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
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
Mental health concerns are rising globally, prompting increased reliance on technology to address the demand-supply gap in mental health services. In particular, mental health chatbots are emerging as a promising solution, but these remain largely untested, raising concerns about safety and potential harms. In this paper, we dive into the literature to identify critical gaps in the design and implementation of mental health chatbots. We contribute an operational checklist to help guide the development and design of more trustworthy, safe, and user-friendly chatbots. The checklist serves as both a developmental framework and an auditing tool to ensure ethical and effective chatbot design. We discuss how this checklist is a step towards supporting more responsible design practices and supporting new standards for sociotechnically sound digital mental health tools.
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.
Mental health disorders affect a large number of people, leading to many lives being lost every year. These disorders affect struggling individuals and businesses whose productivity decreases due to days of lost work or lower employee performance. Recent studies provide alarming numbers of individuals who suffer from mental health disorders, e.g., depression and anxiety, in particular contexts, such as academia. In the context of the software industry, there are limited studies that aim to understand the presence of mental health disorders and the characteristics of jobs in this context that can be triggers for the deterioration of the mental health of software professionals. In this paper, we present the results of a survey with 500 software professionals. We investigate different aspects of their mental health and the characteristics of their work to identify possible triggers of mental health deterioration. Our results provide the first evidence that mental health is a critical issue to be addressed in the software industry, as well as raise the direction of changes that can be done in this context to improve the mental health of software professionals.
Mental health is a pressing concern in today's digital age, particularly among youth who are deeply intertwined with technology. Despite the influx of technology solutions addressing mental health issues, youth often remain sidelined during the design process. While co-design methods have been employed to improve participation by youth, many such initiatives are limited to design activities and lack training for youth to research and develop solutions for themselves. In this case study, we detail our 8-week remote, collaborative research initiative called Youth WellTech, designed to facilitate remote co-design sprints aimed at equipping youth with the tools and knowledge to envision and design tech futures for their own communities. We pilot this initiative with 12 student technology evangelists across 8 countries globally to foster the sharing of mental health challenges and diverse perspectives. We highlight insights from our experiences running this global program remotely, its structure, and recommendations for co-research.
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
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 labelled 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, and captures information about mental health that is only partially reflected in verbal self-report. 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 of mental health.
Despite the ever-strong demand for mental health care globally, access to traditional mental health services remains severely limited expensive, and stifled by stigma and systemic barriers. Thus, over the last few years, young people are increasingly turning to content on video-sharing platforms (VSPs) like TikTok and YouTube to help them navigate their mental health journey. However, navigating towards trustworthy information relating to mental health on these platforms is challenging, given the uncontrollable and unregulated growth of dedicated mental health content and content creators catering to a wide array of mental health conditions on these platforms. In this paper, we attempt to define what constitutes as "mental health misinformation" through examples. In addition, we also suggest some open questions to answer and challenges to tackle regarding this important and timely research topic
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 stigma prevents many individuals from receiving the appropriate care, and social psychology studies have shown that mental health tends to be overlooked in men. In this work, we investigate gendered mental health stigma in masked language models. In doing so, we operationalize mental health stigma by developing a framework grounded in psychology research: we use clinical psychology literature to curate prompts, then evaluate the models' propensity to generate gendered words. We find that masked language models capture societal stigma about gender in mental health: models are consistently more likely to predict female subjects than male in sentences about having a mental health condition (32% vs. 19%), and this disparity is exacerbated for sentences that indicate treatment-seeking behavior. Furthermore, we find that different models capture dimensions of stigma differently for men and women, associating stereotypes like anger, blame, and pity more with women with mental health conditions than with men. In showing the complex nuances of models' gendered mental health stigma, we demonstrate that context and overlapping dimensions of identity are important considerations
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
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
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
Non-invasive methods for diagnosing mental health conditions, such as speech analysis, offer promising potential in modern medicine. Recent advancements in machine learning, particularly speech foundation models, have shown significant promise in detecting mental health states by capturing diverse features. This study investigates which pretext tasks in these models best transfer to mental health detection and examines how different model layers encode features relevant to mental health conditions. We also probed the optimal length of audio segments and the best pooling strategies to improve detection accuracy. Using the Callyope-GP and Androids datasets, we evaluated the models' effectiveness across different languages and speech tasks, aiming to enhance the generalizability of speech-based mental health diagnostics. Our approach achieved SOTA scores in depression detection on the Androids dataset.
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.
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
Mental health issues among college students have reached critical levels, significantly impacting academic performance and overall wellbeing. Predicting and understanding mental health status among college students is challenging due to three main factors: the necessity for large-scale longitudinal datasets, the prevalence of black-box machine learning models lacking transparency, and the tendency of existing approaches to provide aggregated insights at the population level rather than individualized understanding. To tackle these challenges, this paper presents I-HOPE, the first Interpretable Hierarchical mOdel for Personalized mEntal health prediction. I-HOPE is a two-stage hierarchical model that connects raw behavioral features to mental health status through five defined behavioral categories as interaction labels. We evaluate I-HOPE on the College Experience Study, the longest longitudinal mobile sensing dataset. This dataset spans five years and captures data from both pre-pandemic periods and the COVID-19 pandemic. I-HOPE achieves a prediction accuracy of 91%, significantly surpassing the 60-70% accuracy of baseline methods. In addition, I-HOPE distills complex patterns int
Using the metrics of the World Health Organisation, the Global Burden of Disease Study has found that mental health difficulties are currently the leading cause of disability in developed countries [1]. Projections also indicate that the global burden of mental health difficulties will continue to rise in the coming decades. The human and economic costs of this trend will be substantial. In this paper we discuss how effectively designed interactive systems, developed through collaborative, interdisciplinary efforts, can play a significant role in helping to address this challenge. Our discussion is grounded in a description of four exploratory systems, each of which has undergone initial clinical evaluations. Directions for future research on mental health technologies are also identified.