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The Cost of Suicide Prevention Software

2024/12/29
logo of podcast What Next: TBD | Tech, power, and the future

What Next: TBD | Tech, power, and the future

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Ellen Barry
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Ellen Barry: 美国许多学校使用心理健康监控软件来检测学生的自杀风险,但这种软件的有效性和带来的隐私问题引发了广泛的争议。软件通过扫描关键词和短语来识别潜在风险,但这种方法简单粗暴,容易产生大量误报,给学生和家庭带来不必要的困扰和伤害。一些案例表明,软件的误报导致警察深夜造访学生家中,给学生和家庭造成严重的心理创伤。 软件的有效性也缺乏可靠的数据支持,目前只有轶事证据,无法证明软件能够有效降低学生自杀率。此外,软件的使用还涉及严重的隐私问题,它可能会泄露学生的个人信息,例如性取向和性别认同,对LGBTQ+学生造成伤害。软件也可能被误用为暴力检测工具,对学生造成不必要的监视和限制。 一些学校管理人员和辅导员对软件持积极态度,认为它可以帮助学生在出现紧急情况之前与辅导员进行对话,降低自杀风险。但软件的有效性取决于学校是否有足够的资源,例如现场治疗师和有能力的辅导员。理想情况下,软件应该与其他心理健康支持措施相结合,例如增加辅导员、进行关于应对疫情和悲伤的对话等。 总而言之,学校自杀预防软件的成本和效益需要进一步评估。学校应该要求软件公司提供关于软件敏感性、阳性预测值等指标的数据,以评估其有效性。同时,学校也应该重视学生的隐私权,避免软件被滥用。

Deep Dive

Key Insights

What percentage of American schoolchildren are estimated to have mental health monitoring software on their devices?

Between a third and a half of American schoolchildren have some form of mental health monitoring software on their devices.

Why did the police visit Maddie Cholka's house in the middle of the night?

The police visited Maddie Cholka's house because her message about planning to take her life was flagged by GoGuardian Beacon, a monitoring software used by her school. The alert was reviewed by a human and escalated to the school's head of counseling, who called the police.

What are some concerns raised about the use of mental health monitoring software in schools?

Concerns include false positives, privacy issues, compromised trust between students and faculty, and the potential for outing queer or trans kids through their searches. Additionally, there are worries about the software being used to detect violence, which could lead to unnecessary police involvement.

How do schools typically handle alerts flagged by mental health monitoring software?

Schools typically handle alerts by first reviewing them through human oversight. If the alert is deemed serious, such as an 'active planning alert,' the student is pulled out of class and administered a suicide screening test. In cases where alerts occur outside school hours, law enforcement may be contacted to conduct well-child visits.

What happened to Maddie Cholka after the police intervention?

After the police intervention and hospitalization, Maddie Cholka returned home and school but continued to struggle with suicidal thoughts. She became more cautious about what she typed on her Chromebook to avoid detection by the monitoring software. Tragically, she died by suicide the following year.

What is the Columbia Suicide Screening Test, and how is it used in schools?

The Columbia Suicide Screening Test is a six-question tool designed to assess the severity of someone's suicidal thoughts and determine if they need hospitalization. Schools use it when a student is flagged by monitoring software for active planning of self-harm.

Why is there a lack of independent data on the efficacy of mental health monitoring software?

There is a lack of independent data because the companies providing these tools are private and compete for contracts, making them reluctant to share proprietary information. Additionally, schools and districts have not demanded robust data on sensitivity, positive predictive value, or other metrics to evaluate the software's effectiveness.

How did the monitoring software impact the relationship between students and faculty in Lawrence Public Schools?

In Lawrence Public Schools, students argued that the monitoring software undermined trust between them and faculty because their communications were being intercepted and filtered. They believed that allowing private conversations would foster greater trust.

Shownotes Transcript

Between a third and half of American schoolchildren have a form of “mental health monitoring” software on their school devices, which scans for and flags certain keywords. 

While intuitively appealing, is it worth the false positives, privacy issues, and compromised trust? 

Guest: Ellen Barry), mental health reporter for the New York Times.

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