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Global rates of mental health concerns are rising, and there is increasing realization that existing models of mental health care will not adequately expand to meet the demand. With the emergence of large language models (LLMs) has come great optimism regarding their promise to create novel, large-scale solutions to support mental health. Despite their nascence, LLMs have already been applied to mental health related tasks. In this paper, we summarize the extant literature on efforts to use LLMs to provide mental health education, assessment, and intervention and highlight key opportunities for positive impact in each area. We then highlight risks associated with LLMs' application to mental health and encourage the adoption of strategies to mitigate these risks. The urgent need for mental health support must be balanced with responsible development, testing, and deployment of mental health LLMs. It is especially critical to ensure that mental health LLMs are fine-tuned for mental health, enhance mental health equity, and adhere to ethical standards and that people, including those with lived experience with mental health concerns, are involved in all stages from development through

A mental health disorder is a clinically significant impairment in a persons intellect, emotional control, or behavior. Mental disorders and outpatient morbidity are a challenge to public health in Kenya. The spatial distribution and study of factors associated with these conditions remain limited. The study aimed to conduct spatial modeling of mental health on outpatient mobility in Kenya. This project used spatial modeling to explore the relationship between infectious diseases and mental disorders. The results showed that mental health issues were not distributed uniformly, with higher frequency found in Western and Nairobi regions. Possible connections between HIV, TB, and STIs with mental health have been suggested by the substantial correlation found between infectious diseases and mental health issues. The spatial model demonstrated excellent validity and accuracy, providing policymakers with a useful tool to better allocate resources and enhance mental health treatments, especially in high-risk locations. In conclusion, the research improved knowledge of the spatial patterns of mental health disorders and guides intervention tactics and healthcare policies in Kenya and othe

Cognitive distortions, distorted patterns of thinking, have been increasingly studied in computational mental health research. Although they are related to many, if not all, mental health disorders, most existing studies focus primarily on depression. In this work, we explore distortion profiles across multiple mental health conditions. We analyzed a large Reddit-based dataset containing posts from nine self-reported mental health groups as well as a control group using both an n-gram-based method and a fine-tuned transformer model for detecting cognitive distortions. Mental health groups, both when pooled together and when examined individually, showed higher prevalence of cognitive distortions compared to the control group, with the effect sizes ranging from small to moderate. When comparing distortion profiles across conditions, we observed largely similar patterns, although some groups exhibited overall higher levels of distortions than others. These findings suggest that relatively simple lexical approaches can be useful for exploratory analyses of group-level trends in large-scale mental health text data.

Mental health challenges are thought to afflict around 10% of the global population each year, with many going untreated due to stigma and limited access to services. Here, we explore trends in words and phrases related to mental health through a collection of 1- , 2-, and 3-grams parsed from a data stream of roughly 10% of all English tweets since 2012. We examine temporal dynamics of mental health language, finding that the popularity of the phrase 'mental health' increased by nearly two orders of magnitude between 2012 and 2018. We observe that mentions of 'mental health' spike annually and reliably due to mental health awareness campaigns, as well as unpredictably in response to mass shootings, celebrities dying by suicide, and popular fictional stories portraying suicide. We find that the level of positivity of messages containing 'mental health', while stable through the growth period, has declined recently. Finally, we use the ratio of original tweets to retweets to quantify the fraction of appearances of mental health language due to social amplification. Since 2015, mentions of mental health have become increasingly due to retweets, suggesting that stigma associated with d

Mental health remains a significant challenge of public health worldwide. With increasing popularity of online platforms, many use the platforms to share their mental health conditions, express their feelings, and seek help from the community and counselors. Some of these platforms, such as Reachout, are dedicated forums where the users register to seek help. Others such as Reddit provide subreddits where the users publicly but anonymously post their mental health distress. Although posts are of varying length, it is beneficial to provide a short, but informative summary for fast processing by the counselors. To facilitate research in summarization of mental health online posts, we introduce Mental Health Summarization dataset, MentSum, containing over 24k carefully selected user posts from Reddit, along with their short user-written summary (called TLDR) in English from 43 mental health subreddits. This domain-specific dataset could be of interest not only for generating short summaries on Reddit, but also for generating summaries of posts on the dedicated mental health forums such as Reachout. We further evaluate both extractive and abstractive state-of-the-art summarization base

