Measuring Narrative Complexity Among Suicide Deaths in the National Violent Death Reporting System (2003–2021 NVDRS)

A widely used repository of violent death records is the U.S. Centers for Disease Control National Violent Death Reporting System (NVDRS). The NVDRS includes narrative data, which researchers frequently utilize to go beyond its structured variables. Prior work has shown that NVDRS narratives vary in length depending on decedent and incident characteristics, including race/ethnicity. Whether these length differences reflect differences in narrative information potential is unclear. We use the 2003–2021 NVDRS to investigate narrative length and complexity measures among 300,323 suicides varying in decedent and incident characteristics. To do so, we operationalized narrative complexity using three manifest measures: word count, sentence count, and dependency tree depth. We then employed regression methods to predict word counts and narrative complexity scores from decedent and incident characteristics. Both were consistently lower for black non-Hispanic decedents compared to white, non-Hispanic decedents. Although narrative complexity is just one aspect of narrative information potential, these findings suggest that the information in NVDRS narratives is more limited for some racial/ethnic minorities. Future studies, possibly leveraging large language models, are needed to develop robust measures to aid in determining whether narratives in the NVDRS have achieved their stated goal of fully describing the circumstances of suicide.