Evidence map›Paper›PMID 39925940›Full record

ArticleProceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies2024

Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data.

Xuhai Xu, Bingsheng Yao, Yuanzhe Dong, Saadia Gabriel, Hong Yu, James Hendler, Marzyeh Ghassemi, Anind K Dey, Dakuo Wang

Abstract read
In one paragraph

Article in Proceedings of the ACM on interactive, mobile, wearable and ubiquitous technologies, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Rethinking AI in youth mental health: promise, perils, and ethical integration.International journal of mental health systems · 2026
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  15. Exploring Collaboration Breakdowns Between Provider Teams and Patients in Post-Surgery Care.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2026
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Xuhai XuMassachusetts Institute of Technology & University of Washington, USA.ORCID 0000-0001-5930-3899
Bingsheng YaoRensselaer Polytechnic Institute, USA.ORCID 0009-0004-8329-4610
Yuanzhe DongStanford University, USA.ORCID 0009-0006-2013-1157
Saadia GabrielMassachusetts Institute of Technology, USA.ORCID 0009-0001-9353-951X
Hong YuUniversity of Massachusetts Lowell, USA.ORCID 0000-0001-9263-5035
James HendlerRensselaer Polytechnic Institute, USA.ORCID 0000-0003-3056-1960
Marzyeh GhassemiMassachusetts Institute of Technology, USA.ORCID 0000-0001-6349-7251
Anind K DeyUniversity of Washington, USA.ORCID 0000-0002-3004-0770
Dakuo WangNortheastern University, USA.ORCID 0000-0001-9371-9441

Funding

Improving Suicide Prediction using NLP-Extracted Social Determinants of HealthR01MH125027 · NIMH · UNIVERSITY OF MASSACHUSETTS LOWELL · PI YU, HONG · 2020 to 2023
$3.1M
REmote symptom COllection to improVE postopeRative care (RECOVER)R01MD018424 · NIMHD · MEDSTAR HEALTH RESEARCH INSTITUTE · PI Waddah B. AL-RAFAIE, Nawar Shara · 2023 to 2026
$2.6M
NIMHD NIH HHS R01 MD018424NIMH NIH HHS R01 MH125027
6 · The paper itself

Abstract

Advances in large language models (LLMs) have empowered a variety of applications. However, there is still a significant gap in research when it comes to understanding and enhancing the capabilities of LLMs in the field of mental health. In this work, we present a comprehensive evaluation of multiple LLMs on various mental health prediction tasks via online text data, including Alpaca, Alpaca-LoRA, FLAN-T5, GPT-3.5, and GPT-4. We conduct a broad range of experiments, covering zero-shot prompting, few-shot prompting, and instruction fine-tuning. The results indicate a promising yet limited performance of LLMs with zero-shot and few-shot prompt designs for mental health tasks. More importantly, our experiments show that instruction finetuning can significantly boost the performance of LLMs for all tasks simultaneously. Our best-finetuned models, Mental-Alpaca and Mental-FLAN-T5, outperform the best prompt design of GPT-3.5 (25 and 15 times bigger) by 10.9% on balanced accuracy and the best of GPT-4 (250 and 150 times bigger) by 4.8%. They further perform on par with the state-of-the-art task-specific language model. We also conduct an exploratory case study on LLMs' capability on mental health reasoning tasks, illustrating the promising capability of certain models such as GPT-4. We summarize our findings into a set of action guidelines for potential methods to enhance LLMs' capability for mental health tasks. Meanwhile, we also emphasize the important limitations before achieving deployability in real-world mental health settings, such as known racial and gender bias. We highlight the important ethical risks accompanying this line of research.

Indexed as

Instruction FinetuningLarge Language ModelMental Health

Identifiers

PMID39925940
PMCPMC11806945

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.