LAVA: Language Model Assisted Verbal Autopsy for Cause-of-Death Determination

Verbal autopsy (VA) is a critical tool for estimating causes of death in resource-limited settings where medical certification is unavailable. This study presents LA-VA, a proof-of-concept pipeline that combines Large Language Models (LLMs) with traditional algorithmic approaches and embedding-based classification for improved cause-of-death prediction. Using the Population Health Metrics Research Consortium (PHMRC) dataset across three age categories (Adult: 7,580; Child: 1,960; Neonate: 2,438), we evaluate multiple approaches: GPT-5 predictions, LCVA baseline, text embeddings, and meta-learner ensembles. Our results demonstrate that GPT-5 achieves the highest individual performance with average test site accuracies of 48.6% (Adult), 50.5% (Child), and 53.5% (Neonate), outperforming traditional statistical machine learning baselines by 5-10%. Our findings suggest that simple off-the-shelf LLM-assisted approaches could substantially improve verbal autopsy accuracy, with important implications for global health surveillance in low-resource settings.

Selective inference for k-means clustering

We consider the problem of testing for a difference in means between clusters of observations identified via k-means clustering. In this setting, classical hypothesis tests lead to an inflated Type I error rate. To overcome this problem, we take a selective inference approach. We propose a finite-sample p-value that controls the selective Type I error for a test of the difference in means between a pair of clusters obtained using k-means clustering, and show that it can be efficiently computed. We apply our proposal in simulation, and on hand-written digits data and single-cell RNA-sequencing data.