Suicide memes are memes used to express suicide-related thoughts or comment on suicide-related issues. Suicide memes are increasingly common on social media, yet remain poorly understood and potentially harmful. There is an urgent need to better understand their characteristics and to develop appropriate content moderation strategies that limits users’ exposure to potentially harmful content. Currently, the absence of annotated datasets of suicide memes remains a key barrier to developing and evaluating automated moderation approaches. In this paper, we introduce FigSIM, the first dataset designed for fine-grained analysis of suicide memes. The dataset consists of 1049 memes, each annotated for (1) fine-grained suicide severity levels, (2) figurative phenomena (e.g. metaphors), and (3) suicide-related content (e.g. suicide method depiction). We benchmark 16 unimodal and multimodal models across three tasks: figurative language, suicide severity, and suicide-related content detection. Overall, FigSIM demonstrates that suicide memes pose unique challenges for both modeling and content moderation. Analysis revealed biases, such as underprediction of higher suicide severity levels, especially for figurative memes.

Large Language Models (LLMs) show promise in medical Question-Answering (QA) but suffer from hallucinations that jeopardize patient safety. While Retrieval-Augmented Generation (RAG) mitigates this by grounding outputs in external evidence, existing pipelines struggle with the complex, rapidly evolving nature of oncology. We present **CoMeta**, a three-level controllable metadata-aware framework optimized for Cancer Patient QA (CPQA). We introduce Clinical Hybrid Semantic-Symbolic Document Retrieval (CHSDR), which synergizes real-time Boolean search via NCBI E-Utilities with semantic retrieval to overcome metadata blindness. Additionally, we propose Semantic Enhanced Overlap Segmentation (SEOS) to prevent contextual fragmentation. Our results demonstrate that CHSDR significantly improves retrieval performance, CoMeta improved the answer accuracy of Claude-3-haiku by 5.24% over chain-of-thought prompting and about 3% over a naive RAG setup. This study highlights the importance of domain-specific query optimization in realizing the full potential of RAG and provides a robust framework for building more reliable CPQA systems.