The only thing we have _in_game_ is the little aggro indicator on your player window.
However, I don't see why you wouldn't be able to easily configure a parser like ACT to make a sound alert (you can't make an in-game text alert) when something starts to attack you.
It might be tricky to do in ACT (or not possible even, I haven't tried it) but it is certainly theoretically possible to write such a parser, especially since NPCs and PCs have different tags in logs.
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