mlsanityData to 7 Oct 2026

Towards Interpretable Mental Health Analysis with Large Language Models

arXiv 2304.03347 ↗First posted 6 Apr 2023cs.CLcited by 53

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Abstract (arXiv)

The latest large language models (LLMs) such as ChatGPT, exhibit strong capabilities in automated mental health analysis. However, existing relevant studies bear several limitations, including inadequate evaluations, lack of prompting strategies, and ignorance of exploring LLMs for explainability. To bridge these gaps, we comprehensively evaluate the mental health analysis and emotional reasoning ability of LLMs on 11 datasets across 5 tasks. We explore the effects of different prompting strategies with unsupervised and distantly supervised emotional information. Based on these prompts, we explore LLMs for interpretable mental health analysis by instructing them to generate explanations for each of their decisions. We convey strict human evaluations to assess the quality of the generated explanations, leading to a novel dataset with 163 human-assessed explanations. We benchmark existing automatic evaluation metrics on this dataset to guide future related works. According to the results, ChatGPT shows strong in-context learning ability but still has a significant gap with advanced task-specific methods. Careful prompt engineering with emotional cues and expert-written few-shot examples can also effectively improve performance on mental health analysis. In addition, ChatGPT generates explanations that approach human performance, showing its great potential in explainable mental health analysis.

Key facts. Cited by 53 papers in the map (data through 7 Oct 2026). Builds on 48 of its 88 references that are in the map. First posted on arXiv 6 Apr 2023.

Builds on

48 of 88 references.

References · 48

  1. 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,204
  2. 2020Language Models are Few-Shot Learnerscited by 32,199
  3. 2022Training language models to follow instructions with human feedbackcited by 15,712
  4. 2023LLaMA: Open and Efficient Foundation Language Modelscited by 13,958
  5. 2019RoBERTa: A Robustly Optimized BERT Pretraining Approachcited by 13,266
  6. 2022Chain-of-Thought Prompting Elicits Reasoning in Large Language Modelscited by 12,302
  7. 2019BERTScore: Evaluating Text Generation with BERTcited by 5,462
  8. 2022Large Language Models are Zero-Shot Reasonerscited by 4,323
  9. 2014Learning Phrase Representations using RNN Encoder-Decoder for Statistical Machine Translationcited by 4,016
  10. 2019XLNet: Generalized Autoregressive Pretraining for Language Understandingcited by 2,801
  11. 2020Learning to summarize from human feedbackcited by 2,562
  12. 2021SimCSE: Simple Contrastive Learning of Sentence Embeddingscited by 2,168
36 more
  1. 2014Convolutional Neural Networks for Sentence Classificationcited by 1,124
  2. 2023A Multitask, Multilingual, Multimodal Evaluation of ChatGPT on Reasoning, Hallucination, and Interactivitycited by 888
  3. 2016Bag of Tricks for Efficient Text Classificationcited by 869
  4. 2021BARTScore: Evaluating Generated Text as Text Generationcited by 719
  5. 2017DailyDialog: A Manually Labelled Multi-turn Dialogue Datasetcited by 649
  6. 2018MELD: A Multimodal Multi-Party Dataset for Emotion Recognition in Conversationscited by 636
  7. 2023Is ChatGPT a General-Purpose Natural Language Processing Task Solver?cited by 486
  8. 2023GPTScore: Evaluate as You Desirecited by 357
  9. 2023A Comprehensive Capability Analysis of GPT-3 and GPT-3.5 Series Modelscited by 244
  10. 2018DialogueRNN: An Attentive RNN for Emotion Detection in Conversationscited by 216
  11. 2023ChatGPT: Jack of all trades, master of nonecited by 204
  12. 2013Crowdsourcing a Word-Emotion Association Lexiconcited by 193
  13. 2021MentalBERT: Publicly Available Pretrained Language Models for Mental Healthcarecited by 159
  14. 2023Can ChatGPT Understand Too? A Comparative Study on ChatGPT and Fine-tuned BERTcited by 155
  15. 2019Emotion Recognition in Conversation: Research Challenges, Datasets, and Recent Advancescited by 118
  16. 2017Emotion Detection on TV Show Transcripts with Sequence-based Convolutional Neural Networkscited by 102
  17. 2021Directed Acyclic Graph Network for Conversational Emotion Recognitioncited by 97
  18. 2019Knowledge-Enriched Transformer for Emotion Detection in Textual Conversationscited by 92
  19. 2019Dreaddit: A Reddit Dataset for Stress Analysis in Social Mediacited by 81
  20. 2021MS2: Multi-Document Summarization of Medical Studiescited by 80
  21. 2020DialogXL: All-in-One XLNet for Multi-Party Conversation Emotion Recognitioncited by 78
  22. 2020Recognizing Emotion Cause in Conversationscited by 66
  23. 2023How Robust is GPT-3.5 to Predecessors? A Comprehensive Study on Language Understanding Taskscited by 58
  24. 2015A C-LSTM Neural Network for Text Classificationcited by 54
  25. 2023Evaluation of ChatGPT for NLP-based Mental Health Applicationscited by 53
  26. 2020Generating (Factual?) Narrative Summaries of RCTs: Experiments with Neural Multi-Document Summarizationcited by 52
  27. 2023Will Affective Computing Emerge from Foundation Models and General AI? A First Evaluation on ChatGPTcited by 41
  28. 2022CAMS: An Annotated Corpus for Causal Analysis of Mental Health Issues in Social Media Postscited by 34
  29. 2022Supervised Prototypical Contrastive Learning for Emotion Recognition in Conversationcited by 31
  30. 2020Suicidal Ideation and Mental Disorder Detection with Attentive Relation Networkscited by 28
  31. 2022Improving the Generalizability of Depression Detection by Leveraging Clinical Questionnairescited by 26
  32. 2022Hierarchical Attention Network for Explainable Depression Detection on Twitter Aided by Metaphor Concept Mappingscited by 23
  33. 2022Knowledge-Bridged Causal Interaction Network for Causal Emotion Entailmentcited by 16
  34. 2023Cluster-Level Contrastive Learning for Emotion Recognition in Conversationscited by 14
  35. 2022Neutral Utterances are Also Causes: Enhancing Conversational Causal Emotion Entailment with Social Commonsense Knowledgecited by 13
  36. 2022Psychiatric Scale Guided Risky Post Screening for Early Detection of Depressioncited by 10

