Decoding Linguistic Nuances in Mental Health Text Classification Using Expressive Narrative Stories

Recent advancements in NLP have spurred significant interest in analyzing social media text data for identifying linguistic features indicative of mental health issues. However, the domain of Expressive Narrative Stories (ENS)-deeply personal and emotionally charged narratives that offer rich psychological insights-remains underexplored. This study bridges this gap by utilizing a dataset sourced from Reddit, focusing on ENS from individuals with and without self-declared depression. Our research evaluates the utility of advanced language models, BERT and MentalBERT, against traditional models. We find that traditional models are sensitive to the absence of explicit topic-related words, which could risk their potential to extend applications to ENS that lack clear mental health terminology. Despite MentalBERT is design to better handle psychiatric contexts, it demonstrated a dependency on specific topic words for classification accuracy, raising concerns about its application when explicit mental health terms are sparse (P-value<0.05). In contrast, BERT exhibited minimal sensitivity to the absence of topic words in ENS, suggesting its superior capability to understand deeper linguistic features, making it more effective for real-world applications. Both BERT and MentalBERT excel at recognizing linguistic nuances and maintaining classification accuracy even when narrative order is disrupted. This resilience is statistically significant, with sentence shuffling showing substantial impacts on model performance (P-value<0.05), especially evident in ENS comparisons between individuals with and without mental health declarations. These findings underscore the importance of exploring ENS for deeper insights into mental health-related narratives, advocating for a nuanced approach to mental health text analysis that moves beyond mere keyword detection.

SouLLMate: An Application Enhancing Diverse Mental Health Support with Adaptive LLMs, Prompt Engineering, and RAG Techniques

Mental health issues significantly impact individuals' daily lives, yet many do not receive the help they need even with available online resources. This study aims to provide diverse, accessible, stigma-free, personalized, and real-time mental health support through cutting-edge AI technologies. It makes the following contributions: (1) Conducting an extensive survey of recent mental health support methods to identify prevalent functionalities and unmet needs. (2) Introducing SouLLMate, an adaptive LLM-driven system that integrates LLM technologies, Chain, Retrieval-Augmented Generation (RAG), prompt engineering, and domain knowledge. This system offers advanced features such as Risk Detection and Proactive Guidance Dialogue, and utilizes RAG for personalized profile uploads and Conversational Information Extraction. (3) Developing novel evaluation approaches for preliminary assessments and risk detection via professionally annotated interview data and real-life suicide tendency data. (4) Proposing the Key Indicator Summarization (KIS), Proactive Questioning Strategy (PQS), and Stacked Multi-Model Reasoning (SMMR) methods to enhance model performance and usability through context-sensitive response adjustments, semantic coherence evaluations, and enhanced accuracy of long-context reasoning in language models. This study contributes to advancing mental health support technologies, potentially improving the accessibility and effectiveness of mental health care globally.

Advancing Mental Health Pre-Screening: A New Custom GPT for Psychological Distress Assessment

This study introduces 'Psycho Analyst', a custom GPT model based on OpenAI's GPT-4, optimized for pre-screening mental health disorders. Enhanced with DSM-5, PHQ-8, detailed data descriptions, and extensive training data, the model adeptly decodes nuanced linguistic indicators of mental health disorders. It utilizes a dual-task framework that includes binary classification and a three-stage PHQ-8 score computation involving initial assessment, detailed breakdown, and independent assessment, showcasing refined analytic capabilities. Validation with the DAIC-WOZ dataset reveals F1 and Macro-F1 scores of 0.929 and 0.949, respectively, along with the lowest MAE and RMSE of 2.89 and 3.69 in PHQ-8 scoring. These results highlight the model's precision and transformative potential in enhancing public mental health support, improving accessibility, cost-effectiveness, and serving as a second opinion for professionals.