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

Fuente: arXiv
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Main Authors: Kermani, Arshia, Perez-Rosas, Veronica, Metsis, Vangelis
Format: Preprint
Published: 2025
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author Kermani, Arshia
Perez-Rosas, Veronica
Metsis, Vangelis
author_facet Kermani, Arshia
Perez-Rosas, Veronica
Metsis, Vangelis
contents This study presents a systematic comparison of three approaches for the analysis of mental health text using large language models (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.
format Preprint
id arxiv_https___arxiv_org_abs_2503_24307
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Systematic Evaluation of LLM Strategies for Mental Health Text Analysis: Fine-tuning vs. Prompt Engineering vs. RAG
Kermani, Arshia
Perez-Rosas, Veronica
Metsis, Vangelis
Computation and Language
Artificial Intelligence
Information Retrieval
Machine Learning
This study presents a systematic comparison of three approaches for the analysis of mental health text using large language models (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.
title A Systematic Evaluation of LLM Strategies for Mental Health Text Analysis: Fine-tuning vs. Prompt Engineering vs. RAG
topic Computation and Language
Artificial Intelligence
Information Retrieval
Machine Learning
url https://arxiv.org/abs/2503.24307