Mental health disorders affect millions worldwide, yet early detection remains a major challenge, particularly for Arabic-speaking populations where resources are limited and mental health discourse is often discouraged due to cultural stigma. While substantial research has focused on English-language mental health detection, Arabic remains significantly underexplored, partly due to the scarcity of annotated datasets. We present CARMA, the first automatically annotated large-scale dataset of Arabic Reddit posts. The dataset encompasses six mental health conditions, such as Anxiety, Autism, and Depression, and a control group. CARMA surpasses existing resources in both scale and diversity. We conduct qualitative and quantitative analyses of lexical and semantic differences between users, providing insights into the linguistic markers of specific mental health conditions. To demonstrate the dataset's potential for further mental health analysis, we perform classification experiments using a range of models, from shallow classifiers to large language models. Our results highlight the promise of advancing mental health detection in underrepresented languages such as Arabic.

Many people struggling with mental health issues are unable to access adequate care due to high costs and a shortage of mental health professionals, leading to a global mental health crisis. Online mental health communities can help mitigate this crisis by offering a scalable, easily accessible alternative to in-person sessions with therapists or support groups. However, people seeking emotional or psychological support online may be especially vulnerable to the kinds of antisocial behavior that sometimes occur in online discussions. Moderation can improve online discourse quality, but we lack an understanding of its effects on online mental health conversations. In this work, we leveraged a natural experiment, occurring across 200,000 messages from 7,000 online mental health conversations, to evaluate the effects of moderation on online mental health discussions. We found that participation in group mental health discussions led to improvements in psychological perspective, and that these improvements were larger in moderated conversations. The presence of a moderator increased user engagement, encouraged users to discuss negative emotions more candidly, and dramatically reduced b

Large language models (LLMs) have attracted significant attention for potential applications in digital health, while their application in mental health is subject to ongoing debate. This systematic review aims to evaluate the usage of LLMs in mental health, focusing on their strengths and limitations in early screening, digital interventions, and clinical applications. Adhering to PRISMA guidelines, we searched PubMed, IEEE Xplore, Scopus, JMIR, and ACM using keywords: 'mental health OR mental illness OR mental disorder OR psychiatry' AND 'large language models'. We included articles published between January 1, 2017, and April 30, 2024, excluding non-English articles. 30 articles were evaluated, which included research on mental health conditions and suicidal ideation detection through text (n=15), usage of LLMs for mental health conversational agents (CAs) (n=7), and other applications and evaluations of LLMs in mental health (n=18). LLMs exhibit substantial effectiveness in detecting mental health issues and providing accessible, de-stigmatized eHealth services. However, the current risks associated with the clinical use might surpass their benefits. The study identifies severa

Although serious games have been increasingly used for mental health applications, few explicitly address coping with grief as a core mechanic and narrative experience for patients. Existing grief-related digital games often focus on clinical training for medical professionals rather than immersive storytelling and agency in emotional processing for the patient. In response, we designed Road to Acceptance, a VR game that presents grief through first-person narrative and gameplay. As the next phase of evaluation, we propose a workshop-based study with 12 licensed mental health professionals to assess the therapeutic impacts of the game and the alignment with best practices in grief education and interventions. This will inform iterative game design and patient evaluation methods, ensuring that the experience is clinically appropriate. Potential findings can contribute to the design principles of grief-related virtual reality experiences, bridging the gap between interactive media, mental health interventions, and immersive storytelling.

