states. Despite yielding rich, dense and high fidelity data, current sensing technologies often require highly engineered study designs and persistent participant compliance, making them difficult to scale to large populations and to data acquisition tasks spanning extended time periods. This paper situates social media as a new passive, unobtrusive sensing technology. We propose a semi-supervised machine learning framework to combine small samples of data gathered through active sensing, with large-scale social media data to infer mood instability (MI) in individuals. Starting from a theoretically-grounded measure of MI obtained from mobile ecological momentary assessments (EMAs), we show that our model is able to infer MI in a large population of Twitter users with 96% accuracy and F-1 score. Additionally, we show that, our model predicts self-identifying Twitter users with bipolar and borderline personality disorder to exhibit twice the likelihood of high MI, compared to that in a suitable control. We discuss the implications and the potential for integrating complementary sensing capabilities to address complex research challenges in precision medicine.

Social media data like that from Twitter can offer new information about how groups of people perceive their medications, share benefits, and report side effects.