Migyeong Kang

Migyeong Kang, Jihyun Kim, Hyolim Jeon et al.

Psychiatric symptom identification on social media aims to infer fine-grained mental health symptoms from user-generated posts, allowing a detailed understanding of users' mental states. However, the construction of large-scale symptom-level datasets remains challenging due to the resource-intensive nature of expert labeling and the lack of standardized annotation guidelines, which in turn limits the generalizability of models to identify diverse symptom expressions from user-generated text. To address these issues, we propose SynSym, a synthetic data generation framework for constructing generalizable datasets for symptom identification. Leveraging large language models (LLMs), SynSym constructs high-quality training samples by (1) expanding each symptom into sub-concepts to enhance the diversity of generated expressions, (2) producing synthetic expressions that reflect psychiatric symptoms in diverse linguistic styles, and (3) composing realistic multi-symptom expressions, informed by clinical co-occurrence patterns. We validate SynSym on three benchmark datasets covering different styles of depressive symptom expression. Experimental results demonstrate that models trained solely on the synthetic data generated by SynSym perform comparably to those trained on real data, and benefit further from additional fine-tuning with real data. These findings underscore the potential of synthetic data as an alternative resource to real-world annotations in psychiatric symptom modeling, and SynSym serves as a practical framework for generating clinically relevant and realistic symptom expressions.

Hoyun Song, Migyeong Kang, Jisu Shin et al.

We introduce MentalBench, a benchmark for evaluating psychiatric diagnostic decision-making in large language models (LLMs). Existing mental health benchmarks largely rely on social media data, limiting their ability to assess DSM-grounded diagnostic judgments. At the core of MentalBench is MentalKG, a psychiatrist-built and validated knowledge graph encoding DSM-5 diagnostic criteria and differential diagnostic rules for 23 psychiatric disorders. Using MentalKG as a golden-standard logical backbone, we generate 24,750 synthetic clinical cases that systematically vary in information completeness and diagnostic complexity, enabling low-noise and interpretable evaluation. Our experiments show that while state-of-the-art LLMs perform well on structured queries probing DSM-5 knowledge, they struggle to calibrate confidence in diagnostic decision-making when distinguishing between clinically overlapping disorders. These findings reveal evaluation gaps not captured by existing benchmarks.

Shintaro Sakai, Jisun An, Migyeong Kang et al.

Prior clinical psychology research shows that Western individuals with depression tend to report psychological symptoms, while Eastern individuals report somatic ones. We test whether Large Language Models (LLMs), which are increasingly used in mental health, reproduce these cultural patterns by prompting them with Western or Eastern personas. Results show that LLMs largely fail to replicate the patterns when prompted in English, though prompting in major Eastern languages (i.e., Chinese, Japanese, and Hindi) improves alignment in several configurations. Our analysis pinpoints two key reasons for this failure: the models' low sensitivity to cultural personas and a strong, culturally invariant symptom hierarchy that overrides cultural cues. These findings reveal that while prompt language is important, current general-purpose LLMs lack the robust, culture-aware capabilities essential for safe and effective mental health applications.