The Oregon Health Insurance Experiment (OHIE) offers a unique opportunity to examine the causal relationship between Medicaid coverage and happiness among low-income adults, using an experimental design. This study leverages data from comprehensive surveys conducted at 0 and 12 months post-treatment. Previous studies based on OHIE have shown that individuals receiving Medicaid exhibited a significant improvement in mental health compared to those who did not receive coverage. The primary objective is to explore how Medicaid coverage impacts happiness, specifically analyzing in which direction variations in healthcare spending significantly improve mental health: higher spending or lower spending after Medicaid. Utilizing instrumental variable (IV) regression, I conducted six separate regressions across subgroups categorized by expenditure levels and happiness ratings, and the results reveal distinct patterns. Enrolling in OHP has significantly decreased the probability of experiencing unhappiness, regardless of whether individuals had high or low medical spending. Additionally, it decreased the probability of being pretty happy and having high medical expenses, while increasing the

This research paper studies about the role of social media use and increase the risk factor of mental health during covid 19 or lockdown. Although few studies have been conducted on the role about the effect of social media use on mental health during lockdown and impact on human reactive nature during lockdown. As a rapidly spreading pandemic, a biomedical disease has serious physical and tremendous mental health implications. An occupational community of internal migrant workers is one of the most vulnerable, but neglected, and is likely to develop psychological ill-effects due to COVID-19's double whammy impact. Mental health is a crucial aspect that needs to be addressed during this lock-down as all modes of communication revolve around the virus. There are many difficulties with the unprecedented changes that have occurred so quickly due to the pandemic and stay-at - home confinement to achieve social distance and mitigate the risk of infection. These include impaired health, well-being, and sleep as a result of daily routine disruption, anxiety, worry, isolation, greater stress on family and work, and excessive screen time. An essential part of our overall health and well-bei

This research paper presents a meta-analysis of the multifaceted role of technology in mental health. The pervasive influence of technology on daily lives necessitates a deep understanding of its impact on mental health services. This study synthesizes literature covering Behavioral Intervention Technologies (BITs), digital mental health interventions during COVID-19, young men's attitudes toward mental health technologies, technology-based interventions for university students, and the applicability of mobile health technologies for individuals with serious mental illnesses. BITs are recognized for their potential to provide evidence-based interventions for mental health conditions, especially anxiety disorders. The COVID-19 pandemic acted as a catalyst for the adoption of digital mental health services, underscoring their crucial role in providing accessible and quality care; however, their efficacy needs to be reinforced by workforce training, high-quality evidence, and digital equity. A nuanced understanding of young men's attitudes toward mental health is imperative for devising effective online services. Technology-based interventions for university students are promising, al

Artificial intelligence (AI)-enabled digital interventions, including Generative AI (GenAI) and Human-Centered AI (HCAI), are increasingly used to expand access to digital psychiatry and mental health care. This PRISMA-ScR scoping review maps the landscape of AI-driven mental health (mHealth) technologies across five critical phases: pre-treatment (screening/triage), treatment (therapeutic support), post-treatment (remote patient monitoring), clinical education, and population-level prevention. We synthesized 36 empirical studies implemented through early 2024, focusing on Large Language Models (LLMs), machine learning (ML) models, and autonomous conversational agents. Key use cases involve referral triage, empathic communication enhancement, and AI-assisted psychotherapy delivered via chatbots and voice agents. While benefits include reduced wait times and increased patient engagement, we address recurring challenges like algorithmic bias, data privacy, and human-AI collaboration barriers. By introducing a novel four-pillar framework, this review provides a comprehensive roadmap for AI-augmented mental health care, offering actionable insights for researchers, clinicians, and poli

Bayesian nonparametric estimates of Australian mental health distributions are obtained to assess how the mental health status of the population has changed over time and to compare the mental health status of female/male and indigenous/non-indigenous population subgroups. First- and second-order stochastic dominance are used to compare distributions, with results presented in terms of the posterior probability of dominance and the posterior probability of no dominance. Our results suggest mental health has deteriorated in recent years, that males mental health status is better than that of females, and non-indigenous health status is better than that of the indigenous population.

