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大语言模型在精神健康中的机遇与风险。

The Opportunities and Risks of Large Language Models in Mental Health.

机构信息

Google via Magnit, Folsom, CA, United States.

Google LLC, Mountain View, CA, 90291, United States, 13103106000.

出版信息

JMIR Ment Health. 2024 Jul 29;11:e59479. doi: 10.2196/59479.


DOI:10.2196/59479
PMID:39105570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11301767/
Abstract

Global rates of mental health concerns are rising, and there is increasing realization that existing models of mental health care will not adequately expand to meet the demand. With the emergence of large language models (LLMs) has come great optimism regarding their promise to create novel, large-scale solutions to support mental health. Despite their nascence, LLMs have already been applied to mental health-related tasks. In this paper, we summarize the extant literature on efforts to use LLMs to provide mental health education, assessment, and intervention and highlight key opportunities for positive impact in each area. We then highlight risks associated with LLMs' application to mental health and encourage the adoption of strategies to mitigate these risks. The urgent need for mental health support must be balanced with responsible development, testing, and deployment of mental health LLMs. It is especially critical to ensure that mental health LLMs are fine-tuned for mental health, enhance mental health equity, and adhere to ethical standards and that people, including those with lived experience with mental health concerns, are involved in all stages from development through deployment. Prioritizing these efforts will minimize potential harms to mental health and maximize the likelihood that LLMs will positively impact mental health globally.

摘要

全球范围内的心理健康问题日益严重,人们越来越意识到现有的心理健康护理模式无法充分扩大规模以满足需求。随着大型语言模型(LLM)的出现,人们对其创造新颖的大规模解决方案以支持心理健康的潜力充满了乐观。尽管它们还处于起步阶段,但 LLM 已经被应用于与心理健康相关的任务。在本文中,我们总结了关于使用 LLM 提供心理健康教育、评估和干预的现有文献,并强调了每个领域产生积极影响的关键机会。然后,我们突出了与 LLM 在心理健康中的应用相关的风险,并鼓励采用减轻这些风险的策略。对心理健康支持的迫切需求必须与对心理健康 LLM 的负责任的开发、测试和部署相平衡。特别重要的是要确保针对心理健康对 LLM 进行微调,增强心理健康公平性,并遵守道德标准,让包括有心理健康问题经历的人在内的所有人都参与从开发到部署的所有阶段。优先考虑这些努力将最大限度地减少潜在的心理健康危害,并最大限度地提高 LLM 对全球心理健康产生积极影响的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/1cd6acfdfddc/mental-v11-e59479-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/1d73ea4a5796/mental-v11-e59479-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/b161df87327a/mental-v11-e59479-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/e9f4882e5b1b/mental-v11-e59479-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/1cd6acfdfddc/mental-v11-e59479-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/1d73ea4a5796/mental-v11-e59479-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/b161df87327a/mental-v11-e59479-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/e9f4882e5b1b/mental-v11-e59479-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f38/11301767/1cd6acfdfddc/mental-v11-e59479-g004.jpg

相似文献

[1]
The Opportunities and Risks of Large Language Models in Mental Health.

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引用本文的文献

[1]
Anxiety and Depression are Associated with More Distorted Thinking on Social Media: A Longitudinal Multi-Method Study.

Cognit Ther Res. 2025-8

[2]
Evaluation of large language models on mental health: from knowledge test to illness diagnosis.

Front Psychiatry. 2025-8-6

[3]
Performance of Open-Source Large Language Models in Psychiatry: Usability Study Through Comparative Analysis of Non-English Records and English Translations.

J Med Internet Res. 2025-8-18

[4]
Micro-narratives: A Scalable Method for Eliciting Stories of People's Lived Experience.

Proc SIGCHI Conf Hum Factor Comput Syst. 2025

[5]
"It's like having a friend in your pocket." the service user experience of the Actissist digital health intervention for early psychosis: a qualitative study.

BMC Psychiatry. 2025-7-7

[6]
Evaluating the Quality of Psychotherapy Conversational Agents: Framework Development and Cross-Sectional Study.

JMIR Form Res. 2025-7-2

[7]
Comparing ChatGPT and validated questionnaires in assessing loneliness and online social support among college students: a cross-sectional study.

Sci Rep. 2025-7-1

[8]
Role of large language models in mental health research: an international survey of researchers' practices and perspectives.

BMJ Ment Health. 2025-6-12

[9]
Large Language Models in Medical Diagnostics: Scoping Review With Bibliometric Analysis.

J Med Internet Res. 2025-6-9

[10]
A Scoping Review of AI-Driven Digital Interventions in Mental Health Care: Mapping Applications Across Screening, Support, Monitoring, Prevention, and Clinical Education.

Healthcare (Basel). 2025-5-21

本文引用的文献

[1]
Towards accurate differential diagnosis with large language models.

Nature. 2025-4-9

[2]
Mental-LLM: Leveraging Large Language Models for Mental Health Prediction via Online Text Data.

Proc ACM Interact Mob Wearable Ubiquitous Technol. 2024-3

[3]
Toward expert-level medical question answering with large language models.

Nat Med. 2025-3

[4]
Ethical and regulatory challenges of large language models in medicine.

Lancet Digit Health. 2024-6

[5]
Understanding the Benefits and Challenges of Using Large Language Model-based Conversational Agents for Mental Well-being Support.

AMIA Annu Symp Proc. 2023

[6]
Can we use ChatGPT for Mental Health and Substance Use Education? Examining Its Quality and Potential Harms.

JMIR Med Educ. 2023-11-30

[7]
Clinical Accuracy of Large Language Models and Google Search Responses to Postpartum Depression Questions: Cross-Sectional Study.

J Med Internet Res. 2023-9-11

[8]
Beyond human expertise: the promise and limitations of ChatGPT in suicide risk assessment.

Front Psychiatry. 2023-8-1

[9]
Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries.

Lancet Psychiatry. 2023-9

[10]
Large language models in medicine.

Nat Med. 2023-8

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