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Cited by year (2026 to 7 Oct)

Citing papers per year: 2023: 8; 2024: 25; 2025: 14; 2026: 6.

53 papers.

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  1. 2024Agent AI: Surveying the Horizons of Multimodal Interactioncited by 167
  2. 2023Large language models in healthcare and medical domain: A reviewcited by 126
  3. 2023Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Datacited by 66
  4. 2023MentaLLaMA: Interpretable Mental Health Analysis on Social Media with Large Language Modelscited by 63
  5. 2024The opportunities and risks of large language models in mental healthcited by 54
  6. 2024Large Language Models in Mental Health Care: a Scoping Reviewcited by 34
  7. 2024PsycoLLM: Enhancing LLM for Psychological Understanding and Evaluationcited by 26
  8. 2024Explainable Generative AI (GenXAI): A Survey, Conceptualization, and Research Agendacited by 22
  9. 2024Depression Detection on Social Media with Large Language Modelscited by 20
  10. 2024From Text to Transformation: A Comprehensive Review of Large Language Models' Versatilitycited by 19
  11. 2024MOPI-HFRS: A Multi-objective Personalized Health-aware Food Recommendation System with LLM-enhanced Interpretationcited by 18
  12. 2023Rethinking Large Language Models in Mental Health Applicationscited by 16
38 more
  1. 2024Diet-ODIN: A Novel Framework for Opioid Misuse Detection with Interpretable Dietary Patternscited by 14
  2. 2024Large Language Model for Mental Health: A Systematic Reviewcited by 14
  3. 2024Prompt engineering paradigms for medical applications: scoping review and recommendations for better practicescited by 13
  4. 2023Designing Interpretable ML System to Enhance Trust in Healthcare: A Systematic Review to Proposed Responsible Clinician-AI-Collaboration Frameworkcited by 11
  5. 2023From Classification to Clinical Insights: Towards Analyzing and Reasoning About Mobile and Behavioral Health Data With Large Language Modelscited by 11
  6. 2025Explainability in Practice: A Survey of Explainable NLP Across Various Domainscited by 11
  7. 2024Socially Aware Synthetic Data Generation for Suicidal Ideation Detection Using Large Language Modelscited by 10
  8. 2023Supervised Learning and Large Language Model Benchmarks on Mental Health Datasets: Cognitive Distortions and Suicidal Risks in Chinese Social Mediacited by 9
  9. 2023Explainable Depression Symptom Detection in Social Mediacited by 9
  10. 2024Large Language Models in Biomedical and Health Informatics: A Review with Bibliometric Analysiscited by 9
  11. 2024Explainable AI for Mental Disorder Detection via Social Media: A survey and outlookcited by 6
  12. 2024Clinical Insights: A Comprehensive Review of Language Models in Medicinecited by 6
  13. 2025ProMind-LLM: Proactive Mental Health Care via Causal Reasoning with Sensor Datacited by 6
  14. 2024I Am Not Them: Fluid Identities and Persistent Out-group Bias in Large Language Modelscited by 5
  15. 2024Deep Learning and Large Language Models for Audio and Text Analysis in Predicting Suicidal Acts in Chinese Psychological Support Hotlinescited by 5
  16. 2025Labeling Free-text Data using Language Model Ensemblescited by 5
