# Assessing Suicide Risk in Arabic Crisis Helpline Calls: A Comparison of Arabic and English Large Language Models

arXiv: https://arxiv.org/abs/2609.00191 · HTML: https://mlsanity.com/paper/2609.00191/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 13 of its 29 references that are in the map.
- First posted on arXiv 31 Aug 2026.

## Builds on (most cited first, 13 of 13)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [The Llama 3 Herd of Models](https://mlsanity.com/paper/2407.21783/) (2024)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Qwen2.5 Technical Report](https://mlsanity.com/paper/2412.15115/) (2024)
- [Robust Speech Recognition via Large-Scale Weak Supervision](https://mlsanity.com/paper/2212.04356/) (2022)
- [QLoRA: Efficient Finetuning of Quantized LLMs](https://mlsanity.com/paper/2305.14314/) (2023)
- [AraBERT: Transformer-based Model for Arabic Language Understanding](https://mlsanity.com/paper/2003.00104/) (2020)
- [ARBERT & MARBERT: Deep Bidirectional Transformers for Arabic](https://mlsanity.com/paper/2101.01785/) (2020)
- [The Interplay of Variant, Size, and Task Type in Arabic Pre-trained Language Models](https://mlsanity.com/paper/2103.06678/) (2021)
- [Hierarchical Transformers for Long Document Classification](https://mlsanity.com/paper/1910.10781/) (2019)
- [AceGPT, Localizing Large Language Models in Arabic](https://mlsanity.com/paper/2309.12053/) (2023)
- [Second Language (Arabic) Acquisition of LLMs via Progressive Vocabulary Expansion](https://mlsanity.com/paper/2412.12310/) (2024)
- [Deep Learning-Based Feature Fusion for Emotion Analysis and Suicide Risk Differentiation in Chinese Psychological Support Hotlines](https://mlsanity.com/paper/2501.08696/) (2025)

## Abstract (arXiv)

Crisis helplines assess suicide risk through structured interviews, a process that is slow and dependent on operator training and workload. Natural language processing could support risk assessment and call prioritization, but almost no work addresses Arabic-language helpline calls or operates within the privacy constraints of real helpline data. We analysed de-identified transcripts from Lebanon's National Lifeline for Emotional Support and Suicide Prevention. Audio never left the helpline: calls were transcribed on site with a speech recognition model for Levantine Arabic, and an Arabic named-entity recognition model removed identifying information locally. Only the de-identified transcripts were shared with the research team. Operators recorded the five suicidal ideation items of the Columbia Suicide Severity Rating Scale, which we combined into two binary outcomes: at-risk and high-risk. We also machine-translated the transcripts into English, giving a paired Arabic/English comparison. On each corpus, we fine-tuned five instruction-tuned large language models alongside six transformer encoder baselines (four Arabic, two English) and evaluated all models on a held-out test set. We included 383 calls: 373 for the at-risk task (52.3% positive) and 297 for the high-risk task (30.0% positive). The best Arabic model reached a macro-F1 of 81.19 and a ROC-AUC of 90.61 on high-risk; the best English model reached 85.00 and 92.59, identifying 88.9% of high-risk calls. In both languages, high-risk calls separated more cleanly than at-risk calls, and translation to English did not reduce the best observed performance. Suicide risk can be classified from de-identified Arabic transcripts without sending audio outside the helpline. The high-risk results support further testing as an operator-facing tool; lower-severity ideation proved the harder case.