arXiv Machine Learning

Cross-Platform Generalisation Failure in Mental Health Natural Language Processing: A Five-Axis Fairness Audit of Transformer Models on Social Media

The authors present the Cross-Platform Fairness Evaluation (CPFE) framework, a five‑axis audit protocol that assesses discriminative performance, calibration, statistical significance, prediction equity, and attribution stability of transformer models. Applying CPFE to four models trained on a Kaggle mental‑health corpus and tested on Reddit and Twitter, they find substantial cross‑platform degradation in AUC (30–40%) and severe calibration failures (ECE rising to 0.5 on Twitter). The study demonstrates that platform‑specific temperature scaling can largely fix calibration without harming discrimination, while prediction equity and attribution stability analyses reveal significant disparities and vocabulary divergence across platforms. The results argue that cross‑platform validation across all CPFE axes should become a standard requirement for mental‑health NLP systems deployed in heterogeneous environments.

arXiv AI
6d ago

The Divergence Hypothesis: Unmasking Lexical Interference and Label Bias in Mental Health NLP

The paper introduces TSS (Triple-Stream Stress probe), a diagnostic framework that splits text into lexical, morpho-syntactic, and psycholinguistic style channels to analyze mental health NLP classifiers. Across four English datasets, TSS uncovers a lexical interference effect where adding lexical features harms performance on human-labeled data but not on auto-labeled data, and proposes the Degree of Divergence (DoD) statistic to audit label-source bias. The study demonstrates that style features largely remain effective even after masking content words, emphasizing that shortcut learning is label-source specific rather than clinically relevant.

By Moustafa Yehia Hassan
arXiv AI
Aug 10

Natural Language Processing Psychometrics

arXiv:2608. 07316v1 Announce Type: cross Abstract: Natural Language Processing (NLP) models predicting mental health outcomes rarely specify what they measure: contextual knowledge, emotional content, or syntactic structure.

By Edoardo Sebastiano De Duro, Emma Franchino, Massimo Stella
arXiv AI
Aug 13

A corpus-specific clinical RAG system matches or outperforms newer frontier LLMs on HealthBench

arXiv:2608. 12138v1 Announce Type: cross Abstract: General-purpose large language models (LLMs) have recently been reported to match or exceed specialized clinical AI tools on medical benchmarks, but such comparisons draw on a narrow set of systems and on benchmarks developed largely in high-income settings.

By Praveen Reddy, Charuta Mandke, Suvrankar Datta, Sarah Khan, Siddharth Reddy Anthireddy, Shitij Arora, Vishal Singh
arXiv AI
6d ago

When Vocabulary Comprehension Fails Clinical Reasoning: Evaluating Therapy Bots' Safety Risks for Generation Alpha

The paper evaluates the safety of conversational AI therapy bots for Generation Alpha, revealing that while these models understand 76‑82% of youth‑specific vocabulary, they correctly assess clinical risk only 64‑72% of the time, creating a significant vocabulary‑comprehension gap. Six failure patterns—such as sarcasm masking, minimization acceptance, and semantic drift—were identified, with compounded errors leading to a 94% miss rate when three or more patterns co‑occur. The authors estimate 146,880 missed crises annually and recommend mandatory human‑in‑the‑loop systems, quarterly youth‑specific validation, transparent performance disclosure, and regulatory oversight for youth‑facing mental health AI.

By Manisha Mehta, Virendra Mehta
arXiv AI
Jul 15

Evaluating Health Misinformation in Low-Resource Languages: Integrating Small Language Models with a Culturally-Sensitive Responsible NLP Framework (Bangla as a Case Study)

arXiv:2607. 12336v1 Announce Type: cross Abstract: Artificial Intelligence (AI) technologies, while serving as a foundational enabler for modern social media and digital health services, exert a bivalent effect by simultaneously acting as a combatant against and a spread vector for misinformation.

By Farnaz Farid, Raihan Alam, Al Al-Areqi, Farhad Ahamed, Muhammad Hassan Khan, Sadia Hossain, Irena Veljanova, Anika Tabassum Binte Hossain
arXiv AI
Jul 1

Training Therapeutic Judges and Multi-Agent Systems for Human-Aligned Mental Health Support

arXiv:2606. 30887v1 Announce Type: cross Abstract: Large language models show promise for mental health support, yet therapeutic quality improves only when evaluation functions as an actionable control signal rather than a passive metric.

By Mizanur Rahman, Abeer Badawi, Elahe Rahimi, Laleh Seyyed-Kalantari, Frank Rudzicz, Enamul Hoque, Elham Dolatabadi