  17. 2025MoodAngels: A Retrieval-augmented Multi-agent Framework for Psychiatry Diagnosiscited by 5
  18. 2025ReDSM5: A Reddit Dataset for DSM-5 Depression Detectioncited by 5
  19. 2025FedMentor: Domain-Aware Differential Privacy for Heterogeneous Federated LLMs in Mental Healthcited by 5
  20. 2024Towards Reliable and Empathetic Depression-Diagnosis-Oriented Chatscited by 3
  21. 2024Towards a Generative Approach for Emotion Detection and Reasoningcited by 3
  22. 2024Copiloting Diagnosis of Autism in Real Clinical Scenarios via LLMscited by 3
  23. 2025LLAMADRS: Evaluating Open-Source LLMs on Real Clinical Interviews--To Reason or Not to Reason?cited by 3
  24. 2025Menta: A Small Language Model for On-Device Mental Health Predictioncited by 3
  25. 2024Position Paper: Agent AI Towards a Holistic Intelligencecited by 2
  26. 2025Fine-Grained Emotion Recognition via In-Context Learningcited by 2
  27. 2025Evaluating Large Language Models for Anxiety, Depression, and Stress Detection: Insights into Prompting Strategies and Synthetic Datacited by 2
  28. 2024SceneX: Procedural Controllable Large-scale Scene Generationcited by 1
  29. 2024MentalArena: Self-play Training of Language Models for Diagnosis and Treatment of Mental Health Disorderscited by 1
  30. 2025Multimodal Behavioral Patterns Analysis with Eye-Tracking and LLM-Based Reasoningcited by 1
  31. 2025From Explainability to Action: A Generative Operational Framework for Integrating XAI in Clinical Mental Health Screeningcited by 1
  32. 2026A Safety-Aware Role-Orchestrated Multi-Agent LLM Framework for Behavioral Health Communication Simulationcited by 1
  33. 2024Large Language Models Perform on Par with Experts Identifying Mental Health Factors in Adolescent Online Forumscited by 0
  34. 2024PALLM: Evaluating and Enhancing PALLiative Care Conversations with Large Language Modelscited by 0
  35. 2025Two-Stage Voting for Robust and Efficient Suicide Risk Detection on Social Mediacited by 0
  36. 2025multiMentalRoBERTa: A Fine-tuned Multiclass Classifier for Mental Health Disordercited by 0
  37. 2026Multi-Level Narrative Evaluation Outperforms Lexical Features for Mental Healthcited by 0
  38. 2026Beyond Semantics: An Evidential Reasoning-Aware Multi-View Learning Framework for Trustworthy Mental Health Predictioncited by 0

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  1. 2025A Systematic Evaluation of LLM Strategies for Mental Health Text Analysis: Fine-tuning vs. Prompt Engineering vs. RAG
  2. 2025Cognitive-Mental-LLM: Evaluating Reasoning in Large Language Models for Mental Health Prediction via Online Text
  3. 2025Systematic Evaluation of Machine-Generated Reasoning and PHQ-9 Labeling for Depression Detection Using Large Language Models
  4. 2026OMIND: Framework for Knowledge Grounded Finetuning and Multi-Turn Dialogue Benchmark for Mental Health LLMs
  5. 2026Analyzing LLM Reasoning to Uncover Mental Health Stigma
  6. 2025Psy-Insight: Explainable Multi-turn Bilingual Dataset for Mental Health Counseling
  7. 2026A Systematic Evaluation of Large Language Models for PTSD Severity Estimation: The Role of Contextual Knowledge and Modeling Strategies
  8. 2025A Comprehensive Evaluation of Large Language Models on Mental Illnesses in Arabic Context