Learning to Automate Follow-up Question Generation using Process Knowledge for Depression Triage on Reddit Posts
This work addresses the challenge of automating mental health triage for depression using conversational agents, which is incremental as it builds on existing deep language models by adding process knowledge and a new dataset.
The paper tackled the problem of generating follow-up questions for depression triage on Reddit posts by incorporating process knowledge from mental health questionnaires, achieving 12.54% and 9.37% improvements in similarity and longest common subsequence matches to PHQ-9 questions compared to models without such knowledge. It also introduced a new dataset, PRIMATE, to train models to identify which questions can be answered from user posts and which require more information, showing its appropriateness via MCC scores.
Conversational Agents (CAs) powered with deep language models (DLMs) have shown tremendous promise in the domain of mental health. Prominently, the CAs have been used to provide informational or therapeutic services to patients. However, the utility of CAs to assist in mental health triaging has not been explored in the existing work as it requires a controlled generation of follow-up questions (FQs), which are often initiated and guided by the mental health professionals (MHPs) in clinical settings. In the context of depression, our experiments show that DLMs coupled with process knowledge in a mental health questionnaire generate 12.54% and 9.37% better FQs based on similarity and longest common subsequence matches to questions in the PHQ-9 dataset respectively, when compared with DLMs without process knowledge support. Despite coupling with process knowledge, we find that DLMs are still prone to hallucination, i.e., generating redundant, irrelevant, and unsafe FQs. We demonstrate the challenge of using existing datasets to train a DLM for generating FQs that adhere to clinical process knowledge. To address this limitation, we prepared an extended PHQ-9 based dataset, PRIMATE, in collaboration with MHPs. PRIMATE contains annotations regarding whether a particular question in the PHQ-9 dataset has already been answered in the user's initial description of the mental health condition. We used PRIMATE to train a DLM in a supervised setting to identify which of the PHQ-9 questions can be answered directly from the user's post and which ones would require more information from the user. Using performance analysis based on MCC scores, we show that PRIMATE is appropriate for identifying questions in PHQ-9 that could guide generative DLMs towards controlled FQ generation suitable for aiding triaging. Dataset created as a part of this research: https://github.com/primate-mh/Primate2022