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A Systematic Evaluation of LLM Strategies for Mental Health Text Analysis: Fine-tuning vs. Prompt Engineering vs. RAG (2503.24307v1)

Published 31 Mar 2025 in cs.CL, cs.AI, cs.IR, and cs.LG

Abstract: This study presents a systematic comparison of three approaches for the analysis of mental health text using LLMs: prompt engineering, retrieval augmented generation (RAG), and fine-tuning. Using LLaMA 3, we evaluate these approaches on emotion classification and mental health condition detection tasks across two datasets. Fine-tuning achieves the highest accuracy (91% for emotion classification, 80% for mental health conditions) but requires substantial computational resources and large training sets, while prompt engineering and RAG offer more flexible deployment with moderate performance (40-68% accuracy). Our findings provide practical insights for implementing LLM-based solutions in mental health applications, highlighting the trade-offs between accuracy, computational requirements, and deployment flexibility.

Analysis of LLM Strategies for Mental Health Text Analysis: Fine-tuning, Prompt Engineering, and RAG

The paper by Kermani, Perez-Rosas, and Metsis provides a comprehensive evaluation of LLM methodologies in the domain of mental health text analysis. The paper compares three approaches: fine-tuning, prompt engineering, and retrieval augmented generation (RAG), utilizing the LLaMA 3 model, specifically focusing on tasks related to emotion classification and mental health condition detection. This analysis is conducted using two datasets: the DAIR-AI Emotion dataset, which includes labeled tweets across six emotions, and the Reddit SuicideWatch and Mental Health Collection (SWMH) dataset, encompassing posts labeled with various mental health conditions.

Results and Comparative Performance

The experimental results highlight the superior accuracy of fine-tuning, achieving 91% and 80% for emotion classification and mental health condition detection, respectively. Such performance, however, is achieved at the cost of substantial computational resources and extensive training data. This presents practical dilemmas, particularly in resource-constrained environments, which may favor alternatives offering flexibility despite moderate accuracy levels.

Notably, zero-shot prompting demonstrated reasonable classification accuracy, outperforming few-shot strategies which may introduce complexity that impairs model efficacy. RAG approaches demonstrated benefits in utilizing retrieved examples to inform classifications, though the variability and dependency on retrieval quality created notable performance volatility. This paper underscores the contextual complexities inherent in adapting LLMs to psychological assessments where precision is crucial, illustrating the varying efficacy across nuanced emotional states and conditions.

Practical and Theoretical Implications

The findings provide profound insights relevant for deploying LLM-based solutions in mental health contexts, emphasizing the trade-offs between model accuracy, computational requirements, and deployment feasibility. Fine-tuned models exhibit potential to augment initial assessments effectively but warrant cautious implementation given their varying reliability across different psychological and emotional categories.

For mental health professionals, incorporating LLMs could enhance assessment tools, support, and access to care, particularly for conditions like depression and anxiety where efficiency and measurement consistency are critical. The paper implies a possible trajectory where hybrid models might leverage combined strategies, optimizing balance between computational resources and classification correctness.

Future Developments

The exploration of hybrid models and improved efficiency in fine-tuning processes presents significant opportunities for advancing this domain. Moreover, extending these methodologies for diverse populations and language contexts remains an open area of research that could broaden the applicability and robustness of LLMs in clinical settings.

Ethical and Practical Considerations

A key consideration revolves around ethical application, ensuring that models do not inadvertently influence biases in mental health diagnostics or interfere with therapeutic alliances. Ensuring data privacy and establishing frameworks for safe integration into clinical practices will be essential for real-world application.

Conclusion

The paper effectively delineates the landscape of LLM capabilities in mental health text analysis, propounding viable approaches while elucidating the critical parameters and implications of deploying such models. The exploration offers pathways for advancing scholarly understanding and technical innovation for integrating artificial intelligence in mental health assessments, potentially transforming access and methodologies in psychological care.

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Authors (3)
  1. Arshia Kermani (2 papers)
  2. Veronica Perez-Rosas (16 papers)
  3. Vangelis Metsis (6 papers)
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