Poorly designed interventions or those deployed without adequate safeguards can harm the communities they aim to serve, thus exacerbating existing vulnerabilities and leaving individuals unsupported. This is especially the case for the mental health context, where there is a growing trend of relying on technological interventions due to their accessibility and ability to deliver large-scale support. However, the mental health context is also particularly sensitive to change and risks of failure are dire; at their worst, failures in mental health interventions can result in lasting negative outcomes for individuals and tragic losses as people fall through the cracks. Thus, enabling safe ways to experiment in the mental health context is vital to allow both individuals and communities to engage with new interventions without risk of their real-world consequences. Virtual simulation, which uses virtual environments to replicate real-world interactions, processes, and behaviors, offers a promising opportunity for enabling safe, controlled experimentation with its ability to accurately replicate social situations, fears, stressors, and the potential outcomes of specific interactions. Th

Large language models (LLMs) are increasingly used in medical fields. In mental health support, the early identification of linguistic markers associated with mental health conditions can provide valuable support to mental health professionals, and reduce long waiting times for patients. Despite the benefits of LLMs for mental health support, there is limited research on their application in mental health systems for languages other than English. Our study addresses this gap by focusing on the detection of depression severity in Greek through user-generated posts which are automatically translated from English. Our results show that GPT3.5-turbo is not very successful in identifying the severity of depression in English, and it has a varying performance in Greek as well. Our study underscores the necessity for further research, especially in languages with less resources. Also, careful implementation is necessary to ensure that LLMs are used effectively in mental health platforms, and human supervision remains crucial to avoid misdiagnosis.

Large language model-powered chatbots have transformed how people seek information, especially in high-stakes contexts like mental health. Despite their support capabilities, safe detection and response to crises such as suicidal ideation and self-harm are still unclear, hindered by the lack of unified crisis taxonomies and clinical evaluation standards. We address this by creating: (1) a taxonomy of six crisis categories; (2) a dataset of over 2,000 inputs from 12 mental health datasets, classified into these categories; and (3) a clinical response assessment protocol. We also use LLMs to identify crisis inputs and audit five models for response safety and appropriateness. First, we built a clinical-informed crisis taxonomy and evaluation protocol. Next, we curated 2,252 relevant examples from over 239,000 user inputs, then tested three LLMs for automatic classification. In addition, we evaluated five models for the appropriateness of their responses to a user's crisis, graded on a 5-point Likert scale from harmful (1) to appropriate (5). While some models respond reliably to explicit crises, risks still exist. Many outputs, especially in self-harm and suicidal categories, are ina

We propose a clinical decision support system (CDSS) for mental health diagnosis that combines the strengths of large language models (LLMs) and constraint logic programming (CLP). Having a CDSS is important because of the high complexity of diagnostic manuals used by mental health professionals and the danger of diagnostic errors. Our CDSS is a software tool that uses an LLM to translate diagnostic manuals to a logic program and solves the program using an off-the-shelf CLP engine to query a patient's diagnosis based on the encoded rules and provided data. By giving domain experts the opportunity to inspect the LLM-generated logic program, and making modifications when needed, our CDSS ensures that the diagnosis is not only accurate but also interpretable. We experimentally compare it with two baseline approaches of using LLMs: diagnosing patients using the LLM-only approach, and using the LLM-generated logic program but without expert inspection. The results show that, while LLMs are extremely useful in generating candidate logic programs, these programs still require expert inspection and modification to guarantee faithfulness to the official diagnostic manuals. Additionally, et

Scalable assessments of mental illness remain a critical roadblock toward accessible and equitable care. Here, we show that everyday human-computer interactions encode mental health with biomarker accuracy. We introduce MAILA, a MAchine-learning framework for Inferring Latent mental states from digital Activity. We trained MAILA on 18,200 cursor and touchscreen recordings labeled with 1.3 million mental-health self-reports collected from 9,500 participants. MAILA tracks dynamic mental states along 13 clinically relevant dimensions, resolves circadian fluctuations and experimental manipulations of arousal and valence, achieves near-ceiling accuracy at the group level, captures information that is only partially reflected in verbal self-report, and improves the ability of large language models to infer user mental health. By extracting signatures of psychological function that have so far remained untapped, MAILA establishes human-computer interactions as a new modality for scalable digital phenotyping and a foundation for context-aware artificial intelligence.