arXiv Computation and Language
Oct 23

X-pressing Intimacy: Mental Health Disclosure After Twitter Acquisition

The study analyzes how mental health self‑disclosure on Twitter changed after Elon Musk’s 2022 acquisition, examining 824K tweets related to anxiety, depression, bipolar disorder, borderline personality disorder, and suicidal ideation. Using LIWC and an LLM‑based intimacy classifier, researchers found a post‑acquisition decline in affective and social language, a rise in first‑person singular pronouns and future‑focused expressions, and varied intimacy patterns across conditions—low‑intimacy disclosures increased for anxiety, depression, and BPD, while high‑intimacy disclosures rose for suicide‑related posts. Only the moderate‑versus‑low intimacy decline for BPD remained statistically significant compared to broader Twitter discourse.

By Olivia Pal, Yunhao Yuan, Meghana Mandava, Talayeh Aledavood, Eshwar Chandrasekharan, Koustuv Saha
arXiv AI
Aug 20

Large Language Models in Mental Health: A Systematic Review of Applications, Innovations, and Ethical Challenges

The paper reviews how large language models are applied in mental health, covering areas such as social media analysis, clinical conversational agents, therapy support tools, prompt engineering, and multimodal learning. It synthesizes interdisciplinary studies that use social media posts, electronic medical records, and multimodal inputs to detect depression, assess suicide risk, provide personalized therapy, and generate psychoeducational content. The review also discusses advances in model interpretability, annotation strategies, multimodal fusion techniques, and highlights ethical, sociotechnical, and regulatory challenges while proposing frameworks for safe, equitable, and accountable deployment.

By Yisong Chen, Yifan Gao, Sijing Yu, Chuqing Zhao, Yang Lu