Coping Strategies for Youth Suffering from Online Interpersonal Rejection

The Internet and social media have rapidly changed our lives, and are profoundly affecting the social lives of adolescents, expanding and enriching their communication options. At the same time, they often operate as a platform that amplifies the real-world phenomenon of interpersonal rejection – a harsh and excruciating experience. In this study, we will examine, youth\u27s coping methods with online social rejection from a psycho-social perspective. To achieve this objective, a data-based heuristic model was developed, based on in-depth interviews with 19 adolescents from Israel who experienced online rejection. The findings show several coping strategies ranging from adaptive to maladaptive online and offline used interchangeably

Applying Reflexivity to Artificial Intelligence for Researching Marginalized Communities and Real-World Problems

Despite advances in artificial intelligence (AI), ethical principles have been overlooked, harming marginalized communities. These flaws are due to a lack of critical insight into the complex positionality of the researcher, power dynamics between scholars and the communities being studied, and the structural impact on real-world problems when AI systems appear to be accurate but ethically fail. Reflexivity is a process that yields a better understanding of community-specific nuances, areas requiring local expertise, and the potential consequences of scholastic interventions for real-world problems (i.e., social, environmental, or socioeconomic). The paper builds on the five stages of social work reflexivity that can be applied to AI researchers and provided questions that can be asked in order to increase privacy, accountability, and fairness. We discuss the effective implementation of reflexivity in research, detail the stages of social work reflexivity and highlight key questions for AI researchers to ask throughout the research process

Using natural language processing to identify acute care patients who lack advance directives, decisional capacity, and surrogate decision makers.

The prevalence of patients who are Incapacitated with No Evident Advance Directives or Surrogates (INEADS) remains unknown because such data are not routinely captured in structured electronic health records. This study sought to develop and validate a natural language processing (NLP) algorithm to identify information related to being INEADS from clinical notes. We used a publicly available dataset of critical care patients from 2001 through 2012 at a United States academic medical center, which contained 418,393 relevant clinical notes for 23,904 adult admissions. We developed 17 subcategories indicating reduced or elevated potential for being INEADS, and created a vocabulary of terms and expressions within each. We used an NLP application to create a language model and expand these vocabularies. The NLP algorithm was validated against gold standard manual review of 300 notes and showed good performance overall (F-score = 0.83). More than 80% of admissions had notes containing information in at least one subcategory. Thirty percent (n = 7,134) contained at least one of five social subcategories indicating elevated potential for being INEADS, and <1% (n = 81) contained at least four, which we classified as high likelihood of being INEADS. Among these, n = 8 admissions had no subcategory indicating reduced likelihood of being INEADS, and appeared to meet the definition of INEADS following manual review. Among the remaining n = 73 who had at least one subcategory indicating reduced likelihood of being INEADS, manual review of a 10% sample showed that most did not appear to be INEADS. Compared with the full cohort, the high likelihood group was significantly more likely to die during hospitalization and within four years, to have Medicaid, to have an emergency admission, and to be male. This investigation demonstrates potential for NLP to identify INEADS patients, and may inform interventions to enhance advance care planning for patients who lack social support