Detecting risk level in individuals misusing fentanyl utilizing posts from an online community on Reddit

Original research
by
Garg, Sanjana et al

Release Date

2021

Geography

USA

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

Because those who misuse fentanyl are often a hidden and high risk group, innovative methods for identifying individuals at risk for fentanyl misuse are needed. Machine learning has been used in the past to investigate discussions surrounding substance use on Reddit, and this study leverages similar techniques to identify risky content from discussions of fentanyl on this platform.

Findings/Key points

Our machine learning risk model was able to detect posts or comments labeled as risky by our clinical experts with 76% accuracy and 76% sensitivity. Furthermore, we provide a vocabulary of community-specific, colloquial words for fentanyl and its analogues.

Design/methods

A codebook was developed by clinical domain experts with 12 categories indicative of fentanyl misuse risk, and this was used to manually label 391 Reddit posts and comments. Using this data we built machine learning classification models to identify fentanyl risk.

Keywords

Harm reduction
Illegal drugs
Digital health