mlsanityData to 14 Oct 2026

LLUMI: Improving LLM Writing Assistance for Mental Health Support with Online Community Feedback

arXiv 2605.30273 ↗First posted 28 May 2026cs.HC cs.AI cs.CLcited by 2

On the map: LLM alignment / RLHF / preference optimisation → Medical LLM alignment

Abstract (arXiv)

Large language models (LLMs) show promise in generating supportive responses for mental health queries, but improving their usefulness, empathy, and safety often requires substantial compute, expert input, and labeled data. At the same time, deploying proprietary, cloud-based models for mental health-related interactions raises important privacy and data-governance concerns, given the sensitivities. To address this challenge, we introduce LLUMI setup that can be hosted in-house within protected environments. LLUMI consists of two complementary components: a generation model (GM), which drafts supportive responses to mental health queries, and an improvement model (IM), which revises an initial human-crafted response. We leverage feedback signals from Reddit mental health communities, using community endorsement patterns such as upvotes and downvotes to construct chosen--rejected response pairs for Supervised Fine Tuning (SFT) and Direct Preference Optimization (DPO). We further align LLUMI using human evaluation across five dimensions: readability, empathy, connection, actionability, and safety. Our results show that, despite relying on smaller open-source models rather than proprietary cloud-based GPT models, LLUMI achieves comparable performance across linguistic analyses and human evaluations. These findings suggest that open-source models, when trained with community-derived preference signals, can support high-quality mental health support assistance while offering a more privacy-preserving alternative for sensitive support contexts.

Key facts. Cited by 2 papers in the map (data through 14 Oct 2026). Placed in Medical LLM alignment, one of 10 directions in LLM alignment / RLHF / preference optimisation. Builds on 26 of its 69 references that are in the map. First posted on arXiv 28 May 2026.

Builds on

26 of 69 references.

References · 26

  1. 2019Sentence-BERT: Sentence Embeddings using Siamese BERT-Networkscited by 9,170
  2. 2023Direct Preference Optimization: Your Language Model is Secretly a Reward Modelcited by 8,065
  3. 2013Distributed Representations of Words and Phrases and their Compositionalitycited by 3,474
  4. 2020A Computational Approach to Understanding Empathy Expressed in Text-Based Mental Health Supportcited by 182
  5. 2021PsyQA: A Chinese Dataset for Generating Long Counseling Text for Mental Health Supportcited by 92
  6. 2023Cognitive Reframing of Negative Thoughts through Human-Language Model Interactioncited by 77
  7. 2021Towards Facilitating Empathic Conversations in Online Mental Health Support: A Reinforcement Learning Approachcited by 75
  8. 2025Expressing stigma and inappropriate responses prevents LLMs from safely replacing mental health providerscited by 69
  9. 2023Facilitating Self-Guided Mental Health Interventions Through Human-Language Model Interaction: A Case Study of Cognitive Restructuringcited by 53
  10. 2018Modeling Empathy and Distress in Reaction to News Storiescited by 52
  11. 2024SLM-Mod: Small Language Models Surpass LLMs at Content Moderationcited by 27
  12. 2023Don't lose the message while paraphrasing: A study on content preserving style transfercited by 25
14 more
  1. 2024From Lived Experience to Insight: Unpacking the Psychological Risks of Using AI Conversational Agentscited by 25
  2. 2025Prototypical Human-AI Collaboration Behaviors from LLM-Assisted Writing in the Wildcited by 25
  3. 2025CounselBench: A Large-Scale Expert Evaluation and Adversarial Benchmarking of Large Language Models in Mental Health Question Answeringcited by 21
  4. 2024ComPO: Community Preferences for Language Model Personalizationcited by 19
  5. 2025MoMoE: Mixture of Moderation Experts Framework for AI-Assisted Online Governancecited by 13
  6. 2025Mapping Caregiver Needs to AI Chatbot Design: Strengths and Gaps in Mental Health Support for Alzheimer's and Dementia Caregiverscited by 13
  7. 2020The Effect of Moderation on Online Mental Health Conversationscited by 12
  8. 2023Mental Health Coping Stories on Social Media: A Causal-Inference Study of Papageno Effectcited by 12
  9. 2024Few-shot Dialogue Strategy Learning for Motivational Interviewing via Inductive Reasoningcited by 11
  10. 2026PAIR-SAFE: A Paired-Agent Approach for Runtime Auditing and Refining AI-Mediated Mental Health Supportcited by 7
  11. 2025Interpersonal Theory of Suicide as a Lens to Examine Suicidal Ideation in Online Spacescited by 5
  12. 2025Detecting Early and Implicit Suicidal Ideation via Longitudinal and Information Environment Signals on Social Mediacited by 3
  13. 2026CALM-IT: Enhancing Synthetic Motivational Interviewing Dialogue Quality with Conversational Dynamicscited by 3
  14. 2026VASTU: Language Models Struggle to Recognize Online Community Valuescited by 3

Built on by

Cited by year (2026 to 14 Oct)

Citing papers per year: 2026: 2.

2 papers.

Similar, not cited

Close in wording, no citation either way

  1. 2023Understanding the Benefits and Challenges of Using Large Language Model-based Conversational Agents for Mental Well-being Support
  2. 2025Navigating through the hidden embedding space: steering LLMs to improve mental health assessment
  3. 2025A Systematic Evaluation of LLM Strategies for Mental Health Text Analysis: Fine-tuning vs. Prompt Engineering vs. RAG
  4. 2023Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data
  5. 2026CARE: Counselor-Aligned Response Engine for Online Mental-Health Support
  6. 2024Building Trust in Mental Health Chatbots: Safety Metrics and LLM-Based Evaluation Tools
  7. 2025RedditESS: A Mental Health Social Support Interaction Dataset -- Understanding Effective Social Support to Refine AI-Driven Support Tools
  8. 2026Aligning with Lived Experience: Heterogeneous Benefits of Fine Tuning in Mental Health Support Generation