arXiv Computation and Language

Fine-tuning LLMs for Passive Depression Severity Estimation from AI Mental Health Dialogue

arXiv AI
Sep 3

Interpretable Symptom Vectors for Depression in a Large Language Model

The study investigates how a large language model, Gemma-3-27B-PT, internally represents depressive symptoms. By applying mechanistic interpretability methods to the model’s residual stream, researchers found that symptom groups are geometrically distinct at layer 21, and that projected symptom vectors align with clinician-annotated rankings across mood, somatic, and suicidality dimensions. Additionally, a single depression vector at this layer can differentiate depressive from non-depressive text with an AUC of 0.789, suggesting a potential emotional valence gate for symptom projection.

By Fangyi Zhu, Ajay Subramanian, Allison Constant, Camille Wang, Ravish Gupta, Corey J. Keller
arXiv AI
Jun 10

Dep-LLM: Training-Free Depression Diagnosis via Evidence-Guided Structured Multi-factor with Reliable LLM Reasoning

arXiv:2606. 10796v1 Announce Type: cross Abstract: Automatic Depression Detection (ADD) from clinical interviews is a pivotal task in computational mental health, yet it remains challenging due to two critical obstacles: 1) difficulty in modeling complex but sparsely distributed depression clues within lengthy, multi-topic clinical interviews, leading to superficial and unreliable reasoning; 2) scarcity of labeled data due to clinical privacy, together with high cost of training and fine-tuning, limiting the deployment of supervised ADD systems.

By Yiqing Lyu, Xianbing Zhao, Buzhou Tang, Ronghuan Jiang
Hugging Face Trending Papers
Jul 16

Self-Evolving Human-Centered Framework for Explainable Depression Symptom Annotation

Annotation quality is a major bottleneck in building reliable and explainable artificial intelligence (XAI) systems for mental health research. In depression-related datasets, labels are often assigned without structured evidence, symptom-level justification, or traceable alignment with the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), limiting both transparency and downstream model interpretability.

arXiv Computation and Language
Oct 21

EviDial: When Correct Depression Predictions Lack Evidence

EviDial is a new benchmark for depression dialogue that separates label agreement from evidence grounding. It contains 382 dialogues and 2,744 participant-symptom cells, each annotated as absent, partial, conflicting, or sufficient evidence. The study finds that most predictions that match benchmark labels lack sufficient textual evidence, highlighting a gap between label accuracy and evidence-based assessment.

By Junjie Xu, Jin Zhu, Yuzhe Yang, Luhan Wang, Xingjiao Wu, Daoguo Dong, Jing Yang, Wenxin Wu, Liang He
arXiv Computation and Language
Aug 28

BALMS: Benchmarking Agentic LLMs for Longitudinal Mental Health Sensing

BALMS is a benchmark for evaluating large language model (LLM) agents that analyze longitudinal wearable data to predict mental‑health wellbeing scores and generate evidence‑grounded rationales. It covers three real‑world datasets, two task families (score prediction and rationale generation), and tests five LLM backbones across open‑ and closed‑source paradigms. The study finds that zero‑shot agents rarely beat a simple mean baseline, and while chain‑of‑thought prompting helps reasoning, it does not ensure temporal grounding or numerical accuracy.

By Yu Yvonne Wu, Arvind Pillai, Yuliang Chen, Yuwei Zhang, Sudarshan Regmi, Tess Z. Griffin, Michael V. Heinz, Lisa A. Marsch, Nicholas C. Jacobson, Andrew Campbell
arXiv Computation and Language
Aug 21

Explainable Multimodal Depression Recognition in Clinical Interviews via PHQ-Aligned Symptom Summarization

arXiv:2501. 16106v2 Announce Type: replace Abstract: Recent advances in multimodal depression recognition for clinical interviews (MDRC) have demonstrated the potential of AI systems by integrating textual, acoustic, and facial cues.

By Wenjie Zheng, Qiming Xie, Jianfei Yu, Yang Wang, Lei Cao, Fei Wang, Shijin Wang, Rui Xia, Chengqing Zong
arXiv Computation and Language
Oct 16

MindEval2: Clinically Grounded Patients and Rubrics for Evaluating Language Models in Mental Health Support

MindEval2 is a new evaluation framework for AI chatbots in mental health support, comprising Mental Health Quality Rubrics (MHQR) and the MindSim patient simulation harness. MHQR, developed with PhD-level psychologists, provides explicit, actionable criteria for assessing response quality, while MindSim offers realistic, longitudinal patient interactions with a memory component. The study evaluated 18 models, finding that although surface-level quality has improved, guidance calibration remains the main failure across all models.

By John Mendon\c{c}a, Daniel Tschernutter, Jos\'e Pombal, Areti Vassilopoulos, Catarina Botelho, Ignacio Sarasua, Maya D'Eon, Nuno Guerreiro, Ricardo Rei
arXiv AI
Sep 15

K-Bench: a clinically calibrated benchmark for evaluating large language models in high-risk mental health conversations

arXiv:2609.15855v1 Announce Type: cross Abstract: % !TEX root = ../main.tex People increasingly use large language models (LLMs) for mental health support, yet their safety in evolving, high-risk con...

By Laura M. Vowels, Matthew J. Vowels, Shivali Sharma, Apoorv Jha, Rehnuma Choudhury, Wasseem El Sarraj, Rachel Francois-Walcott, Aruba Hussain, Sarah Ingram, Angela Loulopoulou, Adva Segal, Elena Volkova
arXiv AI
Sep 4

LongCounsel-8: A Benchmark Suite for Longitudinal Depression Tracking from Multi-Session Counseling Dialogues

LongCounsel-8 is a new benchmark suite comprising three datasets with 7,749 five‑session counseling dialogues, each grounded in real client profiles, depression trajectories, symptom compositions, and counseling patterns. The benchmark addresses challenges of longitudinal consistency, empirical grounding of symptom progression, and natural expression of controlled depression states without exposing labels. Experiments show that lower single‑session error does not ensure accurate trend detection, methods perform worse on worsening trajectories, and adding more session history can reduce trend prediction accuracy.

By Jiayi Li, Zhaomin Wu, Bingsheng He