A Framework for Multi-Turn Mental Health Dialogue Expansion and LLM-Based Evaluation
Loading...
Date
Journal Title
Journal ISSN
Volume Title
Publisher
Department of Computer Science and Engineering(CSE), Islamic University of Technology(IUT), Board Bazar, Gazipur-1704, Bangladesh
Abstract
In this present world struggling with mental well-being, why would AI stay behind
from playing a crucial role in our lives to better manage our mentalhealth. Thispaper
introduces a pipeline for building and evaluating multi-turn mental health conversa
tion using limited single-turn datasets. Initially, publicly available mental health QA
pairs are expanded into realistic multi-turn conversations via prompt-based genera
tion. These enriched dialogues are used to fine-tune a LLaMA-based model, which is
trained to play the role of a virtual psychiatrist. Tosimulatediverseinteractionscenar
ios, the chatbot engages in conversations with other large language models acting as
synthetic patients. The resulting dialogues are evaluated by three independent LLMs,
each assessing the chatbot’s performance across mental health support metrics such
as reliability, bias, sensibility, specifity and interestingness(SSI), safety and security,
empathy, robustness and human likeness. Final scores are weighted averaged to en
sure balanced evaluation keeping a confidence. Other than these, a sparse human
evaluation based comparison among the LLM ratings is also done in this work to see
how well the LLMs can produce judgments with respect to human evaluators. This
workhighlightsanovelapproachthatcombinessyntheticdataexpansion,LLM-based
simulation, and automatedevaluationtoimprovethedevelopmentandassessmentof
mental health dialogue systems.
Description
Supervised by
Dr. HasanMahmud,
Professor,
Department of Computer Science and Engineering (CSE)
Islamic University of Technology (IUT)
Board Bazar, Gazipur, Bangladesh
This thesis is submitted in partial fulfillment of the requirement for the degree of Bachelor of Science in Computer Science and Engineering, 2025
Keywords
Citation
[1] M.Abbasian,E.Khatibi,I.Azimi,etal., Foundationmetricsforevaluatingeffec tiveness of healthcare conversations powered by generative ai, 2024. arXiv: 2309. 12444 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2309.12444. [2] R. Anil, A. M. Dai, O. Firat, et al., Palm 2 technical report, 2023. arXiv: 2305. 10403 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2305.10403. [3] DeepSeek-AI, D. Guo, D. Yang, et al., Deepseek-r1: Incentivizing reasoning ca pability in llms via reinforcement learning, 2025. arXiv: 2501.12948 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2501.12948. [4] A. Q. Jiang, A. Sablayrolles, A. Mensch, et al., Mistral 7b, 2023. arXiv: 2310. 06825 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2310.06825. [5] J. M. Liu, D. Li, H. Cao, T. Ren, Z. Liao, and J. Wu, Chatcounselor: A large lan guagemodels formentalhealthsupport,2023.arXiv:2309.15461[cs.CL].[On line]. Available: https://arxiv.org/abs/2309.15461. [6] OpenAI, J. Achiam, S. Adler, et al., Gpt-4 technical report, 2024. arXiv: 2303. 08774 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2303.08774. [7] H. Qiu, H. He, S. Zhang, A. Li, and Z. Lan, “SMILE: Single-turn to multi-turn inclusive language expansion via ChatGPT for mental healthsupport,”inFind ingsoftheAssociationforComputationalLinguistics:EMNLP2024,Y.Al-Onaizan, M. Bansal, and Y.-N. Chen, Eds., Miami, Florida, USA: Association for Com putational Linguistics, Nov. 2024, pp. 615–636. doi: 10.18653/v1/2024. findings-emnlp.34. [Online]. Available: https://aclanthology.org/ 2024.findings-emnlp.34/. [8] Qwen, : A. Yang, et al., Qwen2.5 technical report, 2025. arXiv: 2412.15115 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2412.15115. [9] P. E. Shrout and J. L. Fleiss, “Intraclass correlations: Uses in assessing rater reliability,” Psychological bulletin, vol. 86, no. 2, pp. 420–428, 1979. 44 [10] C.Siro,M.Aliannejadi,andM.deRijke,“Rethinkingtheevaluationofdialogue systems: Effects of user feedback on crowdworkers and llms,” in Proceedings of the 47th International ACM SIGIR Conference on Research and Development in Information Retrieval, ser. SIGIR 2024, ACM, Jul. 2024, pp. 1952–1962. doi: 10.1145/3626772.3657712. [Online]. Available: http://dx.doi.org/10. 1145/3626772.3657712. [11] H. Sun, Z. Lin, C. Zheng, S. Liu, and M. Huang, Psyqa: A chinese dataset for generating long counseling text for mental health support, 2021. arXiv: 2106. 01702 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2106.01702. [12] T.Y.C.Tam,S. Sivarajkumar, S. Kapoor, et al., A framework for human evalua tion of large language models in healthcare derived from literature review, 2024. arXiv: 2405.02559 [cs.CL]. [Online]. Available: https://arxiv.org/abs/ 2405.02559. [13] G. Team, R. Anil, S. Borgeaud, et al., Gemini: A family of highly capable multi modal models, 2024. arXiv: 2312.11805 [cs.CL]. [Online]. Available: https: //arxiv.org/abs/2312.11805. [14] G. Team, T. Mesnard, C. Hardin, et al., Gemma: Open models based on gemini researchandtechnology,2024.arXiv:2403.08295[cs.CL].[Online].Available: https://arxiv.org/abs/2403.08295. [15] H. Touvron, T. Lavril, G. Izacard, et al., Llama: Open and efficient foundation languagemodels,2023.arXiv:2302.13971[cs.CL].[Online].Available:https: //arxiv.org/abs/2302.13971. [16] Q. Xie, Q. Li, Z. Yu, Y. Zhang, Y. Zhang, and L. Yang, An empirical analysis of uncertainty in large language model evaluations, 2025. arXiv: 2502.10709 [cs.CL]. [Online]. Available: https://arxiv.org/abs/2502.10709. [17] L. Zheng, W.-L. Chiang, Y. Sheng, et al., Judging llm-as-a-judge with mt-bench andchatbotarena,2023.arXiv:2306.05685[cs.CL].[Online].Available:https: //arxiv.org/abs/2306.05685
