Surveillance of Domestic Violence Using Text Mining Outputs From Australian Police Records

"The reasons you believe …": An exploratory study of text driven evidence gathering and prediction from first responder records justifying state authorised intervention for mental health episodes

Objective First responders' mandatory reports of mental health episodes requiring emergency hospital care contain rich information about patients and their needs. In Queensland (Australia) much of the information contained in Emergency Examination Authorities (EEAs) remains unused. We propose and demonstrate a methodology to extract and translate vital information embedded in reports like EEAs and to use it to investigate the extreme propensity of incidence of serious mental health episodes. Methods The proposed method integrates clinical, demographic, spatial and free text information into a single data collection. The data is subjected to exploratory analysis for spatial pattern recognition leading to an observational epidemiology model for the association of maximum spatial recurrence of EEA episodes. Results Sentiment analysis revealed that among EEA presentations hospital and health service (HHS) region #4 had the lowest proportion of positive sentiments (18 %) compared to 33 % for HHS region #1 pointing to spatial differentiation of sentiments immanent in mandated free text which required more detailed analysis. At the postcode geographical level, we found that variation in maximum spatial recurrence of EEAs was significantly positively associated with spatial range of sentiments (0.29, p < 0.001) and the postcode-referenced sex ratio (0.45, p = 0.01). The volatility of sentiments significantly correlated with extremes of recurrence of EEA episodes. The predicted (probabilistic) incidence rate when mapped reflected this correlation. Conclusions The paper demonstrates the efficacy of integrating, machine extracted, human sentiments (as potential surrogates) with conventional exposure variables for evidence-based methods for mental health spatial epidemiology. Such insights from informatics-driven epidemiological observations may inform the strategic allocation of health system resources to address the highest levels of need and to improve the standard of care for mental patients while also enhancing their safe and humane treatment and management.

A Systematic Literature Review of the Use of Computational Text Analysis Methods in Intimate Partner Violence Research

Purpose

Computational text mining methods are proposed as a useful methodological innovation in Intimate Partner Violence (IPV) research. Text mining can offer researchers access to existing or new datasets, sourced from social media or from IPV-related organisations, that would be too large to analyse manually. This article aims to give an overview of current work applying text mining methodologies in the study of IPV, as a starting point for researchers wanting to use such methods in their own work.

Methods

This article reports the results of a systematic review of academic research using computational text mining to research IPV. A review protocol was developed according to PRISMA guidelines, and a literature search of 8 databases was conducted, identifying 22 unique studies that were included in the review.

Results

The included studies cover a wide range of methodologies and outcomes. Supervised and unsupervised approaches are represented, including rule-based classification (n = 3), traditional Machine Learning (n = 8), Deep Learning (n = 6) and topic modelling (n = 4) methods. Datasets are mostly sourced from social media (n = 15), with other data being sourced from police forces (n = 3), health or social care providers (n = 3), or litigation texts (n = 1). Evaluation methods mostly used a held-out, labelled test set, or k-fold Cross Validation, with Accuracy and F1 metrics reported. Only a few studies commented on the ethics of computational IPV research.

Conclusions

Text mining methodologies offer promising data collection and analysis techniques for IPV research. Future work in this space must consider ethical implications of computational approaches.

Mental illness concordance between hospital clinical records and mentions in domestic violence police narratives: Data linkage study (Preprint)

Background

To better understand domestic violence, data sources from multiple sectors such as police, justice, health, and welfare are needed. Linking police data to data collections from other agencies could provide unique insights and promote an all-of-government response to domestic violence. The New South Wales Police Force attends domestic violence events and records information in the form of both structured data and a free-text narrative, with the latter shown to be a rich source of information on the mental health status of persons of interest (POIs) and victims, abuse types, and sustained injuries.

Objective

This study aims to examine the concordance (ie, matching) between mental illness mentions extracted from the police’s event narratives and mental health diagnoses from hospital and emergency department records.

Methods

We applied a rule-based text mining method on 416,441 domestic violence police event narratives between December 2005 and January 2016 to identify mental illness mentions for POIs and victims. Using different window periods (1, 3, 6, and 12 months) before and after a domestic violence event, we linked the extracted mental illness mentions of victims and POIs to clinical records from the Emergency Department Data Collection and the Admitted Patient Data Collection in New South Wales, Australia using a unique identifier for each individual in the same cohort.

Results

Using a 2-year window period (ie, 12 months before and after the domestic violence event), less than 1% (3020/416,441, 0.73%) of events had a mental illness mention and also a corresponding hospital record. About 16% of domestic violence events for both POIs (382/2395, 15.95%) and victims (101/631, 16.01%) had an agreement between hospital records and police narrative mentions of mental illness. A total of 51,025/416,441 (12.25%) events for POIs and 14,802/416,441 (3.55%) events for victims had mental illness mentions in their narratives but no hospital record. Only 841 events for POIs and 919 events for victims had a documented hospital record within 48 hours of the domestic violence event.

Conclusions

Our findings suggest that current surveillance systems used to report on domestic violence may be enhanced by accessing rich information (ie, mental illness) contained in police text narratives, made available for both POIs and victims through the application of text mining. Additional insights can be gained by linkage to other health and welfare data collections.