Leveraging Large Language Models to Analyze Emotional and Contextual Drivers of Teen Substance Use in Online Discussions

Adolescence is a critical stage often linked to risky behaviors, including substance use, with significant developmental and public health implications. Social media provides a lens into adolescent self-expression, but interpreting emotional and contextual signals remains complex. This study applies Large Language Models (LLMs) to analyze adolescents' social media posts, uncovering emotional patterns (e.g., sadness, guilt, fear, joy) and contextual factors (e.g., family, peers, school) related to substance use. Heatmap and machine learning analyses identified key predictors of substance use-related posts. Negative emotions like sadness and guilt were significantly more frequent in substance use contexts, with guilt acting as a protective factor, while shame and peer influence heightened substance use risk. Joy was more common in non-substance use discussions. Peer influence correlated strongly with sadness, fear, and disgust, while family and school environments aligned with non-substance use. Findings underscore the importance of addressing emotional vulnerabilities and contextual influences, suggesting that collaborative interventions involving families, schools, and communities can reduce risk factors and foster healthier adolescent development.