# P-ReMIS: Pragmatic Reasoning in Mental Health and a Social Implication

arXiv: https://arxiv.org/abs/2507.23247 · HTML: https://mlsanity.com/paper/2507.23247/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Placed in Clinical and biomedical applications, one of 17 directions in LLM reasoning.
- Builds on 14 of its 30 references that are in the map.
- First posted on arXiv 31 Jul 2025.

## Placed in

- LLM reasoning / [Clinical and biomedical applications](https://mlsanity.com/lr/clinical-and-biomedical-applications/)

## Builds on (most cited first, 14 of 14)

- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Qwen Technical Report](https://mlsanity.com/paper/2309.16609/) (2023)
- [Mistral 7B](https://mlsanity.com/paper/2310.06825/) (2023)
- [DeepSeek-V3 Technical Report](https://mlsanity.com/paper/2412.19437/) (2024)
- [Quantifying Attention Flow in Transformers](https://mlsanity.com/paper/2005.00928/) (2020)
- [Depression and Self-Harm Risk Assessment in Online Forums](https://mlsanity.com/paper/1709.01848/) (2017)
- [PUB: A Pragmatics Understanding Benchmark for Assessing LLMs' Pragmatics Capabilities](https://mlsanity.com/paper/2401.07078/) (2024)
- [(QA)2: Question Answering with Questionable Assumptions](https://mlsanity.com/paper/2212.10003/) (2022)
- [Psy-LLM: Scaling up Global Mental Health Psychological Services with AI-based Large Language Models](https://mlsanity.com/paper/2307.11991/) (2023)
- [CAMS: An Annotated Corpus for Causal Analysis of Mental Health Issues in Social Media Posts](https://mlsanity.com/paper/2207.04674/) (2022)
- [On the State of Social Media Data for Mental Health Research](https://mlsanity.com/paper/2011.05233/) (2020)
- [Pragmatics in the Era of Large Language Models: A Survey on Datasets, Evaluation, Opportunities and Challenges](https://mlsanity.com/paper/2502.12378/) (2025)
- [NLP as a Lens for Causal Analysis and Perception Mining to Infer Mental Health on Social Media](https://mlsanity.com/paper/2301.11004/) (2023)

## Built on by (most cited first, 1 of 1)

- [From Pattern Recognizers to Personalized Companions: A Survey of Large Language Models in Mental Health](https://mlsanity.com/paper/2609.25186/) (2026)

## Abstract (arXiv)

Although explainability and interpretability have received significant attention in artificial intelligence (AI) and natural language processing (NLP) for mental health, reasoning has not been examined in the same depth. Addressing this gap is essential to bridge NLP and mental health through interpretable and reasoning-capable AI systems. To this end, we investigate the pragmatic reasoning capability of large-language models (LLMs) in the mental health domain. We introduce PRiMH dataset, and propose pragmatic reasoning tasks in mental health with pragmatic implicature and presupposition phenomena. In particular, we formulate two tasks in implicature and one task in presupposition. To benchmark the dataset and the tasks presented, we consider four models: Llama3.1, Mistral, MentaLLaMa, and Qwen. The results of the experiments suggest that Mistral and Qwen show substantial reasoning abilities in the domain. Subsequently, we study the behavior of MentaLLaMA on the proposed reasoning tasks with the rollout attention mechanism. In addition, we also propose three StiPRompts to study the stigma around mental health with the state-of-the-art LLMs, GPT4o-mini, Deepseek-chat, and Claude-3.5-haiku. Our evaluated findings show that Claude-3.5-haiku deals with stigma more responsibly compared to the other two LLMs.