Thermal Imaging-based Real-time Fall Detection using Motion Flow and Attention-enhanced Convolutional Recurrent Architecture

Falls among seniors are a major public health issue. Existing solutions using wearable sensors, ambient sensors, and RGB-based vision systems face challenges in reliability, user compliance, and practicality. Studies indicate that stakeholders, such as older adults and eldercare facilities, prefer non-wearable, passive, privacy-preserving, and real-time fall detection systems that require no user interaction. This study proposes an advanced thermal fall detection method using a Bidirectional Convolutional Long Short-Term Memory (BiConvLSTM) model, enhanced with spatial, temporal, feature, self, and general attention mechanisms. Through systematic experimentation across hundreds of model variations exploring the integration of attention mechanisms, recurrent modules, and motion flow, we identified top-performing architectures. Among them, BiConvLSTM achieved state-of-the-art performance with a ROC-AUC of 99.7% on the TSF dataset and demonstrated robust results on TF-66, a newly emerged, diverse, and privacy-preserving benchmark. These results highlight the generalizability and practicality of the proposed model, setting new standards for thermal fall detection and paving the way toward deployable, high-performance solutions.