# Large Language Models Perform on Par with Experts Identifying Mental Health Factors in Adolescent Online Forums

arXiv: https://arxiv.org/abs/2404.16461 · HTML: https://mlsanity.com/paper/2404.16461/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 39 references that are in the map.
- First posted on arXiv 25 Apr 2024.

## Builds on (most cited first, 15 of 15)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Sentence-BERT: Sentence Embeddings using Siamese BERT-Networks](https://mlsanity.com/paper/1908.10084/) (2019)
- [Scaling Instruction-Finetuned Language Models](https://mlsanity.com/paper/2210.11416/) (2022)
- [What BERT is not: Lessons from a new suite of psycholinguistic diagnostics for language models](https://mlsanity.com/paper/1907.13528/) (2019)
- [Adapted Large Language Models Can Outperform Medical Experts in Clinical Text Summarization](https://mlsanity.com/paper/2309.07430/) (2023)
- [Large Language Models are Few-Shot Clinical Information Extractors](https://mlsanity.com/paper/2205.12689/) (2022)
- [DeID-GPT: Zero-shot Medical Text De-Identification by GPT-4](https://mlsanity.com/paper/2303.11032/) (2023)
- [Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data](https://mlsanity.com/paper/2307.14385/) (2023)
- [Towards Interpretable Mental Health Analysis with Large Language Models](https://mlsanity.com/paper/2304.03347/) (2023)
- [Clinical Prompt Learning with Frozen Language Models](https://mlsanity.com/paper/2205.05535/) (2022)
- [Efficiency at Scale: Investigating the Performance of Diminutive Language Models in Clinical Tasks](https://mlsanity.com/paper/2402.10597/) (2024)
- [Detecting the Clinical Features of Difficult-to-Treat Depression using Synthetic Data from Large Language Models](https://mlsanity.com/paper/2402.07645/) (2024)

## Abstract (arXiv)

Mental health in children and adolescents has been steadily deteriorating over the past few years. The recent advent of Large Language Models (LLMs) offers much hope for cost and time efficient scaling of monitoring and intervention, yet despite specifically prevalent issues such as school bullying and eating disorders, previous studies on have not investigated performance in this domain or for open information extraction where the set of answers is not predetermined. We create a new dataset of Reddit posts from adolescents aged 12-19 annotated by expert psychiatrists for the following categories: TRAUMA, PRECARITY, CONDITION, SYMPTOMS, SUICIDALITY and TREATMENT and compare expert labels to annotations from two top performing LLMs (GPT3.5 and GPT4). In addition, we create two synthetic datasets to assess whether LLMs perform better when annotating data as they generate it. We find GPT4 to be on par with human inter-annotator agreement and performance on synthetic data to be substantially higher, however we find the model still occasionally errs on issues of negation and factuality and higher performance on synthetic data is driven by greater complexity of real data rather than inherent advantage.