# Multi-Agent Causal Reasoning for Suicide Ideation Detection Through Online Conversations

arXiv: https://arxiv.org/abs/2602.23577 · HTML: https://mlsanity.com/paper/2602.23577/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 7 of its 32 references that are in the map.
- First posted on arXiv 27 Feb 2026.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 7 of 7)

- [Semi-Supervised Classification with Graph Convolutional Networks](https://mlsanity.com/paper/1609.02907/) (2016)
- [Graph Attention Networks](https://mlsanity.com/paper/1710.10903/) (2017)
- [Inductive Representation Learning on Large Graphs](https://mlsanity.com/paper/1706.02216/) (2017)
- [Text Embeddings by Weakly-Supervised Contrastive Pre-training](https://mlsanity.com/paper/2212.03533/) (2022)
- [Towards Suicide Prevention from Bipolar Disorder with Temporal Symptom-Aware Multitask Learning](https://mlsanity.com/paper/2307.00995/) (2023)
- [Protective Factor-Aware Dynamic Influence Learning for Suicide Risk Prediction on Social Media](https://mlsanity.com/paper/2507.10008/) (2025)
- [Suicidal Comment Tree Dataset: Enhancing Risk Assessment and Prediction Through Contextual Analysis](https://mlsanity.com/paper/2510.14395/) (2025)

## Abstract (arXiv)

Suicide remains a pressing global public health concern. While social media platforms offer opportunities for early risk detection through online conversation trees, existing approaches face two major limitations: (1) They rely on predefined rules (e.g., quotes or relies) to log conversations that capture only a narrow spectrum of user interactions, and (2) They overlook hidden influences such as user conformity and suicide copycat behavior, which can significantly affect suicidal expression and propagation in online communities. To address these limitations, we propose a Multi-Agent Causal Reasoning (MACR) framework that collaboratively employs a Reasoning Agent to scale user interactions and a Bias-aware Decision-Making Agent to mitigate harmful biases arising from hidden influences. The Reasoning Agent integrates cognitive appraisal theory to generate counterfactual user reactions to posts, thereby scaling user interactions. It analyses these reactions through structured dimensions, i.e., cognitive, emotional, and behavioral patterns, with a dedicated sub-agent responsible for each dimension. The Bias-aware Decision-Making Agent mitigates hidden biases through a front-door adjustment strategy, leveraging the counterfactual user reactions produced by the Reasoning Agent. Through the collaboration of reasoning and bias-aware decision making, the proposed MACR framework not only alleviates hidden biases, but also enriches contextual information of user interactions with counterfactual knowledge. Extensive experiments on real-world conversational datasets demonstrate the effectiveness and robustness of MACR in identifying suicide risk.