{
  "abstract": "Objective: Identifying objective behavioral signatures of suicide risk remains a critical challenge. While digital phenotyping tracks emotional dynamics, validating multimodal frameworks requires exceptionally dense, chronological data.\n\nMethods: We utilized the comprehensive historical legacy of Vincent van Gogh as a longitudinal paradigm, integrating fractal dimension (FD) analysis of 388 paintings with VADER-based sentiment analysis of his correspondence across his final five clinical phases (1888–1890).\n\nResults: Results demonstrated a significant progressive escalation of FD during periods of severe psychological instability. Concurrently, negative language sentiment peaked during hospitalization but markedly declined in the final weeks preceding his death. Clinically, this distinct divergence—normalization of linguistic affect despite persistently high creative complexity— may serve as a quantifiable behavioral correlate of “terminal resolve” preceding suicide.\n\nConclusions: This integration of quantitative visual analysis and natural language processing establishes a reproducible framework for retrospective digital phenotyping and hypothesis-generation for future crisis monitoring models.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Bioregulation and Pharmacological Medicine, Fukushima Medical University School of Medicine",
    "Department of Medical Art Therapy, Fukushima Medical University School of Medicine",
    "DMC Institute for Life Science"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ran Yokooka"
    },
    {
      "affs": [
        0
      ],
      "name": "Manabu Suzuki"
    },
    {
      "affs": [
        1
      ],
      "name": "Hideki Sekine"
    },
    {
      "affs": [
        0
      ],
      "name": "Seiichi Takenoshita"
    },
    {
      "affs": [
        2
      ],
      "name": "Shoji Endo"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Yuko Maejima"
    },
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "Kenju Shimomura"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6r07k5b4qyfke.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyt.2026.1946175",
  "fulltext_url": null,
  "id": "6r07k5b4qyfke",
  "issns": [
    "1664-0640"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1946175/full",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-02",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/6r07k5b4qyfke.ris",
  "sources": [
    {
      "first_seen": "2026-11-02T12:24:10Z",
      "native_id": "10.3389/fpsyt.2026.1946175",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1946175/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1664-0640",
      "subfield": "psychiatry"
    }
  ],
  "title": "Reconstructing digital phenotyping of psychological distress: integrating visual complexity and linguistic sentiment",
  "title_text": "Reconstructing digital phenotyping of psychological distress: integrating visual complexity and linguistic sentiment",
  "type": "peer-reviewed",
  "updated_at": "2026-11-04T00:27:02Z",
  "url": "https://research.draconitic.com/paper/6r07k5b4qyfke",
  "venue": "Frontiers in Psychiatry",
  "versions": []
}